Advanced Practice Provider - Psychiatric

El Paso, TX 79925

Job Category: Advanced Practice Nurse Job Number: 4334

Job Description

Currently recruiting an Advance Practice Provider - Psychiatric in El Paso, Texas, to provide medical care at a facility that houses individuals detained by Immigration and Customs Enforcement. The successful candidate will have at least 1 years of experience as a Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant with a certification in Psychiatry from the NCCPA. IHSC operates 24/7/365;Response is required during an emergency activation. This position requires rotational on-call duties and may necessitate return to the facility to provide care. This position requires availability to work both day and evening shifts. Availability during weekends and holidays is also required.

  • The Psychiatric APP functions within the scope of his/her specialty under the clinical oversight of the Chief of Psychiatry, the Clinical Director (or designee), a designated consulting psychiatrist, and in accordance with a completed IHSC Scope of Practice agreement.
  • The Psychiatric APP operates under well-accepted practices and principles of psychiatric and medical care providers and in accordance with the IHSC Scope of Practice and as outlined in IHSC Policy. The incumbent consults with the Clinical Director (or designee), Psychiatrist, and other behavioral health providers for management of complex psychiatric conditions and in accordance with IHSC policy.
  • The Psychiatric APP works independently and as a member of a multi-disciplinary team. The incumbent coordinates mental health patient care, off-site referrals, and collaborative duties through scheduled appointments, sick call, or walk-ins.
  • The Psychiatric APP diagnoses and treats acute and chronic psychiatric disorders. This includes providing counseling, support, and prescribing various medications in accordance with the approved IHSC Scope of Practice and in accordance with IHSC policy.
  • Works within and performs functions as outlined in state collaborative practice and prescriptive authority agreements.
  • Applies knowledge of drugs and therapeutics when prescribing medication. Maintains safety when dispensing medications and is continually cognizant of the potential hazard of drug hoarding and trafficking among detainees.
  • Orders and interprets diagnostic and therapeutic tests relative to the detainees psychiatric needs.
  • Utilizes evidence-based tools (i.E. Assessment of Involuntary Movement Scale) in the identification of risks associated with medication induced movement disorders.
  • Provides urgent or emergent mental health evaluation and initiates appropriate action based upon IHSC operating memorandums and policies, to include emergent use of forced psychotropic medication.
  • Follows IHSC policies in the management of significant mental illness including prevention of homicidal/suicidal ideation, plan or intent.
  • Provides telepsychiatry services for patients at other IHSC facilities as needed and as the local facility allows, only in the states the provider is licensed, to include:
    • Working with the patient s local primary care provider (PCP) to coordinate care for any identified medical concerns (patient s local administrative staff will coordinate the appointment).
    • Using IHSC video teleconferencing equipment and electronic medical records (EMR) software to examine and record the patient s plan of care.
    • Telepsychiatry services will be provided in accordance with the IHSC Tele-Mental Health Services policy.
  • OPTIONAL: Provider may choose to obtain additional state licensing, outside of the state of his/her duty station, at provider s own expense, in order to provide out-of-state telepsychiatry services. If this optional service is provided according to IHSC facilities needs and policy, provider may be compensated for such services.
  • If a Medical Housing Unit is onsite, may admit, discharge, and perform daily rounds on patients and notify Clinical Director (or designee) of any abnormal findings.
  • Provides relevant health education to detainees verbally and/or with handouts.
  • Completes all initial, annual and ad hoc training as required/assigned.
  • Completes and passes all discipline specific competencies testing, initially and annually.
  • Assists in the orientation and training of medical and mental health personnel in mental health policy and procedures.
  • Maintains functional proficiency and ease of use utilizing electronic health records as required by, and appropriate to, the position.
  • Performs record keeping functions in accordance with program policies and position.
  • Documents detainee care visits in the required health record using required format, in compliance with IHSC policy and guidance.
  • Demonstrates ability to solicit, interpret, protect, and transfer patient health records in compliance with IHSC policy, the Privacy Act, and HIPAA regulations.
  • Adheres to, and maintains awareness of, IHSC Policies, Procedures, Directives, Operational Memoranda and accreditation standards as prescribed by ICE/IHSC.
  • Assists with preparation for accreditation and ongoing compliance with standards as assigned.
  • Adheres to IHSC s Safety, Prevention, Infection and Control, Quality Improvement, Patient Education and other programs and collateral duties as appropriate to position. Participates in quality assurance/quality improvement activities as assigned.
  • Participates in the Peer Review process as required.
  • Attends general/mental health staff meetings

  • Must have an unrestricted, current license in the state in which the duty station is located. Any changes to license must be reported to employer immediately. Fulfills the obligation(s) of state licensing board to maintain state licensure including completion and maintenance of collaborative practice agreements and prescriptive authority agreements.
  • Maintains current board certification as PMHNP by the American Nurse Credentialing Center (ANCC) or National Commission on Certification of Physician Assistants (NCCPA). Fulfills obligation(s) of respective governing body to maintain board certification.
  • Physician Assistant (PA):
    • Requires unrestricted PA state license and national board certification through the National Commission on Certification of Physician Assistants (NCCPA).
    • Current licensure as a PA by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States.
    • Graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).
    • Certificate of Added Qualification in Psychiatry from the NCCPA - required.
  • Psychiatric-Mental Health Nurse Practitioner (PMHNP):
    • Requires current unrestricted registered nurse (RN) and PMHNP licenses by a state, th District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States.- PMHNP degree from a graduate school of professional nursing accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN), typically a Master or Doctoral level education.
    • PMHNP national board certification by the American Nurses Credentialing Center (ANCC).
  • Maintains unrestricted license with the Drug Enforcement Agency (DEA) and in the state in which the duty station is located to prescribe controlled medications.
  • Maintains BLS for Healthcare Providers certification through the American Heart Association .
  • This position does not require privileging by IHSC.


The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for over 25 years, has provided medical care to federal agencies. Our mission is to provide world-class care and give our over 500 healthcare professionals opportunities to improve their skills, learn from the best, and serve the needs of our nation.

EOE AA M/F/Vet/Disability
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