Outpost Jobs in Usa

Sr. Mechanical Engineer (Structures)

Location: Playa Vista, California (in-person, five days per week)

Outpost is building the return lane from space. We're developing reusable vehicles that bring payloads home from orbit safely and precisely, enabling faster in-space manufacturing, global delivery, and entirely new capabilities in the space economy.

We're a mission-driven team that cares deeply about the work and the people doing it. We are in an exciting stage of growth, which means ownership from day one. Our engineers design hardware, test it, iterate on it, and watch it move toward flight. We are based in the aerospace hub of Playa Vista, where you can spend your days solving complex problems and your evenings on the beach or in the mountains. The work is meaningful, the team is collaborative, and the mission matters. If you want to see the systems you design make it to orbit—and back—come build with us.

The Role

The Sr. Mechanical Engineer will serve as the technical authority for the primary and secondary structures of Outpost's Carryall. This is a role for a veteran structural engineer who has expertise on full-scale flight vehicles whether launch vehicles, satellites, or re-entry capsules. Unlike traditional space vehicle roles where the structure simply needs to survive launch, you are designing for the round trip: launch vibration, the harsh vacuum of orbit, and the extreme thermal and mechanical loads of hypersonic re-entry and landing. You will own the structural architecture of the vehicle, moving rapidly from trade studies to detailed analysis, and finally to hands-on integration. We need someone with the deep intuition that comes from 15+ years of seeing hardware fly (and fail).

Responsibilities

• Structural Architect: Lead the mechanical design of the entire vehicle structure, including primary structure, interfaces to the deployable heatshield, secondary structures, and payload bay
• High-Fidelity Analysis: Perform and sign off on detailed hand calculations and Finite Element Analysis (ANSYS/FEMAP/NASTRAN). You will be the final check on stiffness, buckling, and thermal expansion compatibility.
• Drawing & GD&T: Create and approve high-quality manufacturing drawings with appropriate geometric dimensioning and tolerancing (ASME Y14.5) to ensure parts fit the first time.
• Build & Test Leadership: \"Get your hands dirty\" leading the assembly of your designs. Own the structural test campaign (static load, random vibration, shock, and deployment testing) to qualify hardware for flight.
• Vendor & Partner Management: Work directly with machine shops, composite vendors, and external partners to resolve fabrication conflicts and ensure on-time delivery of precision parts.
• Mentorship: Elevate the team's standard of engineering rigor. Mentor junior engineers in design best practices, analysis methods, and First Principles thinking.

Qualifications

• Bachelor's degree or higher in Mechanical, Aerospace, or Structural Engineering.
• 10+ years of experience minimum (15+ preferred) in the design and analysis of complex aerospace structures and mechanisms.
• Full-Vehicle Heritage: Proven track record working on full space vehicles or rockets (not just subsystems). You should have experience taking a primary structure from concept through PDR/CDR to flight.
• CAD Proficiency: Expert-level skill in Siemens NX, SolidWorks, or similar parametric modeling software.
• Analysis Expertise: Deep background in structural analysis (FEA) and classical hand calculations. You must trust your hand calcs before you trust the solver.
• Materials Knowledge: Extensive understanding of aerospace materials (aluminum, titanium, Inconel, composites) and their behavior in extreme thermal environments.
• Manufacturing Fluency: You understand the limits of manufacturing, CNC machining, sheet metal, welding, and composite layup, and you design for them.

Preferred Experience

• Active U.S. Government Security Clearance (Not required, but beneficial)
• Experience with deployable space structures and mechanisms (booms, solar arrays, antennas, or aerobrakes).
• Experience designing for high-heat environments or integrating with Thermal Protection Systems (TPS).
• Proficiency in scripting (Python/MATLAB) for design automation or data post-processing.
• Deep knowledge of aerospace standards (NASA-STD-5000 series, SMC-S-016) for structural margins and testing.

Compensation

• $160,000 – $210,000; Salary may vary with experience
• Incentive Stock Options
• Annual Performance-Based Bonus
• Medical, Dental and Vision Insurance
• Short- and Long-Term Disability Insurance
• Life Insurance
• PTO
• 401k with Company match
• Subsidized daily catered lunch, snacks and coffee

Job ID: 410648

Practice area:- Litigation - Commercial

Commercial Litigation Associate Attorney (3–4 Years Experience) – Complex Business Litigation | Houston, Texas

Keywords:- Commercial Litigation Associate Attorney, Business Litigation Associate Attorney, Complex Litigation Attorney, Civil Litigation Associate, Litigation Attorney Houston Texas, Houston legal jobs, Attorney jobs Houston TX, TX Bar required, Law firm litigation associate, Partner-track position, lawyer

A leading law firm is seeking a Commercial Litigation Associate Attorney (3–4 years experience) to join its litigation team in Houston, Texas. Work on sophisticated business disputes in state and federal courts while gaining significant courtroom exposure and mentorship.

A well-known, top-drawer firm with an especially strong health care practice, this firm offers offices across the U.S. in addition to European and Asian outposts. The firm is on an upward trajectory, with savvy acquisitions in hot markets marking the last decade. The accolades and honors keep rolling in for this firm, meaning that attorneys can be sure they will be among the best and the brightest. A full-service firm with excellence in business law, litigation, and intellectual property, this is an excellent place to start or accelerate one’s career.

________________________________________

A highly respected law firm is seeking a Commercial Litigation Associate Attorney to join its expanding litigation practice in Houston, Texas. This role is designed for a talented Litigation Associate Attorney with experience handling complex business disputes in state and federal courts.

Attorneys pursuing Houston legal jobs in litigation will gain exposure to high-stakes commercial disputes, complex discovery matters, and strategic trial preparation. The Commercial Litigation Attorney will collaborate closely with experienced litigators and clients while developing courtroom advocacy and case management expertise.

This partner-track position offers attorneys the opportunity to grow within a nationally recognized litigation practice known for handling sophisticated business matters. The firm is actively interviewing candidates seeking advanced Houston legal jobs with significant responsibility and professional growth.

________________________________________

Key Responsibilities

• Manage written discovery and document production in complex commercial litigation matters.

• Conduct legal research and draft pleadings, motions, briefs, and other court filings.

• Conduct and defend depositions involving business disputes.

• Prepare witnesses for testimony and assist with trial strategy.

• Appear for status conferences and motion hearings in court.

• Participate in settlement negotiations and mediation proceedings.

• Assist senior litigators with trial preparation and case strategy development.

• Communicate directly with clients and partners regarding case progress.

________________________________________

Qualifications

• 3–4 years of experience practicing as a Commercial Litigation Associate Attorney.

• Experience handling complex business litigation matters in state and federal courts.

• Strong legal writing and oral advocacy skills.

• Experience conducting depositions and managing discovery processes.

• Ability to work directly with clients and partners in a fast-paced environment.

• Texas Bar required and active license to practice law in Texas.

• Strong interpersonal and collaboration skills.

________________________________________

Education

• Juris Doctor (JD) from an ABA-approved law school.

________________________________________

Certifications

• Licensed to practice law in Texas.

________________________________________

Skills

• Persuasive legal writing and strong advocacy skills.

• Exceptional analytical and research abilities.

• Strong attention to detail and organization.

• Ability to manage multiple litigation matters simultaneously.

• Collegiality, creativity, and intellectual curiosity.

________________________________________

Culture & Firm Appeal

This opportunity is with a nationally recognized law firm known for its sophisticated legal services across business law, intellectual property, and complex litigation. The firm has experienced significant growth and expansion across multiple markets worldwide, creating a dynamic environment for attorneys looking to advance their careers.

Attorneys benefit from a collaborative team culture where mentorship and professional development are prioritized. The firm’s litigation practice regularly handles high-profile business disputes, offering associates meaningful responsibility and hands-on experience.

Professionals exploring Houston legal jobs will appreciate the firm’s strong reputation, global platform, and commitment to excellence in legal advocacy.

________________________________________

Why This Role Is Unique

• Opportunity to work on complex commercial litigation matters in state and federal courts.

• Hands-on experience with depositions, motion practice, and trial preparation.

• Direct collaboration with experienced litigators and sophisticated clients.

• Exposure to high-stakes business disputes across multiple industries.

• Clear partner-track position supporting long-term career growth.

• Ideal opportunity for attorneys seeking advanced Houston legal jobs in commercial litigation.

This position rarely opens at this level and provides attorneys with a unique opportunity to develop litigation expertise while working within a highly respected law firm.

________________________________________

Benefits

• Medical, Dental, and Vision insurance.

• 401(k) Retirement plan.

• Disability and Life insurance.

• Adoption Assistance.

• Backup Care for Dependents.

________________________________________

Call to Action

Apply now for a confidential discussion with a BCG Attorney Search recruiter.

Explore this elite-level opportunity today.

Submit your resume to learn more about this prestigious role.

________________________________________

BCG Attorney Search is the industry leader for placing candidates in permanent positions in law firms. Since 2000, our recruiters have placed several thousand attorneys and enjoyed extraordinarily high success rates with our candidates. As a BCG Attorney Search candidate, you have access to more opportunities than any legal placement firm in the United States. We are able to offer the most in-depth insight in the legal recruiting market thanks to our dedicated team of over 150 employees who mercilessly research, study and analyze the legal market. The depth and breadth of our research empowers us to place attorneys at rates that are unparalleled at any placement firm in the United States. Many of our recruiters make 30 to 40 placements per year, while recruiters at competitor firms are likely to make four or five. Unlike other placement firms that can only tell you about openings at major AmLaw firms, we place candidates of all backgrounds in firms of all sizes. While other legal recruiters only represent a narrow band of candidates from top law firms and top law schools, our research, firm contacts, and market insight allow us to place hundreds of candidates each year who do not fit this mold. It is rare that we do not get candidates we represent interviews and offers. No one in the world is better at legal recruiting and placement than BCG Attorney Search.

BCG Attorney Search will confidentially review your application and will not forward your materials to the firm without first discussing the opportunity with you.

This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need.

Details & requirements for this opportunity:

• Scheduling Requirements-

M-F 7a-3p. 

• Required Cases: Standard- all cases but hearts, some pediatrics; will need to place A lines and central lines. 
• EMR: Paper Charting
• Care Team (and ratio) or Independent: Care Team 1:4
• Credentialing Timeframe: 0 - 30 days
• License required or willing to license: Willing to license

AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.

This facility is seeking an Obstetrics and Gynecology (OB/GYN) Physician for locum tenens support as they look to fill a current need.

Details and requirements for this opportunity:

· Schedule: As soon as possible – ongoing, Monday - Friday

· Practice Setting: Clinic and Operating Room

· Types of Cases: general obstetrics and gynecology including cesarians

· Credentialing Timeframe: 30 days, but emergency privileges will be granted

· Electronic Medical Record (EMR): Greenway (moving to Meditech)

· Certifications Required: Must be board certified or board eligible

· Licensure Required: active Georgia license or Interstate Medical License Compact (IMLCC)

AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.

New York City Health and Hospitals Corporation

Outposted Therapeutic Housing Units Program (OTxHU)

Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City’s efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support.

Given the high visibility of this initiative, we are seeking the highest caliber health care professionals in key clinical services to staff our Outposted Therapeutic Housing Units (OTxHU). To be located in three NYC Health + Hospital acute care facilities, the OTxHU is a pioneering approach to safely increasing access to high quality clinical care for patients in custody who have complicated health conditions. OTxHUs will bridge the gap in the continuum between care provided in the jails and inpatient hospitalization, with admission to and discharge from the OTxHU in accordance with a patient’s clinical needs. CHS will be the primary health care providers on these units and the NYC Department of Correction will provide security and custody management.

The OTxHU at NYC Health + Hospitals/Bellevue in Manhattan will be the first of this unique, groundbreaking project to open with a planned completion date as early as the end of 2024. This is an incredible opportunity to be part of a passionate and motivated team providing care to some of the City’s most marginalized, vulnerable people.

*To help support continuity of operations and care, staff selected to work in the OTxHU may also be required to work in CHS locations within the jails. Additionally, while CHS seeks the most qualified individuals for these positions, preference will be given to equally qualified, internal candidates.

• Time: 08:00 AM - 05:00 PM
• Days: Mon,Tue,Wed,Thu,Fri
• Location: OTxHU- Bellevue/Rikers Island

Under supervision of the Site Medical Director, the Physician will provide comprehensive, compassionate, and thoughtful care to patients with complex chronic disease in the New York City jail system. The Physician will be part of a core interdisciplinary team working in a unique environment delivering the care to patients with significant chronic illnesses. The Physician will provide general primary care including conducting histories and physicals, diagnosing and treating acute and chronic illnesses, and evaluating the need for consult services. The interdisciplinary team will work under supervision of a Site Medical Director.

Responsibilities include:

• Diagnose and treat acute and chronic illnesses. Evaluate the need for consult services and submit the prioritized consult when indicated.
• Complete comprehensive histories and physicals on all new admissions including documentation of problem list, diagnosis, orders (e.g. labs, imaging and referrals) and ordering appropriate medications where applicable.
• Evaluate patients requesting sick call, schedule follow-ups and update medication orders. Update problem lists and reconcile patient orders at all visits.
• Implement plans for patient care utilizing protocols approved by the medical leadership and/or treatment plans reflecting the current standard of care.
• Request radiology exams, lab tests, EKGs when clinically indicated and interpret these results based on clinical findings and in consultation with supervisors where appropriate.
• Collaborate closely with CHS Physician Assistants, including providing clinical guidance, cosigning notes, and providing other supervision based on clinical circumstance and PA requirements.
• Review all specialty consults and hospital returns to ensure that the standard of care is met and recommendations of the consultant are implemented.
• Perform chart reviews and summaries for patients transferring facilities including updating problem lists, rewriting medication orders, and reconciling orders and consults as needed.
• Generate special needs referrals and documentation as needed (for patients with (disabilities, dietary restrictions, heat sensitivity, or other relevant flags).
• Teach patients about their medical conditions and treatments; counsel on risks and benefits of different treatment decisions; witness, sign, and document patient refusals of care.
• Ensure that all progress notes and orders are signed before the end of the shift.
• Respond to emergencies in a timely and professional manner.
• Notify the appropriate parties, including Urgicare, about 3-hour runs and EMS activation.
• Complete special housing rounds when assigned.
• Be familiar with quality of care and population health indicators. Take appropriate action to meet or exceed standards.
• Maintain clinical competency by participating in all CME and CHS training and in-service requirements.
• Maintain your schedule as directed with particular attention to punctuality and timely notification of absences.
• Adhere to policies and procedures of CHS and be familiar with them by reviewing them as needed.
• Complete tasks as delegated by a Site Medical Director or other supervising clinical team member.
• Maintain all required credentials.
• Maintain current licensure and CME requirements (Appropriate documentation must be on our files).
• Maintain professional attitude and appearance.
• Adhere to Occupational Health Services requirements.

Minimum Qualifications

1. Graduation from an approved medical school.

2. Completion of approved residency or fellowship in the specialty or sub-specialty and Board eligible or certified or Subboard eligible or certified.

3. Five years experience in field of specialty or subspecialty acceptable to the Medical Board of the Hospital.

4. Licensed to practice medicine in the State of New York.

Department Preferences

• Three to five years’ work experience, which may include residency in a directly related medical specialty
• Experience working with patients in a skilled nursing facility or other residential setting
• Experience working with patients who have serious mental illness
• Experience working with patients who carry substance use diagnoses; knowledge of harm reduction approaches to care; and familiarity with medications to treat opioid use disorder
• Experience leading quality improvement initiatives
• Understanding of trauma-informed care
• Skilled in patient-centered shared decision making
• Skilled in communicating risks and benefits of clinical interventions and assessing capacity to make informed decisions.
• Completion of residency in internal medicine, family medicine or other primary care-oriented specialty.
• Compliance with appropriate Maintenance of Certification requirements or other Board Certification requirements.
• Excellent interpersonal communication skills and ability to work collaboratively within a multidisciplinary team, as well as with NYC DOC staff

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs

NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers.

NYC Health + Hospitals/Correctional Health Services is one of the nation’s leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation’s largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City’s criminal justice reform efforts.

Shift Schedule: This position is part of a 24-hour operational department that runs Monday through Sunday. There are multiple openings available, and shift assignments may vary

Facility: Various Locations on Rikers Island

Under the general direction of the Director of Safety & Environmental Health, or designee, the Occupational Safety & Environmental Health Coordinator is responsible to lead initiatives related to incident response and reporting of workplace violence and staff occupational injuries. Conduct routine safety rounds in all facilities where CHS employees are located while identifying potential environmental safety hazards to the Department of Corrections (DOC) for mitigation. The Occupational Safety & Environmental Health Coordinator will engage with staff to identify safety gaps or environmental health concerns, provide on-going support and follow-up for staff involved in workplace violence incidents and/or who have suffered occupational injuries. This position serves as a central resource for safety education, incident response, and environmental risk mitigation across all CHS sites and services.

Key Responsibilities

• Respond on-site to serious incidents of workplace violence, occupational injury, or environmental hazards, to provide support, gather factual information and develop a detailed report of findings.
• Conduct post-incident well-being checks for employees who were involved in a workplace violence incident or who may have sustained a severe work-related injury.
• Assist in maintaining workplace violence, occupational injury, and other safety-related databases and logs.
• Compile workplace violence and staff injury reports for distribution to required entities.
• Performs regularly scheduled and unannounced walkthroughs of Rikers Island, community warehouses, outposted sites, and court-based facilities for the purpose of engaging staff to identify, document and address their workplace concerns in a timely manner.
• Conduct in-service education to healthcare personnel on safety procedures, including but not limited to situational awareness, workplace violence prevention, and emergency response actions.
• Represent CHS as needed in internal or external committees and workgroups where Safety representation or perspective is required.
• Implement and maintain safety standards and protocols that comply with local, state, and federal regulations. This includes conducting routine safety inspections and risk assessments to identify potential hazards.
• Other relevant assignments as required.

Minimum Qualifications:

1. A Master’s degree from an accredited college or university in Public Administration, Public Health, Business Administration, or a related discipline, and one (1) year of full-time experience in an administrative capacity in business management systems, general administration, health care or medical/patient systems administration; or,

2. A Baccalaureate Degree from an accredited college or university in Public Administration, Public Health, Business Administration, or a related discipline, and two (2) years of full-time experience in an administrative capacity in business management systems, general administration, health care or medical/patient systems administration.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs

NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers.

NYC Health + Hospitals/Correctional Health Services is one of the nation’s leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation’s largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City’s criminal justice reform efforts.

Time: 12p-8p

Days: Sun-Thurs

Facility: Trailer 2 Facility on Rikers Island

Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City’s efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support.

Position Overview

Under the general direction of the Director of Safety & Environmental Health, or designee, the Deputy Director of Safety & Environmental Health is responsible for developing, implementing, and monitoring adherence to CHS policies and procedures to ensure a safe working environment. This role oversees occupational safety training and on-going education to staff while working collaboratively with Human Resources, Facilities, Clinical Leadership, and external regulatory bodies to mitigate safety risk and reduce potential environmental hazards.

Key Responsibilities

• Implement and maintain safety standards and protocols that comply with local, state, and federal regulations. This includes conducting routine safety inspections and risk assessments to identify potential hazards.
• Conduct in-service education to healthcare personnel on safety procedures, including but not limited to situational awareness, workplace violence prevention, and emergency response actions.
• Represent CHS as needed in internal or external committees and workgroups where Safety representation or perspective is required.
• Compile workplace violence and staff injury reports for distribution to required entities.
• Assist in maintaining workplace violence, occupational injury, and other safety-related databases and logs.
• Analyzes data to identify trends and areas for improvement in safety practices.
• Respond on-site to serious incidents of workplace violence, occupational injury, or environmental hazards, to gather factual information and develop a detailed report of findings.
• Assist in conducting post-incident well-being checks for employees who were involved in a workplace violence incident or who may have sustained a severe work-related injury.
• Conduct and prepare written summaries of safety rounds performed at Rikers Island, community warehouses, outposted sites, and court-based facilities.
• Aid in establishing methods to improve safe clinic operations while reducing the risks associated with workplace violence incidents, environmental hazards, and overall staff safety.
• Performs regularly scheduled and unannounced walkthrough of clinic facilities and other work areas to identify, document and address potential workplace concerns in a timely manner.
• Assist in facilitating monthly and quarterly workplace violence and safety meetings with key stakeholders.
• Other relevant assignments as required.

Minimum Qualifications

1. A Master’s degree from an accredited college or university in Public Administration, Public Health, Business Administration, or a related discipline, and one (1) year of full-time experience in an administrative capacity in business management systems, general administration, health care or medical/patient systems administration; or,

2. A Baccalaureate Degree from an accredited college or university in Public Administration, Public Health, Business Administration, or a related discipline, and two (2) years of full-time experience in an administrative capacity in business management systems, general administration, health care or medical/patient systems administration.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs

Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City’s efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support.

Given the high visibility of this initiative, we are seeking the highest caliber health care professionals in key clinical services to staff our Outposted Therapeutic Housing Units (OTxHU). To be located in three NYC Health + Hospital acute care facilities, the OTxHU is a pioneering approach to safely increasing access to high quality clinical care for patients in custody who have complicated health conditions. OTxHUs will bridge the gap in the continuum between care provided in the jails and inpatient hospitalization, with admission to and discharge from the OTxHU in accordance with a patient’s clinical needs. CHS will be the primary health care providers on these units and the NYC Department of Correction will provide security and custody management.

The OTxHU at NYC Health + Hospitals/Bellevue in Manhattan will be the first of this unique, groundbreaking project to open with a planned completion date as early as the end of 2024. This is an incredible opportunity to be part of a passionate and motivated team providing care to some of the City’s most marginalized, vulnerable people.

*To help support continuity of operations and care, staff selected to work in the OTxHU may also be required to work in CHS locations within the jails. Additionally, while CHS seeks the most qualified individuals for these positions, preference will be given to equally qualified, internal candidates.

Under general supervision of the Medical Director, the Senior Psychiatrist is the psychiatric leader of the facility or program and works in close collaboration with other discipline leadership to ensure that safe, holistic, and evidence-based psychiatric care is provided to incarcerated patients with varying levels of mental health needs. A team-based approach to care is critical; one that incorporates all relevant mental health and medical disciplines as well as security staff. A major component of this position will be training, recruiting and retaining high quality staff and providing strong clinical support and oversight, leadership and mentorship for existing staff.

Responsibilities

• Develops workflows, policies and quality metrics for their dedicated area in close coordination with the Medical Director and Chief of Mental Health
• Recruits, hires and trains staff to provide care in their dedicated area
• Ensure the highest possible quality of mental health care both in the facility and in collaboration with the other jail facilities in the system. This includes active participation in quality improvement, staff and patient safety initiatives, treatment supervision, and personnel mentorship and management.
• In coordination with other leadership: design, implementation, ongoing review, and monitoring of relevant clinical facility-specific procedures, policies and operating manuals
• Direct clinical individual and group supervision of the relevant psychiatric prescribing staff, including psychiatrists, psychiatric nurse practitioners, and psychiatric physician assistants. This supervision must include both in vivo reviews of clinical skills as well as chart review.
• Close collaboration, including regularly scheduled meetings, with other relevant disciplines within the mental health, medical, nursing and operations departments, as well as the Department of Correction
• Ensure that medication renewals are completed in a timely manner
• Ensure that the standard of care is being met or exceeded in all patient care
• Educate clinical staff about new developments regarding best practices in all aspects of psychiatric care, with specific attention to the challenges and issues facing a jail setting (e.g., influence of legal case, dual loyalty, medication diversion)
• Ensure compliance with all regulatory standards
• In collaboration with other leadership, oversee the orientation of new staff to the facility or program
• Conduct regular multi-disciplinary case conferences and/or other educational programming
• Report on an as-needed basis to the CHS Morbidity and Mortality review committee
• Work in collaboration with other mental health leadership to manage clinical schedules, vacation requests, CME activities and other relevant activities as they pertain to psychiatric staffing and education
• Participate in policy revision and creation, and practice guideline creations, related to psychiatric care, including input into the psychiatric medication formulary
• Lead interdisciplinary mental health staff meetings in coordination with local MH leadership.
• Personnel management of clinical staff, including setting quality standards, establishing effective recruitment and retention strategies, and managing workforce complaints
• Administrative tasks, including coordinating scheduling and assignment of patient care appointments, scheduling of staff, and management of referrals to mental health service
• Direct clinical care, amount determined by facility needs, which may include direct supervision of psychiatric trainees.
• On-call responsibilities for 2 weeks at a time, one to two times/year, for off-hours issues that require high level clinical intervention
• Other duties at the discretion of the Medical Director of Mental Health or the Chief of Service.
• Personnel management of the clinical staff, with assistance from the Clinical and/or Medical Directors as needed, including recruiting, mentorship, supervision, and disciplinary procedures
• Meet regularly with assigned supervisor to provide meaningful input into program design and policy formation

Minimum Qualifications

Applicants must have all of the following:

1. Graduation from a medical school approved by the Council on Medical Education and

Hospitals of the American Medical Association.

2. Completion of an acceptable internship in an approved hospital.

3. A license to practice medicine in the State of New York.

4. Certification by American Board in field of specialization or a faculty appointment of Associate Professor or higher in a medical school recognized by the American Medical Association.

5. Eight (8) years of satisfactory full-time paid experience in field of specialization including at least three (3) years in a supervisory or administrative capacity.(Training and experience required for certification will be credited toward required specialized experience.)

Department Preferences

• Completion of a 4-year psychiatric residency training program
• Completion of a forensic psychiatry fellowship
• Active certification by the American Board of Psychiatry and Neurology in Psychiatry and Forensic Psychiatry
• At least two years of post-residency experience working with individuals with mental illness in a criminal justice setting (jail, prison, probation and/or parole) or public health community setting
• At least one year of post-residency experience in a supervisory role in psychiatry
• At least one year of post-residency experience working with individuals with serious mental illness
• Excellent diagnostic and treatment skills with particular attention to issues of psychopharmacology, safe administration of medication in a variety of settings, medical complications of mental illness and therapeutic resistance
• Excellent interpersonal communication skills and ability to work collaboratively with other disciplines, including DOC staff
• Strong leadership skills with ability to identify staff needs and provide mentorship and education to suit those needs
• Buprenorphine waiver training

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs