CO Nurse Practitioner

The Department of Psychiatry, Howard County General Hospital Outpatient Practice, at the Johns Hopkins School of Medicine is seeking a Nurse Practitioner to work collaboratively within a multidisciplinary health team to optimize team performance and patient outcomes. We are seeking an excellent clinician to provide clinical care to adults at the Johns Hopkins Howard County General Hospital Campus, Outpatient Practice.

The Nurse Practitioner is responsible for providing high quality and effective patient care through the evaluation, diagnosis, and treatment of acute and chronic mental illness. In addition to providing direct patient care, the Nurse Practitioner also educates patients and family members regarding mental illness.

The Nurse Practitioner shares responsibility for the provision of excellent health care in compliance with state and federal accreditation requirements, and practices within the guidelines of the Department of Psychiatry, Johns Hopkins Medicine and in accordance with the State of Maryland Board of Nursing. The Nurse Practitioner is granted privileges by the Howard County General Hospital Medical Board; these privileges list specific tasks and are reviewed annually.

Duties and Responsibilities:

• Performspsychiatric assessment,formulatesdiagnosis andinconsultationwith referringphysicianrecommendsandcompletesappropriatedisposition.
• Provide psychotherapy to outpatients with a variety of psychiatric conditions.
• Provide medication management to outpatients with a variety of psychiatric conditions.
• Generate bills for services provided in accordance with Johns Hopkins Clinical Practice Association Guidelines.
• Interviewpatient andperformspsychosocial assessment, mentalstatus examination andpastpsychiatrichistory.
• Contactsfamilyor anycollateral informantsnecessarytoprovideinformationnecessarytocompletean assessment.
• Formulatesanappropriatetreatment/dispositionplanforpatient.
• Developsknowledgebase ofMentalHealthService Systemnecessaryto makesthemost appropriateclinicaldisposition.
• Effectivelytroubleshoots all systemswhenproblems arise in effecting aclinicallynecessarydisposition.
• Assuresthat all appropriatedocumentation iscomplete accordingtostandardstocarry outtreatment/dispositionplan.
• Completes allcontactsnecessaryto arrangefor appropriatedispositionofcase and independentlyresolvesproblemswithcomplicateddispositions.
• Attends allStaffmeetings and administrative meetings as assigned.

• Coordinate care for patients to achieve clinical and organizational outcomes. Uses advanced clinical and theoretical knowledge to identify acute and/or chronic health problems through a comprehensive, age appropriate assessment of patients using skills in taking medical histories, screening, physical examinations, ordering diagnostic tests, making tentative diagnoses, prescribing appropriate medications and treatments. Provides evidence-based care and provides patient education for self-care chronic disease management.
• Effectively uses resources. Prioritizes and organizes work to meet the changing priorities of Howard County General Hospital. Provides guidance and direction to other staff where applicable to promote quality improvement/patient safety projects.
• Works collaboratively with medical and surgical consultants. Strive to meet and/or exceed established productivity targets for services provided.
• Complete notes within the EPIC electronic medical record system on the day of visit and discharge summaries on the day of discharge for effective communication with primary care providers, medical consultants and informal care providers.
• Accountable for own patient care decisions. On a regular and continuous basis, exercises administrative judgment and assumes responsibility for decisions, consequences, and results having an impact on people, costs, and/or quality of service within the functional area.
• Required to participate in on-call after hours rotation shared by Psychiatry providers, reachable by phone and/or pager. Required to participate in weekend call, which includes coming into the hospital to round on all patients, completing consults requested by med/surg units, and taking calls for admissions and discharges from the social workers in the ED. Required to participate in Department of Psychiatry provider and staff meetings.

Responsible for other clinical duties as assigned.

Minimum Qualifications:

Master's degree in nursing; Registered Nurse license and Certified as a Psychiatric Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Demonstrated competence in the delivery of health care to a diverse group of child and adolescent patients preferred. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH and HCGH credentialing process is required prior to start date.

Preferred Qualifications:Two years related experience or combination of registered nursing experience in psychiatry preferred.

JHU Equivalency: Additional experience may substitute for master's degree.

Additional Knowledge, Skills, and Abilities:

• Demonstrated competence in the delivery of health care to a diverse group of child and adolescent patients preferred.
• Advanced clinical skills in specialty area or equivalent. Successfully completes all training courses required for access to Epic and other clinical software systems. General computer knowledge and capability to use computer. Requires effective use of resources and cost awareness.
• Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members. Ability to analyze data to synthesize and summarize information and to make judgments regarding patient care.
• Analytical ability necessary to diagnose patients and to develop and implement plans of action for long and short term management of acute and chronic health. Ability to apply principles of evidence-based practice, scientific process, and service excellence in practice.
• Ability to interact successfully with the public. Ability to perform effectively despite sudden deadlines and changing priorities. Ability to maintain personal composure in high stress situations, deadlines and changing priorities.
• Demonstrated interpersonal, written and verbal communication skills are required to service a diverse customer base. Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem-solving.
• Ability to communicate effectively, both verbally and in writing, in order to provide information to patients and health care personnel. Ability to demonstrate and convey a favorable image of the organization and to conform to proper standards of professional dress, attitude and demeanor. Ability to demonstrate a high level of interpersonal skills required to interact with patients, patients’ families/visitors and clinical staff.
• Proven ability to relate effectively to individuals of various backgrounds and cultures, including the understanding and appreciation of diverse cultural, ethnic, gender and international differences.
• Ability to perform with a high degree of accuracy and with meticulous attention to detail. Demonstrate a strong ability to use initiative and judgment and to identify, analyze and solve problems. Ability to demonstrate self-direction and initiation. Ability to work independently and as a part of a team. Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
• Able to operate patient care equipment to assess health; proficiency in using desktop computers or laptops, and general office equipment on a daily basis.

Physical Requirements:

Work requires standing, bending, sitting and using/manipulating various health assessment instruments and machines, and/or walking for extended periods of time. Work may require positioning and assisting patients and transporting patients and/or equipment from one location to another with little likelihood for injury if proper body mechanics and procedures are followed. Ability to move standard equipment through a hospital or clinical environment.

Classified Title: Nurse Practitioner ​​​​​
Role/Level/Range:ACRP/04/MG
Starting Salary Range:Competitive; Commensurate with experience
Employee group:Full Time
Schedule:Monday through Friday, day shift, night, weekend, and holiday call as needed
Exempt Status: Exempt
Location:JH at Howard County General
Department Name:Psychiatry Community Hospitals
Personnel Area:School of Medicine

The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office atjhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

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