Assessment, diagnosis, case management, continuing care assessments and planning, treatment planning, facilitate individual and group therapy, referral assessments, documentation, discharge planning, group facilitation, recovery education instruction, and relapse prevention.
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Delivers and documents crisis intervention, trauma informed care, and case management services to clients designated by PRC. These services may be delivered in the office or within the community.
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Conducts mental health status examinations, substance abuse/dependency status examinations, and diagnostic assessment to establish differential diagnosis and treatment plans.
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Meets PRC standard for:
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Client Care Hours
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Missed Appointments
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Completion of All Documentation
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Deliver person centered, culturally sensitive evaluations, and trauma informed care as defined by position.
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Works with the client and their systems to identify treatment goals and objectives.
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Will contact family members within 48 hours of admission, continue to provide periodic updates throughout treatment, arrange family sessions when the client has completed the first 30 -days and continue to be a point of contact for family members.
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Maintains client charts/documentation according to the standards outlined in Clinical Records Management Policy & Procedure and the Assessment, Treatment Planning, DAP Progress Notes Discharge and Aftercare Planning Policy & Procedure of PRC.
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Attends staff meetings, in -service meetings, peer reviews, supervision sessions, and other meetings as requested/required per week.
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Participates in the design of client services through needs assessment and discussion with team members and Supervisor.
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Collaborates with and refers to other human service agencies within the community to coordinate client care plans.
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Collaborates with the contracted Psychiatrist and Clinical Case Manager to coordinate client care plans.
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Works cooperatively and constructively as part of an interdisciplinary team.
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Responsible for keeping client information confidential by adhering to Colorado law, HIPAA, and PRC policies and procedures.
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Responsible for compliance with applicable federal, state and local laws; professional practice acts and ethical guidelines; policies and procedures of PRC; and contractual guidelines.
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Responsible for supporting PRC Mission, Vision, and Purpose by practicing and modeling a culture of wellness within a One Team Mindset.
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Completes all clients records in Kipu, PRC electronic clinical records, as requested/required.
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Completes required competency training and additional training as requested or selected by supervisor.
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Reviews and acknowledges PRC policies and procedures as requested/required.
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Supports PRC staff in their efforts to collect client service fees.
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May be assigned to community consultation and education projects.
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To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
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Masters level degree is required
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LPC, LPCC, LAC, LMFT, LSW, or LCSW licensure
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Maintain professional licensure and certifications as required
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Colorado State License or License eligible
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Two year post graduate experience preferred, not required
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Training in conducting mental health status examinations in order to establish differential diagnosis and treatment plans
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Possesses a working knowledge of individual, group, family, and crisis treatment approaches and their application to clients with emotional, behavioral, and substance use disorder problems
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Demonstrates knowledge and application of clinical skills
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Has ability to produce written documentation and/or electronic records of clinical work in a manner readily understood by other service providers and in a manner that meets federal, state, and PRC documentation requirements
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Ability to summarize service themes from a variety of client contacts and communicate suggested improvements for service delivery
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Ability to do mental status exams and differential diagnoses based on the DSM -5, service planning, assessment case management and treatment
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Ability to assess level of risk and make appropriate clinical judgment for resolution of client emergencies to effect a safe outcome
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Basic computer and keyboarding skills
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Ability to enter data on PRC computerized record keeping system, Kipu
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Some knowledge of psychotropic medications and medical information relevant to mental disorders
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Ability to understand and utilize collaborative documentation when clinically justified and as requested by the client
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Ability to interact with people in a professional, friendly manner
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Ability to work independently as well as cooperatively and constructively in an interdisciplinary team
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Ability to think critically and independently
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Ability to realize and activate potential in every interaction, every day
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Ability to adapt to change in the workplace
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Ability to use change as an opportunity for innovation and creativity
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Ability to inspire and model collaborative teamwork
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Works extended hours in front of a computer monitor
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Occasionally required to stand, walk, reach with arms and hands, climb or balance, and to stoop, kneel, crouch or crawl
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The noise level in the work environment is usually quiet to moderate
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May need to provide services in noisy and unclean locations in the community
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