Denton County MHMR Center

Key Responsibilities

• • Provides evaluation, diagnostic, and medication management services according to applicable Texas Administrative Code and DCMHMR policies and procedures.
• • Conducts psychiatric evaluations considering all relevant data sources.
• • Records primary evaluation and diagnosis in clinical records and approved diagnostic tools using DSM guidelines.
• • Completes documentation on the same day and updates diagnosis at least annually or as necessary.
• • Participates in on-call coverage and cross coverage for clients when the treating prescriber is unavailable.
• • Orders lab studies as recommended and reviews lab results timely, addressing abnormal values appropriately.
• • Prescribes medications appropriate to diagnosis following DSHS approved treatment guidelines and documents accordingly.
• • Obtains psychotropic consent and performs AIMS as appropriate.
• • Works cooperatively with clients using recovery-based language and incorporates client preferences when clinically appropriate.
• • Provides patient and family education at each visit per PFEP program requirements and documents it.
• • Monitors and makes recommendations regarding lab studies per standing lab orders and abnormal lab value procedures.
• • Avoids polypharmacy and documents clinical justification if required.
• • Provides crisis care to new and existing adult or child and adolescent clients referred by crisis teams.
• • Provides Certificate of Medical Examinations as applicable and timely.
• • Participates in telephonic on-call rotation and provides consultation to nursing and QMHP staff for medication treatment and other recommendations.
• • Provides crisis services during regularly scheduled hours.
• • Documents each service according to Medical Board, DCMHMR, State Pharmacy Board, HHSC, and TAC rules and regulations.
• • Facilitates completion of disability benefits, prescription assistance, and other forms as requested.
• • Maintains consumer confidentiality and ethical standards.
• • Maintains productivity as per center requirements.
• • Serves as a member of the treatment team and makes recommendations for plans of care.
• • Seeks consultation from Chief Medical Officer and Psychiatric Peer Team on difficult cases and documents consultation.
• • Refers clients to appropriate medical and community resources and documents in the plan of care.
• • Provides consultation and orders to RNs and LVNs regarding clients on prescribers' caseloads or when treating physician/APRN is unavailable.
• • Reviews RN assessments at next appointment and provides suggestions or corrections as needed.
• • Participates in Peer Review when applicable.
• • Completes client care related paperwork appropriately and timely.
• • Provides clinical, programmatic operational oversight and leadership for physicians, APRNs, contract physicians, and staff.
• • Provides direct supervision of Psychiatrists and APRNs.
• • Creates agenda for medical staff meetings.
• • Ensures employees are trained and complete position requirements per center policy.
• • Ensures compliance with education and training requirements of center and regulatory authorities.
• • Approves time off requests of physicians and APRNs.
• • Collaborates with Clinic Operations Director for Doctor On Call schedule.
• • Addresses performance issues of direct reports timely.
• • Monitors and manages productivity of medical staff according to KPIs.
• • Assures clinic operational procedures including APRN delegation are reviewed annually and signed.
• • Collaborates with Clinic Operations Director on clinic workflow and efficiency matters.
• • Participates in and provides oversight of Utilization Management Program design and implementation when designated by CMO.
• • Functions as a UM Committee member.
• • Monitors utilization of clinic resources to promote quality care and efficient resource use.
• • Participates in difficult case treatment review meetings.
• • Monitors and oversees client transfer process and addresses observed patterns.
• • Participates in death review process in absence of CMO.
• • Attends bed day peer review appeals.
• • Monitors quality-related matters such as client clinic experience, KPIs, outcome measures, clinical safety reviews, medication events, urgent case reviews, root cause analysis, and quality analytics.
• • Monitors and helps develop standards for quality care.
• • Audits charts regularly for medication documentation completion including informed consent and lab orders.
• • Monitors unsigned notes and works with prescribers to ensure timely signing.
• • Monitors prescriber productivity.
• • Forwards regular reports to the CMO.