GATEWAYS HOSPITAL & MENTAL HEALTH CENTER

Job DetailsLevel: ExperiencedJob Location: Main Hospital - Los Angeles, CA 90026Position Type: ContractorSalary Range: $185.00 - $215.00 HourlyJob Shift: DayJOB DESCRIPTION

Title of Position:
Psychiatrist (MD/DO) – Part-Time Inpatient Psychiatrist


Location
Gateways Hospital and Mental Health Center


Exempt/Non-Exempt:
Independent Contractor (1099)


Union/Non-Union:
Non-Union


Supervisor:
Medical Director / Chief Medical Officer

 

SUMMARY OF POSITION

The Psychiatrist serves as the primary and substantive medical provider within the inpatient psychiatric hospital setting, responsible for direct patient care, clinical decision-making, and compliant medical documentation. This role ensures psychiatric services meet medical necessity, regulatory, documentation, and billing standards while supporting safe, effective, and evidence-based psychiatric treatment.

The Psychiatrist provides face-to-face psychiatric evaluations, medication management, laboratory review, and interdisciplinary collaboration while maintaining full accountability for treatment decisions and patient outcomes. The Psychiatrist also provides clinical consultation and oversight to Nurse Practitioners (NPs) and other Advanced Practice Providers (APPs) in accordance with hospital policy and applicable regulatory standards.

 

ESSENTIAL DUTIES

Direct Inpatient Psychiatric Care

Conduct comprehensive initial psychiatric evaluations and establish psychiatric diagnoses.
Provide ongoing follow-up psychiatric care and medication management as clinically indicated.
Perform face-to-face patient assessments and complete same-day documentation.
Serve as the primary clinical decision-maker regarding:

Medication initiation, discontinuation, and adjustments.
Level of care determinations.
Risk assessments including danger to self (DTS), danger to others (DTO), and grave disability (GD).


Develop, review, and update individualized treatment plans.
Address psychiatric crises and behavioral emergencies as needed.

Documentation & Regulatory Compliance

Complete timely, accurate, and compliant psychiatric documentation for all services rendered.
Ensure documentation clearly reflects:

Independent physician assessment and clinical judgment.
Medical necessity for inpatient psychiatric treatment.
Interventions performed and treatment recommendations.


Maintain compliance with:

Los Angeles County Department of Mental Health (LACDMH) requirements.
Title 22 regulations.
Hospital policies and procedures.
Inpatient billing and claiming standards.

Laboratory & Medical Oversight

Review and interpret laboratory results, EKGs, and other diagnostic reports.
Initiate and document appropriate clinical interventions based on findings.
Monitor medication safety and side effects including:

Metabolic syndrome monitoring.
Extrapyramidal symptoms (EPS).
Lithium, valproate, and other psychotropic medication levels.


Collaborate with medical providers regarding patient medical conditions and treatment recommendations.

NP / APP Clinical Oversight

Provide on-site supervision, collaboration, and consultation to Nurse Practitioners and APPs.
Review complex or high-risk clinical cases and provide treatment recommendations.
Support clinical quality and adherence to standards of care.
Ensure clear distinction between physician-delivered services and APP-delivered services.
Participate in clinical mentorship and interdisciplinary collaboration.

Interdisciplinary Team Participation

Participate in daily treatment team rounds and interdisciplinary meetings.
Collaborate with Nursing, Social Services, Psychology, Occupational Therapy, and other disciplines.
Complete discharges and support discharge planning and continuity of care initiatives.
Communicate effectively with staff, patients, families, conservators, and external providers.

Quality, Safety & Risk Management

Promote safe prescribing practices and evidence-based psychiatric care.
Participate in quality improvement activities, audits, and regulatory readiness initiatives.
Support hospital efforts related to patient safety, infection control, and risk reduction.
Participate in hospital committees and meetings as assigned.

ESSENTIAL SKILLS

Strong psychiatric diagnostic and clinical assessment skills.
Knowledge of inpatient psychiatric treatment standards and regulations.
Ability to function effectively as a primary/substantive medical provider.
Strong documentation and organizational skills with attention to detail.
Ability to collaborate effectively within an interdisciplinary treatment environment.
Strong written and verbal communication skills.
Ability to manage multiple priorities in a fast-paced clinical setting.
Leadership, professionalism, and sound clinical judgment.

QualificationsEDUCATION & CERTIFICATES

Minimum Education Required:

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.
Completion of an accredited Psychiatry Residency Program.

Required Licenses/Certifications:

Active California Medical License.
DEA Registration.
Board Certified or Board Eligible in Psychiatry.

Desired Qualifications:

Experience working in inpatient psychiatric hospital settings.
Familiarity with Los Angeles County Department of Mental Health documentation and audit standards.
Experience supervising or collaborating with Nurse Practitioners in inpatient psychiatry.

 

EXPERIENCE/QUALIFICATIONS

Minimum Experience Required:

Experience providing psychiatric evaluations and medication management.

Desired Experience:

Inpatient psychiatric hospital experience preferred.
Experience with acute psychiatric stabilization and crisis management.
Experience with interdisciplinary treatment teams and regulatory compliance.

 

SCHEDULE

Part-Time: 2 days per week (8 hours each day/available on-call for rare emergencies)
Monday–Friday schedule (2 days M-F)
100% on-site inpatient coverage.
Participation in daily treatment rounds on assigned units.

 

REQUIREMENTS

Must pass Department of Justice (DOJ), Federal Bureau of Investigation (FBI), and Community Care Licensing (CCL) background clearance.
TB clearance.

*Employment is contingent upon successfully obtaining all required background and health clearances.

 

EMPLOYMENT STATUS & BENEFITS

This position is a contracted independent contractor (1099) role and is not considered an employee position.
Psychiatrists in this role are responsible for their own taxes, licensure maintenance, malpractice coverage, retirement planning, and other professional expenses unless otherwise specified in a separate agreement.
This position is not eligible for employee benefits including, but not limited to:

Health, dental, or vision insurance
Paid time off (PTO)
Sick leave
Retirement benefits
Workers’ compensation benefits
Unemployment insurance
Other employee-sponsored benefit programs