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Founded by Veterans in Hampton Roads

Company Name:
Approximate Salary:
156078.00 - 176476.00 Per Year
Seattle, Washington
United States
Position type:
Full Time
Experience level:
< 2 years
Education level:
Doctorate Degree

Outreach Psychiatrist

DESC is seeking a psychiatrist interested in outreaching homeless, formerly homeless, and other vulnerable patients in downtown Seattle and surrounding areas. This unique psychiatric position involves multidisciplinary teamwork via assertive community treatment and a harm reduction, recovery approach.

The Psychiatrist is responsible for providing psychiatric evaluations, diagnosis & treatment; crisis stabilization; medication prescription; recommending rehabilitation services, and coordination with community providers. This position is full time, involves community outreach, and has major leadership responsibilities for DESC's PACT (Program for Assertive Community Treatment) and HOST (Homeless Outreach) teams, and developing a program for opioid replacement therapy. We could consider an 80-85% FTE, but full time is preferred.

In conjunction with other psychiatric and management staff, this position has clinical responsibility for monitoring participant treatment and staff delivery of clinical services, assuring compliance with all local, state and federal laws and relevant contract and procedure requirements associated with operations within DESC.


  • Coordinate client care with a multi-disciplinary team of social workers/case managers, chemical dependency professionals, psychiatric nurses, peer counselors, employment specialists and other mental health staff within the CSC.
  • Perform full psychiatric evaluations and provide treatment and recommendations as appropriate, at DESC sites and in the community, as needed by program and individual need.
  • Diagnose the nature and extent of mental and/or substance-related disorders by reviewing the client's clinical record, requesting and reviewing known medical/psychiatric documentation, coordination with other providers, and evaluating the client's current physical and psychological condition.
  • Coordinate all psychiatric services provided with Program management, Medical Director, nursing and other management staff.
  • Maintain compliance with all related licensing, DEA, State and County regulations, and other regulations.
  • Conduct all work within principles of the Recovery model.
  • Evaluate clients and advise course of treatment. Respond to emergency situations as needed.
  • Refer and advocate for clients to consult with a primary care physician on a regular basis. When appropriate, refer clients to other specialists.
  • For all clients receiving medication treatment, conduct a face to face evaluation at least every 90 days or other schedule as related regulations or contract terms change.
  • Document all client contacts and pertinent information according to agency, County, and State requirements within stated time lines. Provide treatment in compliance with relevant BHOpolicies and procedures and all local, state and federal requirements.
  • In coordination with the Medical Director, participate in clinical program planning, matters of regulatory compliance for medical staff, and other issues relating to delivery and integration of psychiatric care.
  • Participate in annual diagnostic reviews to ensure eligibility for services.
  • Actively participate in staff meetings and in-service trainings.
  • Provide weekly psychiatric consultation to treatment teams and individual consultation as time allows.
  • Provide education to clinical teams and individually as opportunity and need presents.
  • Demonstrate the ability to work effectively under supervision, as part of a multi-disciplinary team, and independently, when necessary.
  • Take initiative to meet the changing needs of community mental health treatment.
  • Participate in verbal de-escalation and physical interventions in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment.
  • Participation in development and implementation of opioid replacement treatment strategies including buprenorphine.
  • Other duties as assigned.


  • M.D. who is licensed to practice medicine in the State of Washington with Department of Health credential in good standing.
  • Registration with the Drug Enforcement Agency.
  • Board Certified, or eligible, in Psychiatry.
  • Waivered to provide buprenorphine opioid substitution treatment, or willingness to obtain a waiver
  • Ability to work flexible hours as required by program and staffing needs including occasional evenings or weekends.
  • Ability to share on-call Psychiatric consultation as necessary.
  • Be able to pass a Washington State Criminal background check.
  • Knowledge and skill in working with co-occurring mental health and substance abuse disorders.
  • Familiar with Recovery Principles, Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management, Illness Management, and relevant Evidenced based/Emerging best practices.
  • Knowledge of Harm Reduction strategies.
  • Ability to relate to a wide range of people, demonstration of highly developed communication skills, and a desire to serve mentally ill, chemically dependent, and homeless clients.
  • Ability and interest in providing case consultations with a multi-disciplinary staff.
  • Ability to remain open and receptive to constructive feedback.
  • Ability to communicate with and coordinate staff from diverse backgrounds.
  • Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior.
  • Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients.
  • Bilingual in Spanish/English preferred.


DESC is committed to diversity in the workplace, and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, sexual orientation, age, national origin, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Women and minorities are encouraged to apply.


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