Telepsychiatrist

Salary: $188.00/hour

Job Description for Telemedicine Psychiatry Services

Location:

• Full-Time Tele-Psychiatric Services are to be provided in the facility office:
• Multiple Positions available in Diamond Bar, California
• Monday through Friday: 7:00 AM to 3:00 or 5:00 PM
• Multiple Positions available in Rancho Cucamonga, California
• Minimum of 3 days per week Monday through Friday: 7:00 AM to 3:00 or 5:00 PM
• Multiple Positions available in Santa Ana, California
• Minimum of 3 days per week Monday through Friday: 7:00 AM to 3:00 or 5:00 PM
• Multiple Positions available in Elk Grove, California
• Monday through Thursday or Friday: 7:00 AM to 3:00 or 5:00 PM

Telephonic Psychiatry Policy:

• Under the direction of the Statewide Chief of Psychiatry support and coordination of the Office of Telemedicine Services (OTS), all telemedicine visits/clinics will adhere to patient-inmate confidentiality and privacy policies, Health Insurance Portability and Accountability Act (HIPAA), and Health Information Technology for Economic and Clinical Health (HITECH) and Confidentiality of Medical Information Act (CMIA) requirements.
• The Telemedicine Psychiatrist must be available for the clinical schedule specific to the institution and they shall ensure that all scheduled services are delivered at the time scheduled, unless unavoidable circumstances occur.
• The Telemedicine Psychiatrist shall also refer to and utilize the Facility Formulary or obtain or obtain non-formulary approval for medications not listed via the Facility Request for Non-Formulary Medication, form 7374, and they must receive official program guide training before initiating Telemedicine Psychiatry Services as well as attend in-service training when requested by the institutional leadership or OTS.
• On-site medical record information on each patient-inmate seen via telemedicine must be maintained by the Telemedicine Psychiatrist and comply with the requirements of Facility, HIPAA, HITECH, and CMIA. In addition, all equipment and connectivity to perform telemedicine must meet the Facility established and approved methods and specifications, and it shall meet or exceed the Information Technology (IT) security standards established by CCHCS based upon Internal Standards Organization (ISO) 27002 standard and the National Institute of Standards and Technology (NIST) 800 series.

Requisite of Qualification:

• Juvenile Justice Facilities require Psychiatrists to have a minimum of twelve (12) continuous months of experience within the last three (3) years performing services similar in scope to those defined herein, in a public or private institution. Internship does not count towards the required experience.
• Patient-inmate/ward health care is of paramount importance. Accuracy in communications is critical to ensure timely, correct care is provided. Therefore, any licensed Psychiatrists providing services through this Agreement must be proficient in the English language and be able to communicate effectively with the provider.
• All Psychiatrists musty be able to speak, understand oral and written communication and write effectively in the English language. Any Psychiatrist who fails to meet the minimum qualifications shall not be permitted to perform service.

After notification of failure to meet minimum requirements has been provided, provider shall not pay the Vendor Worker for an additional hour identified as not meeting the minimum qualifications.

• Services are defined as the express requirement that a psychiatrist be available by telephone during off-duty hours to receive communication regarding a mental health need. On-call services will be provided on an as-needed basis.
• Services will be utilized to temporarily fill telephone on-call functions due to staff vacancies and/or sick leave replacement of Facility psychiatrists. The telephone on-call assignment will be mutually agreed upon between Vendor and Institution through Management Solution. In the event the Psychiatrist is unable to maintain on-call status, Vendor shall provide twenty-four (24) hours’ prior notification to Management Solution of the Psychiatrist’s absence.
• Vendor shall provide, to the institution’s representative, the next available Psychiatrist listed on Vendor’s registry. For the duration of the on-call Psychiatrist’s absence, Vendor shall maintain an updated listing of available Psychiatrists, and shall provide this information in writing, to the institution’s representative.

On-call schedule:

Monday 4:00 p.m. Through Tuesday 8:00 a.m.

Tuesday 4:00 p.m. Through Wednesday 8:00 a.m.

Wednesday 4:00 p.m. Through Thursday 8:00 a.m.

Thursday 4:00 p.m. Through Friday 8:00 a.m.

Friday 4:00 p.m. Through Monday 8:00 a.m.

On-call Schedule Policy:

• The Psychiatrist must always be available by pager while on telephone on-call status. Pagers are prohibited in inmate-accessible areas under Facility Operations Manual (DOM), Section 49020.17.6., and thus must have prior authorization from the Information Security Officer (ISO) to bring said device into any institution/facility.
• The Psychiatrist shall provide services within one-half (1/2) hour of initial pager contact. The request for on-call services shall be documented in writing by the institution’s Chief Psychiatrist, Senior Psychiatrist or designee.

Service Delivery Requirements:

• Under the clinical direction of the Chief Psychiatrist/Senior Psychiatrist or designee, and the administrative direction of the Chief of Mental Health, Psychiatrists provide extensive psychiatric services or work in a review, evaluation, or consultative capacity.
• Psychiatrists may work in any of the State correctional institutions/facilities and provide direct patient psychiatric services to mentally ill inmates/wards.
• Psychiatrists may also be used in headquarters or field offices in a review and/or consultative capacity:
• Meet with mentally ill patient-inmates/youths for crisis interventions, face-to-face interviews, etc. Must be able to provide clinical face-to-face interviews at cell fronts in inmate housing units. In some institutions, multi-tiered housing units may require the ability to climb stairs and walk long distances.
• Conduct initial mental health evaluations including criminal, psychiatric, and substance abuse case history to assess inmate’s/ward’s current needs and make treatment recommendations in the initial evaluation.
• Conduct clinically sound suicide risk evaluations including clinical reviews, applying suicide risk assessment protocols, pertinent data/chart reviews, proper documentation and consultations as needed.
• Participate in Interdisciplinary Treatment Team (IDTT) meetings; document all care provided to the patient-inmate/ward, including face-to-face contacts and IDTT meetings.
• Monitor inmate/ward progress using Subjective, Objective, Assessment, Plan and Education (SOAPE) formatted progress notes.
• Effectively applies community standard of practice for psychiatric treatment modalities and ethical standards. Perform mental status exam (MSE) in face-to-face clinical interviews.
• Identify the relevant signs and symptoms of medical/psychological disorders in order to comprehensively diagnose, assess and manage the presenting symptomatology
• Examine prior mental health records, institutional chromos, probation reports, court records and other available documents to assist in the formulation of patient’s diagnosis and aid in the development of the inmate’s/ward’s treatment plans.
• Review, examine and diagnose psychiatric patients of all ages and patient records and files in mental health program to determine progress, effectiveness and/or appropriateness of treatment services.
• Consult, as necessary, with supervising psychiatrist on unusual, complex, or serious cases, or present such cases to a clinical conference for advice or decision.
• Provide clinical consultation to psychiatric staff on unusual, complex or serious problems and cases where technical expertise is needed.
• Prescribe medication as deemed appropriate for treatment and utilize the Facility Correctio