Develops unique ways to deliver mental health care in a compassionate, expedited, and patient-centered manner in a street medicine-based team environment.

Assesses patient mental health by interviewing patients, performing examinations, obtaining, updating, and studying medical histories.

Generates differential diagnoses for acute, chronic and/or undifferentiated illnesses and formulates management plan that address these illnesses

Identifies opportunities to promote and maintain wellness in patients utilizing screening and prevention guidelines and understands barriers in achieving wellness in people experiencing homelessness and work to address those barriers.

Utilizes critical thinking and decision making when independently developing treatment plans for patients experiencing homelessness.

Documents patient care and clinical decision making accurately and efficiently in the agency’s Electronic Medical Record and meets agency requirements regarding timeliness of chart completion and productivity expectations.

Coordinates patient-centered care of individuals experiencing homelessness using a multidisciplinary team and community resources. Is able to navigate the complex care requirements necessary for effectively caring for those experiencing homelessness.

Applies evidence-based care principles in treatment of patients experiencing homelessness, integrating patient preferences in care plans.

Appropriately utilizes healthcare resources in the management of patients experiencing homelessness (specialist referrals, ED referrals, lab utilization and medication management) with a goal of decreased fragmentation of healthcare.

Maintains positive therapeutic relationships with patients, using language and nonverbal behavior to demonstrate respect and establish rapport.

Collaborates and effectively seeks consultation with physicians and other care providers as needed in the provision of care and the formulation of treatment plans.

Provides continuity of care by developing and implementing patient management plans and care transitions.

Assesses patient health learning levels to provide medical information and health education in culturally and linguistically appropriate communication techniques.

Assists patients in identifying barriers to care and social determinants of health and appropriately refers patients to community resources as needed.

Contributes to the integrated care team’s activities around process improvement, workflow design and training.

Uses data systems to monitor gaps in care.

Maintains an exceptional level of customer service; addresses and resolves complaints; serves as an example by providing excellent service to internal and external customers, employees and patients.

Maintains continuing medical education, licensure, credentialing, and privileging requirements at all times.

Maintains safe and clean working environments by complying with procedures, rules, and regulations.

Complies with federal, state, and local legal professional requirements by studying existing and new legislation; enforces adherence to requirements; advises management on needed actions.

Embraces and promotes a professional working environment based on understanding and respect for diversity and multi-culturalism in all of its forms; demonstrates sensitivity, acknowledges varied beliefs, attitudes, behaviors, and customs, and encourages communication and appreciation of all forms of diversity.

Maintains patient confidentiality by controlling the environment and information being disclosed to authorized individuals ensuring HIPAA and organizational compliance requirements at all times.

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Arizona Alliance for Community Health Centers

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