About The Position

The Crisis Assessment Counselor is an integral member of a multidisciplinary team in an outpatient mental health setting. The counselor promotes client health and wellness by completing comprehensive assessments, determining appropriate levels of care, and developing 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 regarding mental health needs, diagnosis, symptoms, and current lethality. The counselor coordinates referrals to community and mental health service providers. When a client requires a higher level of mental or physical health care, the counselor works with the team to arrange transfer and provide collateral information to the receiving entity. This is a per-diem position at the Community Crisis Center on Billings Clinic’s main campus. The schedule includes day, evening, and weekend shifts, with hours as needed. The listed starting wage is $32.06–$40.07, depending on experience.

Requirements

  • Hold a clinical license in Montana as an LCPC, LCSW, LMFT, or Clinical Psychologist.
  • Applicants entering with a license from another state must be able to obtain a Montana license.
  • Any required license or certification must be current and in good standing.
  • Be able to perform the assessment, crisis intervention, care coordination, documentation, and related responsibilities described for the position.

Nice To Haves

  • At least two years of experience in a clinical setting with duties and expectations similar to this position is preferred.
  • An equivalent combination of education and experience related to the position’s tasks, knowledge, skills, and abilities will be considered.

Responsibilities

  • Model behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct, and service expectations; meet organizational and departmental requirements and maintain relevant competencies.
  • Assess clients and provide interventions to help determine diagnosis and level of care, including admission to crisis stabilization services or referral to psychiatric care or community sheltering.
  • Respond to telephone crisis calls and accept referrals from organizations, hospitals, and law enforcement.
  • Work with Community Crisis Center team members to evaluate, plan, organize, implement, and document safe, therapeutic client care, considering cultural diversity and the appropriateness of care for each client.
  • Provide collateral information when needed to support involuntary detention and commitment in compliance with state law and Billings Clinic policies and procedures.
  • Use interviews, client support systems, and record reviews to identify barriers, set goals, reduce anxiety, and encourage client cooperation in resolving an immediate crisis.
  • Develop collaborative relationships with the Billings Clinic Psychiatric Team and work closely with the Community Crisis Center interdisciplinary team.
  • Interview clients and, when applicable, their support systems to establish goals and support cooperation.
  • Communicate positively and supportively with clients, families, visitors, physicians, staff, and others.
  • Help clients cope with, accept, and adjust to mental health and substance use issues.
  • Review client records to identify environmental impediments and work with team members to address them.
  • Discuss goals and stabilization plans with clients and their support systems to promote follow-through.
  • Support the center’s goal of providing the least restrictive, cost-effective care, transferring clients to a higher level of care only when the center cannot appropriately serve them or they 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 by the Community Crisis Center Supervisor and promptly correct any warranted issues in one’s own charts.
  • Coordinate with the internal discharge coordinator and arrange referrals; provide required paperwork promptly.
  • Monitor and recommend revisions to stabilization plans, modifying them as client circumstances or needs change.
  • Monitor client goals, collaborate with other counselors on modifications, document and justify changes, and ensure goals are consistent with the client’s current stage of change. Maintain timely documentation consistent with professional practice and center policy.
  • Take a lead role in debriefing stressful crisis situations involving clients, employees, or security.
  • Identify and anticipate problems and safety issues and initiate appropriate action.
  • Meet professional growth, development, and system or departmental education requirements.
  • Follow policies concerning confidentiality, infection control, client rights, mental health ethics, disaster protocols, and safety.
  • Perform other duties as assigned or needed and remain flexible, open-minded, and adaptable to change.

Benefits

  • Medical, dental, and vision coverage are included in the comprehensive benefits package for eligible full- and part-time employees working at least 20 hours per week.
  • 403(b) retirement plan with employer matching.
  • Defined contribution pension plan.
  • Paid time off.
  • Employee wellness program.
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