Designated Crisis Responder (DCR) - Salary

Sea Mar Community Health Centers • Vancouver, WA

14h

About The Position

This position provides crisis outreach services throughout Clark County. The services are grounded in the recovery model that recognizes each individual’s capacity to self-actualize and makes every effort to engage individuals in intervention services including brief therapy, case management, and referral to community mental health services. This position initiates involuntary holds and commitments only in cases where the individual’s personal risk of self-harm or risk to harm others outweighs other intervention strategies. It investigates allegations about consumers’ competence, risk of self-harm, and risk of harm to others, assess for grave disability and gathers evidence, conducts clinical evaluations, and decides, in accordance with RCW 71.05 and 71.34, if psychiatric hospitalization or referral assistance to other services is indicated. In providing these services, the position prepares witness statements, serves subpoenas and other legal documents, testifies at court hearings, completes required legal forms and written documentation of investigations, and coordinates the processing of involuntarily committed individuals through the legal system. This position requires working rotating shifts, Saturdays, and Sundays, and on-call status during peak demand periods. This job description does not suggest or imply that these are the only duties to be performed by this employee. This person will be required to follow other instructions and to perform other duties as assigned by his/her supervisor.

Requirements

• Understanding of the ASO and BHO contract requirements, enrollment, crisis requirement, and discharge planning.
• Works effectively with all persons and groups with an open mind towards cultural differences and knowledge of cultures.
• Works effectively in an integrated care team, including but not limited to clinical supervisor, psychiatric prescriber, case manager, financial case manager, and care coordination with primary care providers.
• Must have the ability to accurately diagnose mental health issues and develop crisis follow up plans based upon diagnoses, risk and protective factors.
• Has an understanding of chemical dependency as it relates to behavioral health clients and an ability to coordinate with chemical dependency treatment providers to ensure the needs of clients with co-occurring conditions are met.
• The DCR must sign a permanent oath of confidentiality covering all patient related information.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively before groups of customers or employees of organization.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percent and to create and interpret bar graphs.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Must hold a Master’s degree from an accredited college or university in social or behavioral science or be a registered nurse.
• Two or more years of clinical experience in the field.
• Responsible for his/her individual continuing education hours and licensing fees.
• The DCR must possess an active, approved credential from the Washington State Department of Health at all times.
• Must meet criteria of a Mental Health Professional (MHP).
• This position must obtain CPR certification within 90 days of hire date and is required to maintain it throughout employment.
• Must take a TB test annually and at time of hire.
• This person must pass a background check.
• Must complete an annual clinical competency test as a DCR.
• Annual influenza vaccine required. Only exception is for employees with a medical or religious exemption approved by Administration. Employees with an approved medical or religious exemption must wear a mask at all time during the flu season.

Responsibilities

• The DCR provides crisis outreach and ITA services in Clark County.
• Assists in ensuring agency compliance with WAC's, RCW's, and other pertinent laws, regulations, and contracts.
• Assists in developing and implementing policies and procedures as directed by the Program Manager.
• Educates staff regarding the process for health service referrals and regarding "psychoeducational topics (suicide risk assessment, behavior modification, evidence based practices, etc.) as directed by the Program Director and/or clinical supervisor.
• Maintains documentation of health services, and follows through on patient charts, including but not limited to: crisis outreaches and ITAs.
• Perform all duties in a manner that protects confidentiality/privacy of individuals pursuant to the standards delineated in RCW 70.02, 70.96A, and 71.05, 42 CFR Part 2, and 45 CFR Parts 160 & 164;
• Work as part of the crisis team in delivering services to individuals who are identified as needing crisis intervention services;
• Work as part of the crisis team in responding to family members and significant others of individuals who may require crisis intervention services;
• Work as part of the crisis team in responding to mental health and substance abuse treatment providers, community social service providers, hospitals, criminal justice system, and consumer advocacy groups requiring assistance with individuals who may require crisis intervention services;
• Travel to locations in the community or use Telehealth to assess consumer’s mental status, risk of self-harm, risk of harming others, and determine the most appropriate intervention to stabilize the consumer and ensure the consumer’s safety and safety of others in the community;
• Provide in-home or facility-support until crisis is resolved or actions have been initiated to remove consumer from home or facility and into an environment that can provide for consumer’s safety or safety of others;
• Provide crisis interventions services in the least restrictive manner while providing for the safety of the consumer and others in the community;
• Provide brief therapy and case management services which focus on rapid integration into community outpatient services;
• When indicated, initiate holds on individuals in accordance with RCW 70.05, 71.34, 70.96A, WAC 388-865, and protocols developed by Washington State Mental Health Division;
• When indicated, conduct investigations, prepare witness statements, serve subpoenas and other legal documents, and testify at court hearings in accordance with RCW 70.05, 71.34, 70.96A, WAC 388-865, and protocols developed by Washington State Mental Health Division;
• When indicated, initiate involuntary commitment and psychiatric hospitalization pursuant to RCW 70.05, 71.34, 70.96A, WAC 388-865, and protocols developed by Washington State Mental Health Division;
• Coordinate the processing of involuntarily committed individual through the legal system;
• Coordinate with law enforcement in accordance with SB 5720; and
• Perform other duties as assigned.
• Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served.
• Demonstrates clinical competencies and proper use of approved diagnostic tools to justify clinical diagnosis and practices.
• Provides individual counseling in coordination with other systems as needed.
• Provides suicide risk assessment and develops plans to address suicidal ideations or gestures.
• Uses case management as needed to provide follow through and build community support as follow through.
• Provides other crisis stabilization as needed.

Benefits

• Medical
• Dental
• Vision
• Prescription coverage
• Life Insurance
• Long Term Disability
• EAP (Employee Assistance Program)
• Paid-time-off starting at 24 days per year + 10 paid Holidays.
• We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees