Analysis Skills, Community Health, Community and Social Services, Consulting, Cross-Functional, Customer/Consumer Behavior, Documentation, Federal Laws and Regulations, Healthcare, Identify Issues, Medications, Medicine, Needs Assessment, Patient Care Authorizations, People Management, Project/Program Management, Quality Management, Record Keeping, Staff Training, State Laws and Regulations, Substance Abuse, Treatment Plan
Job Summary:
Under general supervision of the Program Director the Clinician has the responsibility of assessing, diagnosing and identifying the appropriate level of patient care by conducting a comprehensive American Society of Addiction Medicine (ASAM) assessment and/or an Initial Triage Assessments (ITA) and participate in treatment plan development.
Major Tasks, Duties and Responsibilities
Following is a general listing of the job duties inherent in this position. The employee may also perform other tasks and special projects as assigned.
- Performs culturally competent comprehensive assessments, identify an appropriate diagnoses and develop a treatment plan within the required time frame.
- Provide guidance, consultation and approval of their assessments, diagnoses, treatment plans and progress notes.
- Maintain detailed client record documentation; progress notes and treatment reviews.
- Participates as member of a multidisciplinary treatment team providing clinical input related to client diagnosis and recommended treatment plans. Consults with staff to review client cases and medication issues.
- Demonstrates knowledge and competency in substance abuse and co-occurring disorder treatment. Must be sensitive and responsive to cultural differences among the agency's client population.
- May carry a caseload and conduct individual/group sessions including family education groups.
- Regularly meet and maintain the agencies expected productivity goal.
- Make and monitor appropriate referrals when necessary
- Support the orientation and training of staff and interns.
- Actively participates in continuous quality improvement efforts and peer review functions.
- Consults with and serves as a liaison with community agencies, school personnel, parents, and other programs and services to evaluate community health needs and services; advocates and educates on needs of specific client.
- Makes presentations to community and other groups outside the facility.
Clinician Competencies and Performance Expectations
All Clinicians are expected;
- Assess and re-assess client status and make accurate diagnosis and develop appropriate treatment plans.
- Analyze crisis situations in a prompt and concise manner to facilitate appropriate treatment and referrals.
- Present client history and behavioral impressions for further review.
- Prepare detailed case summaries and documentation and maintain accurate client records in compliance with local, state and federal rules and regulations.
- Provide education, consultation and in-service trainings for staff.
- Protect clients' rights and provide advocacy for all clients.
- Establish and maintain effective working relationships with other therapists, county staff, referral agencies, physicians and the public.
B
Behavioral Health Services Inc