Crisis Assessment Counselor Mobile Crisis and Crisis Receiving (per diem)

Billings Clinic•Billings, MT

4d•Onsite

About The Position

The Crisis Assessment Counselor is part of a multidisciplinary team in an outpatient mental health setting. The counselor completes comprehensive assessments, determines appropriate levels of care, and develops stabilization plans for clients presenting in crisis. Clients may have complex medical, mental health, substance use, social service, and psychosocial needs. The counselor collaborates with the internal interdisciplinary team, local hospitals, and—when appropriate—the client’s support system concerning mental health needs, diagnoses, symptoms, and current risk. The role coordinates referrals to community and mental health providers and helps ensure safe transfers and appropriate collateral information when a client needs a higher level of care. The counselor responds to crisis calls and referrals, interviews clients and support systems, and uses client records and other information to identify barriers, establish goals, reduce anxiety, and support cooperation in resolving the immediate crisis. The position helps clients cope with mental health and substance use concerns, develops and revises stabilization plans, documents care, coordinates discharge referrals, and supports the least restrictive appropriate level of care. The counselor may provide collateral information related to involuntary detention and commitment, supports audits and billing documentation, and takes a lead role in debriefing stressful crisis incidents within the Community Crisis Center. This is a per-diem, as-needed position at the Community Crisis Center on Billings Clinic’s main campus. The listed shift coverage includes day, evening, and weekends. Starting wage is $29.08–$36.34, DOE.

Requirements

Master’s degree in counseling, social work, or an equivalent human services field; an equivalent combination of education and experience related to the role’s tasks, knowledge, skills, and abilities may be considered.
At least a provisional counseling license and ability to obtain a regular license within one year of hire.
Current provisional Montana license in good standing as a Provisionally Licensed Professional Counselor, Provisionally Licensed Clinical Social Worker, Provisionally Licensed Marriage and Family Therapist, or Provisionally Licensed Clinical Psychologist; ability to obtain a regular license within one year of hire.
Applicants entering with a license from another state must be able to obtain a Montana license.
Required licensure or certification must be current and in good standing.
Ability to meet organizational and departmental requirements and standards relevant to the role.

Nice To Haves

At least two years of experience in a clinical setting performing duties and meeting expectations similar to those of this position.

Responsibilities

Complete comprehensive crisis assessments and interventions to help determine diagnosis and appropriate level of care for admission to Community Crisis Center stabilization services or referral to other organizations.
Respond to telephone crisis calls and accept referrals from organizations, hospitals, and law enforcement.
Collaborate with Community Crisis Center team members to evaluate, plan, organize, implement, and document safe therapeutic client care, considering cultural diversity and individual appropriateness of care.
When needed, provide collateral information to support involuntary detention and commitment processes in compliance with state law and Billings Clinic policies.
Interview clients and, when applicable, their support systems; review client records to identify barriers, establish goals, reduce anxiety, and support cooperation in resolving crises.
Develop collaborative relationships with the Billings Clinic Psychiatric Team and Community Crisis Center interdisciplinary team.
Help clients cope with and adjust to mental health and substance use issues.
Discuss goals and stabilization plans with clients and support systems, and revise plans as client situations or needs change.
Promote the least restrictive, cost-effective care and transfer clients to a higher level of care only when they cannot be appropriately served at the Community Crisis Center or will not agree to stay voluntarily.
Maintain basic knowledge of insurance benefits and reimbursement, and complete client billing sheets promptly.
Complete peer counselor chart audits as directed and make timely corrections to the counselor’s own charts when warranted.
Coordinate with the internal discharge coordinator and arrange referrals to ensure services are in place; provide required paperwork promptly.
Monitor client goals, collaborate with other counselors on revisions, and document and justify changes in a timely manner consistent with professional practice and policy.
Take a lead role in debriefing crisis situations involving clients, employees, or security.
Maintain competency in relevant organizational and departmental requirements, policies, processes, and safety standards.
Identify and anticipate problems and safety issues and initiate appropriate action.
Meet system and departmental educational requirements and take responsibility for professional growth and development.
Follow policies concerning confidentiality, infection control, client rights, mental health ethics, disaster protocols, and safety.
Model behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct, service expectations, and Community Crisis Center philosophy.
Perform other duties as assigned or needed and demonstrate flexibility, open-mindedness, and adaptability to change.