Physician Affiliate Group of New York (PAGNY) is adding a Child & Adolescent Consulting Psychiatrist to the team at NYC Health + Hospitals/Metropolitan. The Department of Psychiatry is at the forefront of providing compassionate and comprehensive mental health services in a dynamic and diverse urban setting. We serve a vibrant community in New York City, offering a wide range of psychiatric services to individuals and families from all backgrounds across our 4-adult inpatient psychiatric units, 1 Adolescent inpatient psychiatric unit, our psychiatric emergency department, our substance use disorder services and robust adult and child ambulatory programs that deliver in-person and telehealth services. Our multidisciplinary team is dedicated to innovation and excellence, providing a supportive environment for both patients and staff. The hospital has a psychiatry residency program and maintains a strong academic affiliation with New York Medical College to continue its high standards of healthcare delivery, and to provide its staff with teaching and research opportunities.

The Mission of NYC Health + Hospitals is to extend equally to all New Yorkers, regardless of the ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect. Their Values are built on a foundation of social and racial equity and has established the ICARE standards for all staff.

NYC Health + Hospitals is the nation’s largest municipal health care delivery system in the United States. Dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, and regardless of immigration status or ability to pay.

Duties and Responsibilities:

Reporting to Medical Director of Adult Ambulatory Behavioral Health Services in The Office of Ambulatory Care, and the Directors of Psychiatry at NYC Health + Hospitals/Metropolitan, the Child & Adolescent Consulting Psychiatrist is responsible for supporting behavioral healthcare in primary care clinics using the Collaborative Care model, an evidence-based, treatment to target model of care that uses systematic monitoring of symptoms and a stepped care approach to treatment of common conditions such as depression and anxiety. The Child & Adolescent Consulting Psychiatrist will be one member of the Collaborative Care team, which includes a Collaborative Care Clinician (social worker) and a primary care physician, at several clinics across Health + Hospitals.

Will rotate amongst different facilities providing Consulting Psychiatry support to primary care teams (e.g. PCPs, Collaborative Care social workers and nurses). Provide regularly scheduled (weekly) caseload consultation to the Collaborative Care Clinicians (social workers) focused primarily on patients who are new to the caseload or who are not improving as expected under current treatment plan. Work with Collaborative Care Clinicians to oversee the status and population health of their assigned patient caseload. The psychiatrist consultant assists the Collaborative Care Clinicians in prioritizing patients for case review and treatment adjustment by reviewing the patient registry. Recommend treatment adjustments through the case review process or in ad hoc consultations, including medication recommendations and other interventions. Document treatment recommendations, as needed, in the medical record. Advise on treatment for patients who may need more intensive or more specialized mental health care, supporting treatment in the medical setting until patient can be engaged in specialty care as appropriate. Be available to provide ad hoc telephone consultation to medical providers for complex patients or challenging patient situations via phone. Provide some direct evaluation and ongoing treatment support of patients with significant diagnostic or therapeutic challenges who are identified in discussion with the Collaborative Care Clinician and/or primary care provider and document appropriately in the medical record. Development and delivery of in service training for primary care providers and staff. Assist primary care clinics on workflow management and practice transformation toward a Collaborative Care model.