Under general supervision, this position performs assessments, treatment planning/monitoring, and discharge planning. Provides counseling to clients. Performs, coordinates, and monitors the assessment, treatment planning process, and follow-up for each consumer. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Conduct intake, screening, assessment, and referral of clients as appropriate. Provide appropriate & effective clinical assessments by gathering all relevant information to identify problems & determine if consumer meets core-customer eligibility criteria & assign service priority. Develop person-centered plans for service users. Based on the assessment, work with the client to establish an individual treatment plan outlining the goals of treatment. Provide individual, family, or group counseling/training in the appropriate setting to facilitate recovery. Evaluate, facilitate, and monitor services and client’s progress in relationship to established goals and objectives. Maintain strict confidentiality of information at all times according to established departmental policies & procedures. Adjust techniques & interventions as needed to ensure barriers to progress are addressed and movement toward recovery/independence is facilitated. Ensure that all treatment plans are current and services are authorized before being provided. Deliver services that are clinically appropriate to consumer's needs as specified in the treatment plan and meet responsibilities to consumer and third party payor by providing only services that meet best practice guidelines. Oversee the discharge planning process. In all activities, coordinate closely with the interdisciplinary team to best help service users, including behavioral health specialists, Staff Psychiatrist, registered nurses, quality assurance specialists, paraprofessionals, Medical Director and the Clinical Director. Records services accurately that relate directly to the treatment outcomes, within approved timeframes. Completes required clinical documentation according to agency standards. Maintain all documentation in accordance with applicable policies, laws and instructions. Ensure that all services provided are within the guidelines and document care in compliance with agency requirements and standards. Ensure that all notes will be in CareLogic and signed no later than 10:00 A.M. the day after the service was provided. Maintain a minimum chart audit score of 93% or better for all consumers on case-load. Ensure all weekly reports have been addressed and cleaned up (if necessary) within 48 hours of receiving reports.
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Job Type
Full-time
Career Level
Mid Level