Accompany Health is on a mission to give low-income patients with complex needs the dignified, high-quality care they deserve but rarely receive. A primary, behavioral, and social care provider, Accompany Health walks alongside patients for their entire care journey, offering at-home and virtual care, as well as 24/7 support. Partnering with innovative payors, Accompany Health is powered by remarkable care teams, elegant technology, and a commitment to evidence-based practice.
We build long-term relationships with our patients so they know, without question, that our team is here for them day or night, year after year. We focus on the health outcomes most important to our patients to make it clear that they lead the way.To achieve our mission, we collaborate with community-based organizations, local providers, and health plans. Led by our empathetic care teams, guided by proven care models, and powered by our own technology, we deliver a level of service that our communities rightfully deserve but rarely receive. While our headquarters is in Bethesda, MD, our teams are distributed across the country. If you’re eager to make a tangible difference in people’s lives, to help correct long-standing disparities in health care, join us.
About the role:
As Accompany Health grows, the Behavioral Health Advanced Practice Clinician (BH APC) will be an important clinician in the BH team. The BH APC will work side-by-side with our Director of Integrated Behavioral Health to see patients primarily virtually, with the potential for in-person visits, in the Detroit market as well as in future markets. The BH APC reports to our National Director of Integrated Behavioral Health, and has an important voice in the development and implementation of our BH programs across the organization. This is a primarily clinical role and the BH APC will function as a key part of our Integrated Care Team, which also include physicians, primary care advanced practice clinicians, community health workers, patient experience navigators, social workers, Registered Nurses, psychiatrists, and pharmacists.
Together this team is responsible for providing and coordinating holistic, patient-centered care for an intimate panel of patients with complex medical, behavioral health, and social needs in an in-home and community-based model.As an Accompany Health BH APC, you will care for patients primarily virtually via video, telephone, or text, but also in the home and community as needed as we expand our care model. You will primarily be seeing patients in our Bridge Care program, which may involve clinical diagnosis, treatment including medications, and coordination of care for patients with severe mental illness (SMI), including substance use disorders. You will also help establish our Advanced Behavioral Health pathway(s), as we discover the right way to support our patients with SMI who are either linked to community providers or have had difficulty following in the community. You will participate in our weekly Behavioral Health Huddle and our Behavioral Health Case Conferences, and may be asked to participate in our Multidisciplinary Case Conferences with the entire care team. We anticipate that 80% of this role will be clinically seeing patients and 20% will be administrative in non-direct patient care roles.
Responsibilities will include:
- Clinical
- Provide psychiatric diagnostic evaluations for patients referred to BH services.
- Prescribe medications for depression, anxiety, PTSD, bipolar disorder, schizophrenia, substance use disorders, and other DSM5 diagnoses. This includes prescribing controlled substances in accordance with a Collaborative Practice Agreement.
- Design and participate in patient treatment plans, particularly for complex patients
- Order appropriate laboratory testing and other monitoring for patients.
- Respond to clinical queries to keep documentation compliant.
- Collaborate with Psychiatrists, Behavioral Health Clinicians, Primary Care APCs and Physicians, Care Team Managers, Community Health Workers, Patient Experience Navigators, and other team members to coordinate patient care.
- Supporting patients in transitions of care from facilities for admissions related to behavioral health diagnoses, including but not limited to: coordinating on discharge plans with inpatient care management, performing assessments to identify risk factors for readmissions, ensuring close follow-up and coordinating services.
- Assisting the clinical team in urgent triage for behavioral health related issues
- Ensuring timely and appropriate documentation.
- Collaborate with guardians, relatives, and significant others on client’s conditions and treatment when clinically appropriate.
- Ability to complete the majority of visits in telehealth (video) or phone visits, as well as potential for some in-home care for selected patients.
- Administrative
- Providing feedback and behavioral health programs policies and processes to improve the quality of care.
- Provide feedback, input, and testing for future product builds.
- Assist in wellbeing and diversity, equity, and inclusion initiatives.
- Co-develop behavioral health programming for training of BHCs and Accompany Health employees on pertinent behavioral health topics.
- Participating in multi-disciplinary case conferences and clinical rounds to ensure holistic and appropriate care for patients.
- Providing formal and informal coaching and education to other clinical and non-clinical team members about supporting patients with behavioral health issues.
- Working with the National Director of Integrated Behavioral Health in other measures not mentioned above.
- Roles and responsibilities may evolve as our care model develops.
What makes you a fit for the team:
- Passionate about caring for complex, historically underserved patients with co-occurring chronic and behavioral health conditions in an integrated, multi-disciplinary model anchored in home-based and tech-enabled virtual care.
- Committed to providing the highest quality, outstanding clinical care to all patients, regardless of their needs.
- Consistently go the extra mile to ensure that our patients have the best healthcare experience possible.
- Excited to be a part of and contribute to the development of a rapidly evolving, innovative care model.
- Enjoys continuously learning and adapting workflows to improve patient care.
- Excellent communicator able to coach and mentor clinical and non-clinical members of multidisciplinary teams on excellent patient care.
- Ability to work with a diverse array of patients, clinicians, and staff, cultivating a nurturing and safe working environment that challenges all to be their best.
- Flexibility in day-to-day variations of processes that occur as a clinical consultant.
Desired skills and experience:
- Required
- Certification by the American Nurses Credentialing Center (ANCC) in Psychiatric Mental Health (PMH) as a Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant with Psychiatry CAQ
- Active DEA Controlled Substance Registration or eligible for application
- Active Unrestricted license to practice as an advanced practice registered nurse (APRN) or Physician Assistant in the state of Michigan
- Active controlled substance license in Michigan
- Certified in Basic Life Support for Healthcare Providers
- Comfort and experience in working within an electronic medical record
- Valid unrestricted driver's license and access to an insured vehicle for daily use
- 2+ years of experience in assessing, provisional diagnosis, planning, and managing behavioral patient care as acquired through clinical experience
- 5+ years of experience working in high risk populations with serious mental illness and substance use disorder
- Expertise with DSM5 diagnostic criteria
- Highly skilled in trauma-informed care and culturally sensitive care
- Experience and comfort working within an interdisciplinary care team, and specifically closely collaborating with community health workers and primary care providers
- Highly flexible and adaptable; enjoys learning new skills and contributing to ongoing learning and process improvement
- Comfort with electronic medical record documentation and excited about how technology can support your work
- Experience as an active participant in continuous quality improvement projects
- Valid unrestricted driver's license and access to an insured vehicle for daily use
- Preferred
- 2+ years experience in either community mental health setting or psychiatric clinic serving patients with severe mental illness
- Experience in transitions of care management for patients discharging from behavioral health facilities or step-down units, including performing detailed medication reconciliation, patient education, and connection/navigation to appropriate services
- Experience in value-based care organizations
- Prior work experience as part of a multidisciplinary care team
#LI-Hybrid#LI-AS1For Patient Facing RolesTo keep our patients, communities and each other safe, you'll be required to comply with Accompany Health’s medical clearance requirements, including completing a TB screen and providing proof of immunity or vaccination for certain conditions. You will also be required to be vaccinated and up-to-date on your COVID-19 vaccinations, including boosters. This is a condition of employment, and we make exceptions as required by law. Accommodation for religious and medical beliefs will be provided on a case by case basis.For Non-Patient Facing RolesTo keep our patients, communities and each other safe, you'll be required to comply with Accompany Health’s medical clearance requirements, including receiving the COVID-19 vaccine.
This is a condition of employment, and we make exceptions as required by law. Accommodation for religious and medical beliefs will be provided on a case by case basis.We embrace diversity and believe it creates a healthier atmosphere: Accompany Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
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