Psychiatrist III
Texas Department of Family and Protective Services - Richmond, TX

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The Lead Psychiatrist, under direct supervision of the Medical Director, performs highly advanced psychiatric and/or managerial work and provides leadership in the area of Psychiatric services. Work involves directing psychiatric activities; monitoring trends and activities; making recommendations for improvement as appropriate; diagnosing and treating consumers; and administering specialized psychiatric treatments and/or procedures. The Lead Psychiatrist is responsible for knowing and following pertinent rules and regulations found in the Texas Administrative Code, ICF policies, and local policy. The Lead Psychiatrist serves as a consultant to the patient’s personal support team and provides guidance to treatment team members regarding the treatment of the patients under their care. May plan, assign, and/or supervise the work of others. Works under general direction with considerable latitude for the use of initiative and independent judgment.

Essential Job Functions:
Develop, implement, organize and provide leadership in the area of Psychiatric Services following DADS policies and procedures, state and federal rules and regulations, and ICF-MR standards in order to provide quality psychiatric services and care to individuals served. Conduct psychiatric clinics as scheduled and psychiatric reviews as requested by the Interdisciplinary Teams (IDTs). Ensure that each individual is being treated with the most effective medication and the most effective dosage. Communicate recommendations to family members as requested. Document all deliberations. Conduct all 30-day medication reviews in conjunction with psychologist and nurse according to ICF standards. Attends Personal Support Planning meetings and 90-day medication reviews, and other meetings as requested by the IDT or administrators. Manage acute psychiatric care including authorizing emergency restraints, writing orders for the emergency use of medication, and coordinating psychiatric hospitalizations. Attend Specialty Clinics (Neurology; Ear, Nose and Throat; Gynecological; Psychiatric; Podiatry; Vision and Dermatology) as requested and carry out procedures and recommendations of visiting medical specialists. Work with IDTs, psychologists, and other interested persons to develop effective behavioral interventions and to identify environmental factors that may impact psychiatric care. Participates in restraint reduction efforts by assisting in the coordination of medication and behavior therapy. Provide staff training as requested including, but not limited to new employee orientation, training for professional staff, training for direct contact staff, and training for families. Provides individual or group therapy as requested. Provides consultation with other facilities and Management Support & Oversight staff as requested. Participate in mandatory training in order to ensure competency and development. Participate in various committees that may include Medical Services Division, Pharmacy, Therapeutics, Admission Review, Clinical Death Review, and Administrative Death Review in accordance with established DADS policy and procedures. Maintain open and regular communication with the Medical Director and other staff to ensure the transfer of needed information and continuity of services Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge Skills Abilities:
Knowledge of methods and procedures in the field of general medicine; and of principles of the development, implementation, and documentation of individualized care and treatment plans. Exercise skill in the care and treatment of patients; in the use of medical and psychiatric diagnostic and treatment tools and equipment; and in conducing psychiatric research when necessary. Ability to plan, assigns, and/or Ability to direct psychiatric activities; to examine, diagnose, and treat mental disorders; to interpret psychological diagnoses and analyses; develop policies and procedures; and to prepare and supervise the preparation of case histories and medical records. Ability to assess, diagnoses, and prescribe/supervise treatment to assigned patients while conforming to local policy, Texas Administrative Code, and applicable laws to decrease psychiatric symptoms/disorders. Ability to solve medically difficult issues by considering opinions of consultants and/or appropriate literature including accepted guidelines such as TIMA, or other published algorithms. Ability to work with the Interdisciplinary Team by facilitating a unified, effective team approach using the expertise of all team members in order to assure high quality patient care. Understands principles of behavior treatment. Knowledge of the state formulary guidelines for maximum doses, and if exceeded, provides detailed documentation of exception, ensuring efficacy, safety, and tolerance. Ability to participate and supervise the Psychiatric Staff to provide continuous quality improvement and to promote quality care by adhering to the plan of improvement and State Initiatives. Ability to supervise Psychiatric Staff to avoid “polypharmacy” and to justify and document when use necessary. Ability to participate and insure staff participation in annual training as well as any other required specific training in order to assure up to date skills and knowledge in required areas (i.e. CPR; PMAB-; Refresher Orientation, etc.)

Registration or Licensure Requirements:
Texas Medical License Board certification or board eligibility in psychiatry DEA Certificate and Texas Controlled Substances Registration

Initial Selection Criteria:
Licensed as a Medical Doctor in the state of Texas. Current DEA registration Board certification or board eligibility in psychiatry

Additional Information:
All applicants must pass: pre-employment drug screen, fingerprint criminal background check, and Client Abuse/Neglect Reporting System (CANRS), Employee Misconduct Registry and Nurse/Aide Registry checks. Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center employees are subject to Random drug testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the AccessHR service center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview req#205315 req#223229