Mobile Crisis Manager

General Definition:

In general, under the direct supervision of the immediate supervisor, this individual is responsible for the coordination of staff providing community-based crisis 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/crisis prevention/intervention and provision of Mobile Outreach Response Engagement Services (MORES).

Performance Expectations:

Each clinician will be assigned primary and secondary responsibilities; these assignments may change at any time depending on the needs of the agency/department and at the direction of the supervisor. 1. Will operate as Clinical Staff Manager for the Mobile Crisis team. Duties will include but are not limited to:

• Work with supervisor to develop and revamp policies, protocols, and workflows for the team as needed.
• Work with supervisor to build, continually enhance, and seek out new vital key community stakeholder relationships that will benefit the team and the consumers the team works with.
• Participate in community crisis calls and meetings assigned by the supervisor
• Provide day-to-day oversight of the individuals working on the Mobile Crisis and MORES team.
• Provide individual supervision to staff every quarter or upon request of clinical team members.
• Facilitate, schedule, and coordinate agenda for mandatory monthly staff members with input from the supervisor.
• Provide clinical & administrative group supervision with the MORES team, which will include a review of each team member's caseloads. Each supervision should be documented accordingly and kept in an organized fashion to ensure compliance with the model and service definitions.
• Provide additional individual supervision as needed by the Mobile Crisis team.
• Ensure each team member is compliant with training(s) to ensure they comply with agency standards as well as ensure training from the NCDHHS has been obtained, and that each member is promoting fidelity of Mobile Crisis team and MORES programs.
• Ensure documentation is completed correctly/accurately by all staff members promptly.
• Designated for a 12-hour shift weekly functioning in the capacity of a mobile crisis clinician.
• Ensure completion of Partners Daily Reports and MORES monthly billing report
• Ensure authorizations and required paperwork are completed for the Mobile Crisis Program and MORES Program.
• Ensure all required mobile documentation is completed promptly.
• Ensure timely review of mobile crisis and MORES staff for co-signing as required
• Completion of Qualitative chart reviews as required.
• Complete new hire orientation for program-specific and service definition requirements such as service definition, required documentation, Enotes, Alpha, etc.

2. Shall demonstrate the use of knowledge/skill/judgment and provide Mobile Crisis services that evidence quality, and performance, ensure fidelity of the model is intact, and meet the needs of persons served and other stakeholders. 3. Shall demonstrate the use of knowledge/skill/judgment and provide 24/7/365 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 who are experiencing an

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.

• Timely engagement and response are required for each referral and request. Crisis Clinicians will respond within 30 minutes via telephone and within 2 hours face to face.
• Crisis Clinicians are 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; ideally in the least restrictive setting.

• Once face-to-face with the consumer who 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 crises.

• Ideally a crisis event will be resolved within 24 hours of the event's beginning date/time, however, it is required that staff continue to provide necessary follow-up and transition planning until the consumer meets the criteria for discharge from Mobile Crisis Services. All efforts and interventions, including the discharging of the consumer from Mobile Crisis, must be documented.
• 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's beginning date/time.
• Under the direct supervision of a Mobile Crisis Clinical Manager, shall utilize knowledge/skill to achieve positive outcomes and resolve the crisis through the use of crisis prevention/intervention techniques.
• 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.
• Accurate service and billing record documentation that 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).

• Use of a community-based team approach that utilizes the resources of the community, consumer, and treatment team, to achieve positive consumer outcomes, stabilize the crisis, and assist with arranging appropriate transitions for the consumer to needed services and supports.
• 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
• 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. 4. 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 ensure effective care and programming are necessary and required.

This position requires a high degree of flexibility and a willingness to take on several 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. 5. To be an 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 daily (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 Mobile Crisis Clinical Manager. 6. As Mobile Crisis Clinical Staff Manager for the Mobile Crisis/MORES team the following duties shall be managed & maintained. These duties include, but are not limited to:

• Maintain the schedule for the Mobile Crisis and MORES Teams, which includes managing time off requests and ensuring 24/7 coverage.
• Ensure the accuracy of Mobile Crisis/MORES team timesheets and timely submission to Paychex
• Timely submission of performance evaluation.
• Work with new clinicians to train and provide new employee orientation. Ensure that new employees are trained according to agency policies & procedures, clinical documentation, clinical database, and ALPHA systems.
• Help maintain and provide oversight of the clinical team. Report back to the clinical manager?? Issues that may arise within the team.
• Assure completion of all reports required to The Division of MH/DD/SAS and Partners BHM
• Work in partnership with the Facility Based Crisis Units 7. 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 8. Shall attend assigned training and continuing education to maintain credentialing and privileging, to include, but not limited to: § NC Credentialing as a Licensed Qualified Professional, Qualified Professional or Associate Professional. § Obtaining credentialing as assigned by the supervisor § Required Training (EBPI, CPR, First Aid, blood-borne pathogens, Consumer Rights) § Adhering to the 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) and required MORES training § Attend any supervision sessions and group staff meetings assigned by the supervisor. 9. Shall complete other duties as assigned by supervisor. General Knowledge and Skills (will possess at the 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 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

Preferred Qualifications:

1. Must be fully licensed or provisional as a LPC, LCSW, or LPA. Must be in good standing with the licensing board. Strong preference for clinicians who are fully licensed. 2. At least one (1) year of experience in delivering clinical Crisis services. Credit may be given for previous clinical experience in other job positions, practicums, and internships as this experience relates to the provision of crisis services. 3. If allowed by licensure must obtain IVC Evaluator certification within 6 months of signing this job description

Additional Job Requirements:

1. Must have the ability to effectively hear and communicate with other employees, professionals, law enforcement, magistrate the public, and persons served. 2. Must have physical mobility to respond and provide service in various community and onsite locations. 3. Being on-call and shift work is required as part of this position with a team requirement to provide 24/7/365 clinical coverage. 4. Must provide crisis prevention/intervention services in community locations including hospital settings, in-home, and other locations that are safe in the community. In-home crisis intervention may require an escort from law enforcement. 5. Must have reliable transportation, maintain a valid NC driver's license, and maintain adequate automobile insurance. 6. Limited consumer transportation may be required when applicable and approved by the immediate supervisor. 7. 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 and supervisor approval 8. Must have the ability to operate a telephone, fax machine, and computer hardware/software. 9. Requires superior writing skills, and the ability to compose a variety of complex and sophisticated professional documents, assessments, and reports. Requires the ability to comprehend and explain complicated clinical documents and professional literature. 10. Willingness to work in a high stress/risk environment that is driven by team performance

Pay:

$80,000.00 - $100,000.00 per year

Benefits:

401(k) Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance Application Question(s): Do you possess NC clinical licensure (full or provisional

LCSW, LCMHC, LCAS, LMFT

)?

Work Location:

In person