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Assess patient/support system needs for resources based on:

• medication management (psychiatry)
• psychotherapy (individual, group, partial hospital, intensive outpatient, residential)
• ongoing medical care
• housing, placement (nursing home, assisted living)
• financial (application for social security disability, HUD, food stamps, energy assistance, etc.)
• community support (groups)
• specific county-based resources (SAIL, CSP, group home).

Assure that discharge planning begins at admission. Obtain collateral input from providers and supports.

• Assist with development and implementation of transition, discharge, and aftercare plans prior to discontinuation of behavioral health services.
• Schedule after care appointments for patients with PCPs, psychiatrists, next level therapy programs, living arrangements, etc.
• Contact referral source and/or other treatment providers within designated time frame and documented accordingly.
• Make arrangements for community resources to facilitate discharge. Provide all needed documentation to other providers to facilitate the continuum of care.
• Solicit input from treatment team/collateral partners to meet the continuing care needs of patients.
• Work with treatment team and collateral partners to ensure appropriate discharge resources.
• Maintain a list of specific resources to be used in accordance with best practice.

Provide therapeutic services to patients.

• Provide team coverage as permitted by state regulations, scope of practice and competency under the direction of the clinical operations supervisor.
• Provide cognitive behavioral therapy, dialectical behavior therapy focused, behavioral activation, interpersonal psychotherapy, and other group and individual therapeutic services to patients according to clinical standards of care and under the supervision of the clinical operations supervisor.
• Implement goals, objectives and interventions as specified in the patient's individual treatment plan.
• Use knowledge and skills to collect and review information regarding the patient's status.
  • Identify individual specific needs.
  • Provide interventions that are appropriate to the individual.
  • Facilitate individual skills practice.
• Be knowledgeable in and practice trauma informed care.
• Participate in training under the direction of the clinical operations supervisor.
• Consult with treatment team and support system as needed/requested.
• Participate in regular supervision sessions with clinical operations supervisor per regulatory requirements.
• Attend and participate in interdisciplinary treatment team meetings.

Complete assignment and documentation within required time frames.

• Obtain outcome assessments at admission, discharge and throughout stay as indicated.
• Complete ongoing treatment documentation as required in accordance with program guidelines, i.e., patient care notes, group documentation and contact notes).
• Support obtaining Releases of Information to ensure continuity of care and collaboration.

Additional Job Description:

Education/Training Requirements:

• Bachelor's degree in human services or equivalent strongly preferred, or a minimum of five (3) years of relevant experience in case management/mental health field.
• State appropriate substance use credential required or obtained within 90 days of hire.
• Minimum of two (2) years' work experience serving persons with mental health and substance use disorders.
• American Heart Association Healthcare Provider CPR certification or American Red Cross Professional Rescue is required within thirty (30) days of date of hire. Annual re-certification is required.
• Formal training in management of the aggressive patient is required within sixty (60) days of date of hire. Annual re-certification is required.