Employment Type:

Shift:

Description:

• POSITION DESCRIPTION:

  The Nurse Practitioner (NP) at St. Joseph Mercy Hospital Ann Arbor is a highly skilled position that requires extensive knowledge and experience in Behavioral Health. The NP acts as an autonomous practitioner working independently and collegially with the Psychiatric Director of the Transition Clinic & Collaborative Care Model to provide psychiatric consultations for a wide variety of conditions and to assist the primary team providing comprehensive care for their clinic patients. Patients may present with primary psychiatric conditions, comorbid substance abuse, or medical team, the patient and clinical staff. The patient's medical issues may be complicated by their psychosocial difficulties including lack of housing, lack of social support, stress of loss, and poor access to community resources. Collaboration with case manager, social workers, and community mental health agencies occur daily.

  MAJOR AREAS OF RESPONSIBILITY: Keys Roles

  Clinical Nursing Practice

  • Provide psychiatric evaluation - Community Based Clinics as requested by the Department of Psychiatry.

  • Identify presenting problem, clarify type of assistance requested
  • Gather history of current illness and current psychiatric symptoms including response to stress or loss, coping behaviors, recent treatment and response, evidence of psychosis, anxiety, depression, dementia or delirium.
  • Gather history of past psychiatric conditions including psychiatric providers, psychiatric medications, psychiatric hospitalizations, episodes of self-harm, and substance abuse.
  • Mental health assessment which may include Mental Status Exam, Montreal Cognitive Assessment, Suicide Risk Assessment and others.
  • Provide crisis and supportive counseling
  • Gather legal information and assess impact on employment, relationships, self esteem

  • Formulate diagnostic impression based on above and review of laboratory/ screening results
  • Communicate assessment and recommendations to patient and consult requestors, including medication, behavioral management.
  • Educate pts and families about psychiatric conditions, treatments, available resources within and external to hospital.

  Communication

  • Maintains exceptional working relationship with Director of Psychiatry and referring providers.
  • Communicates recommendations for managing psychiatric conditions, with sensitivity to differences in culture, professional preparation, experience and desired outcome.
  • Builds and communicates therapeutic working relationships with community based organizations relationships with community based organizations to promote Collaborative Care.
  • Establishes caring, empathic working relationships with patients to help them identify areas of need, capacity to make changes, comfort in asking for help.
  • Maintains and nurtures relationships with colleagues and administrative staff.

  Mentoring/teaching

  • Works with Community Based Clinics, providing Psychiatrist support and on-going education.
  • Mentors newly hired psychiatric nurse practitioners working in the department of psychiatry.
  • Maintains ongoing self-learning though attendance at Continuing Education lectures, attendance at hospital based case reviews, and staff improvement lectures, etc.

  Required Knowledge, Skills and Abilities

  • Strong nursing knowledge base and above average skills to assess the interplay between psychiatric illness and medical illness.
  • Demonstrated ability to be detail-oriented, have an inquisitive mind, and enjoy the process of discovery and integration of multiple factors in the evaluation of the whole person.
  • Flexibility of time and attitude. Be able to manage clinical uncertainty.
  • Strong communication and interpersonal skills to communicate highly complex, sensitive information to wide range of people at all levels of the organization.
  • Manage conflict and ability to cope with negative or aggressive behavior.
  • High level of insight into personal strengths and weakness, personal qualities and skills.
  • Strong ability to identify when to ask for help when faced with complex or complicated clinical decision making.
  • Ability to deal with exposure to distressing circumstances and highly emotional events.
  • Ability to clearly document clinical information.

  Education:

  • Master’s Degree in clinical nursing from an accredited Nurse Practitioner Program with emphasis on area of certification/licensure.

  Licensure:

  Current Registered Nurse and Nurse Practitioner license in State of Michigan

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.