Designated Crisis Responder (DCR) - Overnight Shift

Sea Mar Community Health Centers•Vancouver, WA

10d•Hybrid

About The Position

Sea Mar Community Health Centers is seeking a Designated Crisis Responder (DCR) for an overnight shift to provide crisis outreach services throughout Clark County. This role is grounded in the recovery model, aiming to engage individuals in intervention services such as brief therapy, case management, and referrals. The DCR will initiate involuntary holds and detainments when an individual poses an imminent risk of harm to self, others, or property, and investigate allegations of serious harm or grave disability. Responsibilities include gathering evidence, conducting clinical evaluations, determining appropriate interventions (voluntary or involuntary), preparing legal documents, serving legal documents, testifying in court, and coordinating the civil commitment process. This position requires working rotating shifts, weekends, and on-call status during peak demand periods.

Requirements

Must hold a Master’s degree from an accredited college or university in social or behavioral science or related field.
Two or more years of clinical experience working with high-acuity clients.
Must meet and maintain the definition of a Mental Health Professional as defined in RCW 71.05.020
Must possess an active, approved credential from the Washington State Department of Health.
Must take a TB test annually and at time of hire.
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.
Covid 19 vaccines required.
Must have availability to work regular overnight shifts.
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.
Understands substance use as it relates to behavioral health clients and an ability to coordinate with substance use 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 related patient-related information.
The DCR should be proficient in professional writing and completion of clinical records.
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.

Responsibilities

Execute civil commitment services in Clark County, including Crisis Services and assessments for Involuntary Treatment Act.
Assist in ensuring agency compliance with WAC's, RCW's, and other pertinent laws, regulations, and contracts.
Assist in developing and implementing policies and procedures as directed by the Program Manager.
Educate staff regarding health service referrals and psychoeducational topics (suicide risk assessment, behavior modification, evidence-based practices, etc.) as directed by the Program Director and/or clinical supervisor.
Maintain documentation of health services, and follow through on patient charts, including crisis outreaches and ITAs.
Protect confidentiality/privacy of individuals pursuant to the standards delineated in RCW 70.02, 70.96A, 71.05, and 71.34, 42 CFR Part 2, and 45 CFR Parts 160 & 164.
Work as part of the crisis team in delivering services to individuals needing crisis intervention.
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 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.
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 develop 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.