Crisis Counselor/Clinician

1 FT position (12P-8P, includes every other weekend) 3 PRN positions (1 position in Shelby and 2 positions in Gastonia)

General Definition:

In general, under direct supervision of the immediate supervisor or clinical manger the individual is responsible for providing community/facility based Crisis services that are aimed at the prevention, intervention, and immediate stabilization of Crisis events experienced by

MH/DD/SA

consumers or consumers experiencing emotional distress in response to a Crisis . Examples of Crisis services shall include in community Crisis response and Crisis prevention/intervention. Performance Expectations (Quality and Quantity): Each Clinician will be assigned primary and secondary responsibilities, these assignments may changes at any time depending on the need of the agency/department and at the direction of the supervisor. 1.

Primary Responsibility:

Shall demonstrate the use of knowledge/skill/judgment and provide24/7/365 inpatient clinical services that evidence quality, performance, and meet the needs of persons served and other stakeholders.

Performance tasks shall include:

• Perform screening and evaluation for consumers who are requesting admission/being referred for admission to one of the PCC inpatient services (Facility Based Crisis , Detoxification, SA Residential Treatment, and 23 Hour Observation).

Completing the appropriate steps to process a possible admission (i.e. staffing with other clinical staff, staffing with medical staff, and contacting MD/NP). Screenings for admission to one of the inpatient services must be completed using the Mobile Crisis assessment packet, once the consumer has been approved for admission then the screening can be entered under the 24/7 service that the consumer will be engaging in. o Admission documentation must clearly identify the criteria that the consumer meets as well as the medical necessity for the consumer to receive the requested service.

• Once a consumer has been admitted to one of the inpatient programs the clinical staff will continue to work with the consumer in the development of the Person Centered Plan and document progress/lack of progress towards meeting goals/objectives specified in the PCP.

o The following treatment plans, evaluations, and authorizations must be completed for consumers being admitted to the inpatient unit. Ensuring that appropriate and timely documentation is completed on all consumers is essential to this position: § Complete enrollment, target population, and diagnosis within the

ALPHA MCO

system. Complete PCP and SAR (service authorization request). § Complete PCP and ITR (within the Value Options system). § Complete enrollment, target population, and diagnosis within the

ALPHA MCO

system. Complete PCP and SAR (service authorization request) § Complete PCP only. § Complete enrollment, target population, and diagnosis within the

ALPHA MCO

system. Complete PCP, ITR, Comprehensive Evaluation, and NCTOPPS. § Complete enrollment, target population, and diagnosis within the

ALPHA MCO

system. Complete SAR (service authorization request) in

ALPHA MCO

system.

• Clinician will ensure that consumers engaging in the inpatient services are receiving adequate therapeutic interventions o Clinicians will facilitate and/or engage in the following therapeutic interventions: § Individual Counseling § Family and Peer Group Counseling § Process and psycho-educational groups that promote the development of knowledge and skills related to recovery from substance abuse and mental health disorders.

§ Multidisciplinary Treatment Team Meetings § AA/NA Meetings, H&I Meetings, WRAP Groups

• Clinician will meet with consumer on a regular basis while the consumer is admitted to the service rendered to create a discharge plan.

Discharge plan will include:

referrals to community services/resources, self help groups, outpatient medication management, counseling, and case management services. Discharge plan may also include referrals to other residential treatment and/or housing options. Primary medical needs and referrals may be addressed as well. Discharge plans should include efforts to prevent relapse and future Crisis.

• Accurate service and billing record documentation that clearly communicates the service(s) provided and consumer progress.

Documentation shall maintain compliance with PCC policy/procedure, purchaser of service requirements (NC Division of MH/DD/SA, DMA/Medicaid, CCMH/LME); and, accrediting/regulatory bodies (CARF and NC Statute/APSM rules). All Crisis Clinicians shall maintain consumer Record Documentation to include (as applicable to the service rendered): § Screenings § Crisis Plans § Authorizations § Person Centered Plans (PCPs) § Service Notes § Discharge Plans § Other Clinical Documentation (i.e. evaluations, financial forms, other forms as indicated by PCC guidelines or by immediate supervisor).

• Use of a community based team approach that utilizes the resources of the community, consumer, and treatment team, to achieve positive consumer outcome, stabilize the crisis and assist with arranging appropriate transitions for the consumer to needed services and supports.
• The ability to effectively utilize clinical supervision to enhance professional growth and promote the recovery of persons served.
• Must meet productivity standards as specified by administrative and/or clinical supervisor.

2.

Secondary Responsibility:

Shall demonstrate the use of knowledge/skill/judgment and provide24/7/365 crisis management services that evidence quality, performance, and meet the needs of persons served and other stakeholders.

Performance tasks shall include:

• Crisis Clinicians will respond to all referrals and requests within the catchment area (Gaston, Lincoln, and Cleveland Counties) on a 24/7/365 basis.

Referrals and requests can come from a variety of sources. Each consumer is required to meet the admission criterion that is outlined by the state of NC. Our goal is to enable individuals that are experiencing a

MH/DD/SA

crisis or distress to access a range of Crisis prevention and intervention services in a timely and effective manner in the least restrictive setting. The right service, in the right place, at the right time. o Timely engagement and response is required for each referral and request. Crisis Clinicians will respond within 30 minutes via telephone and within 2 hours face to face. o Crisis Clinicians will be expected to respond to a variety of locations (i.e. consumer residence, hospitals, work sites, schools, jails, shelters, walk-ins to one of the

PCC 24/7

sites, etc.) and are expected to meet the consumer where they are at; ideally in the least restrictive setting. o Once face to face with the consumer that is in crisis, the Crisis Clinician will conduct a crisis screening/interview process. Then after the assessment the Crisis Clinician will begin to assist in the transition planning process, which includes referrals to a variety of resources and levels of care. Crisis Clinicians will spend a portion of their time with the consumer in crisis and create a crisis plan to assist the consumer in preventing future crisis situations. § Ideally a Crisis event will be resolved within 24 hours of the event begin date/time, however, it is required that staff continue to provide necessary follow up and transition planning until the consumer meets criteria for discharge from Mobile Crisis Services. All efforts and interventions, including the discharging of the consumer from Mobile Crisis must be documented. o Crisis Clinicians are required to complete documentation and service noting at all stages of the response. For each Mobile Crisis event there is a required list of documentation that must be completed. All documentation is to be completed and meet all documentation and clinical standards within 24 hours from the event begin date/time. o Under the direct supervision of a supervisor, shall utilize knowledge/skill to achieve positive outcomes and resolve the crisis through the use of Crisis prevention/intervention techniques. o Crisis services shall be based on models/techniques that are considered best/evidence based practice(s) as defined by federal guidelines, program service definition, accrediting bodies (i.e. CARF), the NC Division of MH/DD/SA, purchasers of service, and PCC policy/procedure. o Accurate service and billing record documentation that clearly communicates the service(s) provided and consumer progress. Documentation shall maintain compliance with PCC policy/procedure, purchaser of service requirements (NC Division of MH/DD/SA, DMA/Medicaid, CCMH/LME); and, accrediting/regulatory bodies (CARF and NC Statute/APSM rules). All Crisis Clinicians shall maintain consumer Record Documentation to include (as applicable to the service rendered): § Screenings § Crisis Plans § Authorizations § Service Notes § Other Clinical Documentation (i.e. crisis evaluation, financial forms, other forms as indicated by MCM Audit Form or by supervisor). o Use of a community based team approach that utilizes the resources of the community, consumer, and treatment team, to achieve positive consumer outcome, stabilize the crisis and assist with arranging appropriate transitions for the consumer to needed services and supports. o Treatment approaches could include assessment, individual/family counseling, process, and psycho-educational groups that promote the development of knowledge and skills related to recovery from substance abuse and mental health disorders o The ability to effectively utilize clinical supervision to enhance professional growth and promote the recovery of persons served. o Must meet productivity standards as specified by administrative and/or clinical supervisor. 3. Shall demonstrate the ability to work/be part of24/7/365 organizational and therapeutic teams, and maintain positive working relationships with consumers, community stakeholders, referral organizations, and other employees/ departments of PCC.

• Based on the daily needs of the services provided by the 24/7 clinical team a range of clinical, administrative, and support services to assure effective care and programming are necessary and required.

This position requires a high degree of flexibility and a willingness to take on a number of roles and responsibilities from day to day, at the direction of the immediate administrative supervisor and/or the clinical supervisor and in support of the clinical team.

• To be effective clinical team member flexibility is essential, clinical staff may hold primary and secondary roles and are required to fulfill both; roles may change at the discretion of the supervisory team and/or with the changing needs of the program/agency.

Onsite clinical coverage must be maintained on a daily basis (i.e. 24/7/365 Clinical staffing), which requires the clinical team to be flexible in their scheduling; scheduling occurs on a rotational basis and may include 1st, 2nd, and 3rd shifts, as well as weekends and holidays. On-call coverage may be an additional duty assigned by the immediate supervisor. 4. Shall develop a working knowledge of applicable organizational policy and procedure and demonstrate compliance. This shall include, but not be limited to:

• Personnel policies/procedures
• Employee Ethics/Corporate Compliance/Consumer Rights
• Service record documentation
• Confidentiality/HIPAA
• Clinical Policy and Procedure

Credentialing Bodies:

NCDHHS, CARF, DMA, and Partners Behavioral Health Management 5. Shall attend assigned training and continuing education to maintain credentialing and privileging, to include, but not limited to: § NC Credentialing as a Qualified Professional. § Obtaining credentialing as assigned by the Clinical Director of Crisis Services § Required Training (NCI, CPR, First Aid, blood borne pathogens, Consumer Rights) § Adhering to PCC Employee Code of Ethics § Adhering to PCC clinical policy and procedures. § Required 20 Hours of Crisis training as defined in PCC HR Training and Development Policy and Procedure (I-B-006) § Attend any and all supervision sessions and group staff meetings as assigned by supervisor. 6. Shall complete other duties as assigned by supervisor. General Knowledge and Skills (will possess at time of employment or will be expected to learn upon employment) General Knowledge of the dynamics of

MH/DD/SA

behavioral health disorders (BHD) and their impact upon persons served and their families; the bio/psycho/social factors involved in (BHD); up-to-date principles/techniques (evidence based/best practices) of Crisis response, prevention, and intervention application to individuals possessing (BHD); the community resources available to persons with (BHD), to include behavioral health, social service, community services, and self-help groups; knowledge of billing and service record documentation requirements (NC Division of

MH/DD/SA

ASAM/IPRS, DMA/Value Options, CCMH/LME, and PCC policy/procedure. General Skill in the application of Crisis assessment/prevention/intervention techniques that are considered as evidence based/best practices as defined by the NC Division of MH/DD/SA, and/or literature/research, and organizational policy/procedure; skill in the delivery of services using accepted Crisis treatment modalities, to include, individual, family, marital, and in-community; skill in establishing/maintaining effective therapeutic and professional relationships with persons served and/or their family members; behavioral health providers; and, skill in accurately documenting services provided and billed. Qualifications for Crisis Counselor II

• Bachelor's or Master's degree from a four-year college or university in a human services field; and two years of related experience with the MH/SA population.
• Bachelor's or Master's degree from a four-year college or university in a non-human services field; and four years of related experience with the MH/SA population.
• Must meet the NC Division of

MH/DD/SA

requirement for a Qualified Professional. Qualifications for Crisis Counselor III

• Bachelor's or Master's degree from a four-year college or university in a human services field; and two years of related experience with the MH/SA population.
• Bachelor's or Master's degree from a four-year college or university in a non-human services field; and four years of related experience with the MH/SA population.
• Must meet the NC Division of

MH/DD/SA

requirement for a Qualified Professional.

• Must possess a valid CADC certification Qualifications for Crisis Clinician II
• Master's degree from a four-year college or university in a human services field; and two years of related experience with the MH/SA population.
• Must possess a valid clinical licensure such as Associate (provisional) licensure such as LCSW-A, LCAS-A, LPC-A, LMFT-A, etc Qualifications for Crisis Clinician III
• Master's degree from a four-year college or university in a human services field; and two years of related experience with the MH/SA population.
• Must possess a valid clinical licensure LCSW, LCAS, LPC, LMFT, etc (preference will be given to LCSW and/or LCAS due to need for IVC requirements)

Additional Job Requirements:

• Must have the ability to effectively hear and communicate with other employees, professionals, and law enforcement, magistrate the public and persons served.
• Must have physical mobility to respond and provide service in various community and onsite locations.
• Being on-call and shift work is required as part of this position with a team requirement to provide 24/7/365 clinical coverage.
• Must provide crisis prevention/intervention services in community locations to include: hospital setting, in-home, and other locations that are safe in the community. In-home crisis intervention may require escort from law enforcement.
• Must have reliable transportation, maintain valid NC driver's license, and maintain adequate automobile insurance.
• Limited consumer transportation may be required when applicable and approved by immediate supervisor.
• Travel is required as part of this position and may use company supplied vehicle and/or use of personal vehicle with mileage reimbursement as defined in PCC policy/procedure.
• Must have the ability to operate telephone, fax machine, and computer hardware/software.
• Requires superior writing skills, and the ability to compose a variety of complex and sophisticated professional documents, assessment, and reports. Requires the ability to comprehend and explain complicated clinical documents and professional literature.
• Willingness to work in a high stress/risk environment that is driven by team performance

Pay:

$22.60 - $31.25 per hour

Benefits:

401(k) Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance People with a criminal record are encouraged to apply

Work Location:

In person