LCAS in Greenville NC!

Job Summary We are seeking a dedicated and compassionate

LCAS / LCAS-A CLINICIAN

to join our dynamic behavioral health team. We are a licensed behavioral health agency serving Wake, Pitt, Nash, and Halifax counties in North Carolina. We provide SACOT, SAIOP, Peer Support, Mobile Crisis, and Outpatient Therapy services across two locations with 46+ employees. We are in an active period of growth with additional service lines in development including 1915(i) ITS, Community Support Team (CST), and Behavioral Health Urgent Care Tier III. Our contracted MCOs include Alliance Health, Trillium Health Resources, AmeriHealth, Carolina Complete Health, UnitedHealthcare, NC Healthy Blue, Vaya Health, and Partners Health Management. In this role, you will provide comprehensive mental health and addiction counseling services to diverse populations, including children, adolescents, and adults. Your expertise in psychotherapy, crisis intervention, and behavioral health will be vital in supporting clients through their recovery journeys. This position offers an exciting opportunity to make a meaningful difference by delivering evidence-based treatments in both clinical and community settings, ensuring holistic patient care while adhering to HIPAA regulations and maintaining accurate medical documentation. The

LCAS/LCAS-A

Clinician is a frontline clinical position responsible for conducting comprehensive clinical assessments, contributing to treatment planning, delivering individual and group clinical services, and maintaining full documentation compliance across the agency's active service lines. This role is the clinical backbone of the agency's substance use disorder and behavioral health programming. The right candidate brings direct assessment experience across the behavioral health continuum — SAIOP, SACOT, OPT, CST, or similar — understands how NC Medicaid managed care payers evaluate medical necessity, and knows how to document in a way that supports both clinical quality and billing compliance. This is a clinician who knows the system — not someone learning it on the job. Clinical Assessment — Primary Function Conduct comprehensive clinical assessments using the agency CCA v.4 — all 18sections including presenting problems, substance use history, trauma history, mental status exam, GAD-7, PHQ-9, and LOCUS Conduct dual diagnosis assessments — assess co-occurring mental health and substance use disorders as an integrated clinical picture, not two separate problems Complete initial assessments at admission for all consumers referred to agency service lines Adhere strictly to assessment turnaround time requirements — assessments must be completed, documented, and submitted within the timeframe set by the agency and payer requirements; delays in assessment completion directly delay authorization and service delivery Demonstrate persistence in making consumer contact — this population is not always easily reachable; multiple contact attempts using all available methods (phone, emergency contact, referral source follow-up) are expected and required before an assessment attempt is closed out Maintain consistency in the assessment picture — clinical findings, diagnostic impressions, and level of care recommendations must be internally consistent throughout the CCA; a strong assessment tells a coherent clinical story from beginning to end that clearly justifies the recommended level of care Understand what each payer is specifically looking for in assessments — clinicaldocumentation must be written with the payer's medical necessity criteria in mind; what satisfies Alliance Health may differ from what Trillium requires and this clinician is expected to know the difference Ensure all assessment documentation is completed in Checkpoint on the day of service andfully supports medical necessity for payer authorization Payer Knowledge & Prior Authorization Alignment Maintain current working knowledge of NC Clinical Coverage Policies for all active agency service lines — SAIOP, SACOT, OPT, CST, Peer Support, and Mobile Crisis Understand what each contracted payer requires in assessment documentation to supportmedical necessity and authorize services — Alliance Health and Trillium Health Resources are primary; AmeriHealth, Carolina Complete Health, UnitedHealthcare, NC Healthy Blue, Vaya Health, and Partners Health Management are also contracted Stay current on payer clinical standards, policy updates, and authorization requirement changes — what Alliance requires today may be different next quarter and this clinician is expected to know that Write assessments and document clinical findings in language that directly supports priorauthorization approval — vague or generic documentation is a denial waiting to happen Coordinate with the PA team when assessment findings require a specific authorization orlevel of care placement — communicate clinical justification clearly so the PA Specialist can submit a strong authorization request Understand the difference between Tailored Plan payers (Alliance, Trillium, Vaya) and Standard Plan payers (AmeriHealth, CCH, UHC, Healthy Blue) and how payer type affects authorization and service eligibility Participate in peer-to-peer clinical reviews with MCO medical directors when requested — beable to defend level of care recommendations with clinical evidence Group Facilitation — Optional / As Needed The primary role of this position is assessments — group facilitation is not a core requirement When program need exists or when the clinician desires, they may facilitate SAIOP or SACOTgroup sessions in collaboration with the Program Director and Clinical Director Group facilitation would be evidence-based and aligned with active consumer treatment plangoals — motivational interviewing, CBT, and trauma-informed approaches Any group facilitation hours are in addition to assessment responsibilities and coordinatedthrough the Program Director Documentation & Compliance Ensure every assessment directly supports medical necessity and is written in language thatholds up under payer review and audit Never use generic or templated language in assessments — every assessment must reflectthis specific consumer's unique clinical presentation Maintain full HIPAA and 42 CFR Part 2 compliance at all times — no consumer informationshared without a signed release, no photos, no social media Complete incident reports same day for any reportable incident occurring during anassessment encounter Qualifications Required — Both Levels Active NC LCAS or LCAS-A in good standing with

NC NASPPB

— no restrictions Minimum 2 years of direct clinical experience in behavioral health — SUD, mental health, orco-occurring Demonstrated hands-on experience conducting clinical assessments — this is non-negotiableat both license levels Strong understanding of level of care criteria across the behavioral health continuum Familiarity with NC Medicaid managed care payer requirements — Alliance Health andTrillium specifically Understanding of how assessment documentation directly impacts prior authorizationapproval and billing outcomes Ability to adhere to assessment turnaround time requirements — completing and submittingon time is a core performance expectation Persistence in making consumer contact — must be willing to make multiple attempts beforeclosing out an assessment Ability to maintain a consistent, coherent clinical picture across the full assessment —findings, impressions, and recommendations must tell the same story Proficiency with EHR platforms — Checkpoint or similar Full compliance with HIPAA and 42 CFR Part 2 confidentiality requirements Additional — LCAS (Full License) Active unrestricted LCAS — able to practice and sign clinical documents independently Eligible to credential with Alliance Health, Trillium, and other contracted MCOs under theirown NPI Able to serve as clinical supervisor for LCAS-A staff if needed Prior experience as a clinician of record for SAIOP or SACOT consumers strongly preferred Additional — LCAS-A (Associate) Active LCAS-A in good standing — actively accumulating supervised hours toward full LCAS Must have an identified LCAS supervisor — agency will provide qualified LCAS supervision Supervision hours at agency will count toward full LCAS credentialing requirements Must maintain active communication with supervisor and attend all scheduled supervision sessions Preferred — Both Levels LCAS with dual credential — LCAS + LCSW, LCMHC, or similar Familiarity with Jiva or other prior authorization platforms Experience supporting MCO audits or CARF/Joint Commission accreditation surveys Knowledge of 1915(i) ITS or Community Support Team service delivery models Experience with motivational interviewing, CBT, and trauma-informed care frameworks People with a criminal record are encouraged to apply

Pay:

$500.00 - $1,500.00 per week People with a criminal record are encouraged to apply

Work Location:

In person