Purpose of Position :
Provide comprehensive clinical assessments and evaluations, as well as medically necessary outpatient therapy services to adults and children with substance abuse and co-occurring mental health challenges so they may attain personal outcomes and lead full, meaningful lives they envision.
Functions :
- Complete comprehensive clinical assessments for adults and children with a wide variety of mental substance abuse and co-occurring mental health challenges.
- Determine service need(s) and medical necessity.
- Formulate comprehensive person-centered treatment plans that are individualized to the individual / family's specific treatment needs and are based on clinical experience and knowledge.
- Utilize various best-practice therapy modalities of treatment.
- Provide individual and group therapy services to promote optimum health and overall well-being.
- Provide psycho-education on self-management skills and building tools
- Provide clinical consultation and work in partnership with individuals and families, other staff members, and community stakeholders in carrying out the goals and objectives of the treatment plan.
- Refer individuals inquiring about services or on service to appropriate community agencies and resources.
- Provide crisis intervention and response during and after-hours for individuals assigned to caseload or as additional on-call roles for the agency.
- Provide clinical, technical assistance to Agency staff in case conceptualization, development, and / or implementation of Person Centered Plan (PCPs).
- Prepare / obtain correspondence and reports as necessary to implement effective assessments, treatment plans, and therapy services.
- Attend Clinical Review Teams as requested or assigned.
- Provide clinical staffing meetings as requested or assigned for Agency staff to enhance their clinical knowledge and ensure quality provision of integrated services.
- Submit and obtain authorizations from insurance companies.
- Work as a member of the QA Audit team (as requested or assigned) to review various charts for accuracy.
- Prepare and maintain all state, local, federal, and company documentation, treatment records, and reports.
- Provide consistent First Responder accessibility consistent with Agency Policy and Procedures and State rules / definitions for consumers, guardians, family members, and Agency staff
- Through leadership, training, and advocacy, promote consumer outcomes, dignity, and rights
- Ensure all approved services for the consumers are provided in accordance with their Person Centered Plan (PCP) as agreed to by the consumer, his / her guardian (as appropriate), treatment team, and other consumer-identified stakeholders
- Maintain confidentiality of all individuals and families served related to treatment as well as all service records in accordance with all applicable HIPAA and confidentiality laws, rules, and regulations.
- Act as advocate for those receiving therapy services to coordinate required services or to resolve emergency problems in crisis situations.
- In collaboration with Senior Management, review and provide input into Agency Policy and Procedures, as needed
- Ensure compliance with Agency Policy and Procedures as related to the provision of clinical services
- In collaboration with Senior Management, ensure the timely responses to investigations, complaints, grievances, appeals, etc., as requested or required by regulatory, licensing agents, and / or Agency Policy and Procedures
- Ensure that documentation of service planning, authorization, billing and provision is completed in a manner consistent with Agency Policy and Procedures and State rules / definitions / laws
- Ensure adherence to confidentiality of records and documentation consistent with HIPPA guidelines
- Ensure that incident reports are completed and submitted to appropriate state / local agencies, consistent with Agency Policy and Procedures and State rules / laws
- Ensure that confidential information is released consistent with Agency Policy and Procedures and State and Federal laws
- Provide clinical services and support in the attainment of budgetary goals
- In collaboration with the Senior Management, promote the growth of the company by making sound clinical decisions regarding revenue and expenditures as related to current and new services
- Submit billing, timesheets, and accurate documentation consistent with Agency policy and procedure.
- Ensure participation in all Agency QA / QI efforts
- Analyze various reports and documents for clinical trends and develop action plans to address service gaps, limitations or identified areas of improvement.
- Conduct clinical audits of charts on a quarterly basis or as needed.
- Maintain consistent communication with the Administrator regarding clinical services provided in the local office.
Qualifications :
The minimum requirement for this position is :
Master's Degree and;License (LCPC, LMSW-C) or Graduate Professional (LGPC, LMSW) by the Board of Professional Counselors and Therapists.Must be licensed in the State of Maryland.Preferred Credentials / Experience
Experience with and knowledge of the public MH / SA / DD system, Service Definitions, and Mental Health Reform.Demonstrated leadership in providing clinical services and oversight, oral and written communication, time management, organizational, conflict resolution, and computer (e.g., MS Office, MS Publisher, Excel, email, etc.) skills.Training
Must complete agency-required training.Clinical supervision providedMust maintain required CEUs as established by the licensure board and by the Agency.CEUs will be provided to employees who meet company goals and standards.Additional Requirements
Valid Driver's License, reliable automobile with proof of current liability insurance, acceptable driving record, current vehicle registration and brake tag, and a clean criminal record.Performance Expectations :
Must meet billable requirements established by the Agency.Serve as a role model for professional and support staff, by consistently conducting him / herself in a professional and ethical manner in all situations, including but not limited to promptness of completing assignments, verbal / non-verbal communications, maintaining professional boundaries, representing the Agency with a professional image, and complying with Federal Anti-Kickback and Fraud Laws .Represent the Agency at Local Management Entity meetings, as requestedParticipate in treatment team meetings, as warrantedHave a working knowledge of various forms of substance abuse and co-occurring mental health challenges.Monitor the Division of MH, Division of Medical Assistance, Value Options, and local management entities' websites for changes to and impact on clinical services to be provided.Have or develop a working knowledge of rules, service definitions, and statutes governing the provision of the services provided.Have or develop a working knowledge of all applicable authorization / re-authorization processes, Agency policies and procedures, documentation requirements, and billable tasks.Have or develop a working knowledge of local community resources, both public and privateMaintain a person-centered focus throughout service provisionProvide services according to the philosophy, standards, values, and ethics set forth by the AgencyFollow all Agency Policies and ProceduresParticipate in all team meetings, committees, and audits as requiredMaintain current training and certifications / licensure requirementsPromote community awareness of the services and achievements of the Agency through effective public relations.Maintain current, valid, and 'in good standing' status of licensure and or certification with the appropriate governing authority in Maryland.To provide full and accurate disclosure of any prior, current, or pending violation(s), fine(s), penalties, suspensions, termination, or action taken against the provider / clinician under federal and or state law and / or rules that govern the medical assistance program, Medicare, or other regulatory bodies.To provide or have a written agreement with another entity for access to 24-hour coverage for emergency services.To provide or implement services as defined within the most current service definition or policy approved by Medicaid and / or State regulations when it is determined they are medically necessary.Benefits :
$70,000-$80,000 per year.PTOSick LeaveFlexible ScheduleProfessional Development Assistance