Consult Liaison w/Collaborative Care Psychiatrist in Burien & Federal Way, WA
CHI Franciscan Health is a nonprofit health system based in Tacoma, Washington with $2.6 billion in net revenue and a team of nearly 12,000 doctors, nurses and staff that provide expert, compassionate medical care at eight acute care hospitals and approximately 200 primary and specialty care clinics in Pierce, King and Kitsap counties. This includes St. Anthony Hospital, Gig Harbor; St. Clare Hospital, Lakewood; St. Elizabeth Hospital, Enumclaw; St. Francis Hospital, Federal Way; St. Joseph Medical Center, Tacoma; Harrison Medical Center, Bremerton and Silverdale; Highline Medical Center, Burien; and Regional Hospital, Burien.
Started in 1891 by the Sisters of St. Francis of Philadelphia, today CHI Franciscan Health is one of the largest health systems in Washington state. The system spans more than 1,100 acute care beds, a credentialed medical staff of more than 1,500 including more than 800 employed physicians providing specialties in cardiovascular care, cancer care, orthopedics and sports medicine, neurosciences and women’s care. CHI Franciscan’s mission focuses on creating healthier communities, including caring for the poor and underserved. In 2015, the organization provided $141 million in community benefit, including $10 million in charity care.
Clear views of Mount Rainier and the beautiful waters of Puget Sound offer a dramatic backdrop for life in Tacoma. As Washington’s third-largest city, Tacoma continues to grow as an economic and cultural core of Pierce County.
Tacoma is located just 35 miles south of Seattle. It offers all the advantages of a major metropolitan area while living in a mid-size city with easy access to some of the finest outdoor recreational areas.
Catholic Health Initiatives, a nonprofit, faith-based health system formed in 1996 through the consolidation of four Catholic health systems, expresses its mission each day by creating and nurturing healthy communities in the hundreds of sites across the nation where we provide care. One of the nation’s largest nonprofit health systems, Englewood, Colorado-based CHI operates in 18 states and comprises 100 hospitals, including two academic health centers and major teaching hospitals as well as 30 critical-access facilities; community health-services organizations; accredited nursing colleges; home-health agencies; living communities; and other facilities and services that span the inpatient and outpatient continuum of care.
In fiscal year 2018, CHI provided more than $1.14 billion in financial assistance and community benefit for programs and services for the poor, free clinics, education and research. Financial assistance and community benefit totaled approximately $2.1 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $15 billion in fiscal year 2018, has total assets of approximately $20.5 billion. Learn more at www.catholichealthinitiatives.org
Catholic Health Initiatives and its organizations are Equal Opportunity Employers and support a drug-free work environment.
The psychiatric consultant is responsible for supporting behavioral health care provided by a primary care team that includes a Collaborative Care manager.
DUTIES AND RESPONSIBILITIES
- Provide regularly scheduled (usually weekly) caseload consultation to Collaborative Care managers (CMs). These consultations focus primarily on patients who are new to treatment or who are not improving as expected and are typically done by telephone, video, or in person.
- Work with assigned CMs to track and oversee their patient panels and clinical outcomes using an electronic registry or other type of system capable of tracking clinical processes and patient
- Suggest treatment plan changes, including medication recommendations and supporting behavioral treatment, for patients who are not improving as expected. Use a population-focused registry to document recommendations for treatment and/or referrals within 24 hours of consulting with a CM so that they can be easily shared with PCPs and other treating providers.
- Discuss patients who need referral for additional specialty mental health care (e.g., to a community mental health center) and advise on treatment plans until patients are engaged in such care.
- Clearly communicate to CMs and PCPs the limitations of the consultation and treatment recommendations if the patient is not evaluated in person. Include the following disclaimer statement acknowledging these limitations in all consult notes.
- Provide occasional telephonic consultation to primary care providers (PCPs) as required, focusing on patients in the CM’s caseload. Respond to telephone calls from primary care providers and CMs within one business day. Respond to urgent telephone calls within one hour, if available.
- Coordinate with other psychiatric consultants for vacation coverage.
The typical workload of a psychiatric consultant includes regular (weekly) consultation with the assigned
CMs, time preparation for consultation, and documentation of treatment recommendations in the
electronic registry. This may also include consultation directly to PCPs. These consultations may be
performed in person or via telemedicine (video or telephone).
- Direct evaluation of patients with significant diagnostic or therapeutic challenges who are
identified in discussion with the patient’s CM and/or PCP. Such consultation may be provided in
person or via telemedicine (video or telephone).
- Development and delivery of in-service training for primary care-based providers and staff
regarding recognition and treatment of behavioral health conditions in primary care.
IF CONSULTING REMOTELY AND OFFSITE FROM CLINIC TEAMS
- If possible, visit each participating clinic at least once when initiating a new consulting
relationship and then at least once per year to meet clinic providers and discuss ongoing
- Maintain professional cell phone and email accounts for contact during usual business hours.
Check professional accounts daily and respond to email questions/consultations within two
business days, sooner if urgent.
- Unrestricted Washington State medical license in good standing
- Board Eligible or Board Certified in Psychiatry
- Demonstrated ability to collaborate effectively in a team setting.
- Excellent communication skills. Positive, flexible, and solution-focused attitude.
- Ability to quickly synthesize medical and psychiatric data and formulate effective and evidence based clinical recommendations.
Experience with primary care psychiatry or consultation-liaison psychiatry.