Per Diem Clinician (LCSW, LICSW, LMHC)

Vinfen•Somerville, MA

21h•$38 - $38•Hybrid

About The Position

The Per Diem ACCS Team Clinician promotes the full integration and functioning of adults with psychiatric conditions by way of providing comprehensive clinical community services. Working in a community based setting, the ACCS Per Diem Clinician will perform clinical duties including intake, assessment, treatment planning and clinical interventions for assigned Persons Served (PS), whether living independently in the community or in a Group Living Environment or Supported Independent Environment. The Per Diem ACCS Team Clinician will be responsible for determining PS needs for rehabilitative services as required by Medicaid Rehab Option for outreach and Group Home Living or Supported Independent Environments. This role will also provide leadership amongst the team by directing the delivery of Treatment Plan interventions by Team Outreach Workers, oversee treatment interventions of Persons Served in GLEs/SIEs and model appropriate interventions. The ACCS LPHA will train and supports staff in delivering clinical evidence-based practices and best practices to all Persons Served, including Group Living Environment/Supported Independent Environments (GLE/SIE) Program Directors and staff.

Requirements

Master's degree required in Social Work, Psychology, Counseling Psychology or other LCSW or LMHC or other LPHA licensure eligible program.
LCSW, LICSW, LMHC credentials valid in Massachusetts required.
Clinical experience working with people with psychiatric disability and/or co-occurring disorders preferred.
Must have access to an operational and insured vehicle and be willing to use it to transport Person Served.
Must be a least 21 years of age and be able to pass a CORI, driving record, reference, educational and professional licensure check as well as a multi-state background check.
Must be able to become CPR, First Aid certified within 2 weeks of employment and MAP certified within 150 days of employment.
Strong commitment to the right and ability of people served by ACCS to live, work, have meaningful relationships and receive the clinical treatment, resources and supports needed to thrive in their community of choice
Knowledge of clinical treatment principles and modalities, best practices and evidence-based practices, including Motivational Interviewing; Harm Reduction and Addiction Treatment; Screening, Brief Intervention, Referral and Treatment (SBIRT); Housing First; Stages of Change; Seeking Safety and Cognitive Behavioral interventions
Knowledge of engagement strategies
Knowledge of crisis prevention, crisis intervention, and risk management strategies
Knowledge of recovery-oriented, person-centered and strengths-based values and principles and modalities, and knowledge of Peer Support principles and evidence-based practices, including the ethical standards of Certified Peer Specialists and Wellness Recovery Action Plans (WRAP), empowerment and self-advocacy techniques
Knowledge of the effects of prejudice including internalized negative attitudes about oneself, discrimination, and oppression of people with psychiatric disorders, and the effects of poverty
Knowledge of trauma-informed and culturally competent services
Sensitivity to the cultural, religious, ethnic, disability and gender issues of PS
Knowledge of human, legal, and civil rights of PS
Knowledge of emergency services and acute care systems
Knowledge of community based mental health, health care, care coordination and other services and resources available to PS
Knowledge of health risks of psychiatric disability
Skills and competence to formulate effective Treatment Plans, and to train paraprofessional staff to implement aspects of the plan
Ability to collaborate effectively with other Team members to address the needs of PS in the Treatment Plan
Ability to form supportive, trusting relationships with PS
Knowledge of formal and informal assessment practices
Knowledge and use of different communication and learning styles
Ability to make independent judgments and decisions
Ability to work in a professional and confidential capacity
Knowledge of personal computer applications and equipment
Extensive knowledge of documentation standards and requirements
Master’s degree required in Social Work, Psychology, Counseling.
LCSW, LICSW, LMHC, LCRC, OTR, or Licensed Psychologist in state of service required.
Must have access to an operational and insured vehicle and be willing to use it to transport PS.
Ability to stand, walk, bend, kneel, stoop, crouch, crawl, climb as this is a very physically active position.
Must be able to lift at least 25 pounds using proper lifting techniques or the use of a two-person lift.
Ability to operate a computer and other office equipment such as a calculator, copier, and printer.
Ability to sit, reach, climb stairs, and maneuver through narrow spaces or hallways.
Ability to assist PS with tasks of daily living.
Ability to remain in a stationary position 50% of the time as needed.
Ability to bend, reach, file, sit, stand, and move around the facility.
Ability to speak, hear, and communicate with PS, staff, and external representatives.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
CPR required within first two weeks of hire
First Aid required within two weeks of hire

Nice To Haves

Clinical experience working with people with psychiatric disability and/or co-occurring disorders preferred.
Preference given to bilingual/bicultural applicants and applicants with lived experience of psychiatric conditions.

Responsibilities

Initiate and conduct required intake and engagement process with Lead Peer Specialist for assigned referred PS within 72 hours, to begin building the therapeutic relationship and assessing service needs of PS.
Engage and assess treatment and support needs of PS, initially and in a sustained manner.
Determine PS need for rehabilitative services as required by Rehab Option for GLE/SIE and outreach PS. Oversee the collection of information needed for assessments. Select treatment and support interventions to address the needs of PS. Develop Medicaid Rehab Option billable treatment plan in collaboration with the PS, Peer Specialist(s) and other assigned staff. Complete, date and sign both the Mental Status Exam and the Clinical Formulation-Interpretive Summary and prioritize PS Assessed Needs. Sign and date the Treatment Plan and all subsequent Reviews and Revisions.
Conduct Treatment Plan meetings with PS; invite and involve other involved parties (Legally Authorized Representative, family, friends, advocates, as applicable), assigned Peer Specialist and other staff when plan is developed or changed. Include discussion of discharge criteria at first treatment plan meeting; update and plan for discharge in all subsequent Treatment Plan meetings.
Lead intervention team for each PS, comprised of a combination of Outreach Worker(s), Nurse, Housing Coordinator, Addictions Recovery Counselor, Peer Specialist, Community Connector, Employment Coordinator (FY 19) and/or Family Connector based on specific needs of PS.
Oversee service delivery to all assigned PS, including participation in services, treatment and support skills planning and implementation of recovery goals, peer and family support, readiness for discharge, and support through service and life transitions, including acute care and housing transitions.
Develop and deliver individualized, life stage appropriate services and supports to PS, including young adults and seniors.
Collaborate with Team members to deliver specific recovery, community, addictions, health, family or other treatment or support services needed for Treatment Plan success for PS; whether living in an independent setting or a GLE/SIE.
Promote healthcare and employment services access for PS.
Promote engagement, safe housing, community tenure, achievement of greater self-sufficiency and successful completion of service for all PS.
Assign and direct Outreach Workers to deliver specific skills training and supports needed for Treatment Plan success for PS living in independent settings.
Train and direct the Program Director, Residential Counselors, and Awake Overnight Counselors of each assigned GLE/SIE to deliver interventions needed for Treatment Plan success, for PS residing in GLEs/SIEs.
Perform, train, supervise, mentor and model the use of best practices and evidenced-based clinical and recovery oriented interventions for PS, including Motivational Interviewing; Harm Reduction and Addiction Treatment support; Screening; Brief Intervention, Referral and Treatment (SBIRT); Housing First; Stages of Change; Wellness Recovery Action Plans (WRAP); Seeking Safety and Cognitive Behavioral interventions.
Ensure the seamless integration of Team and GLE/SIE staff effort in performing interventions for each PS Treatment Plan.
Ensure Intervention Teams provide thorough and thoughtful documentation of PS needs and services.
Support competency-based training for all staff to achieve successful treatment outcomes for PS. Support staffs’ use of trauma informed, recovery-oriented, person-centered, culturally competent and strengths-based approaches and skills training techniques in their work.
Provide outreach services, as necessary to PS when they appear to disengage from ACCS service.
Oversee and actively assist PS during care transitions and life stage transitions.
Collaborate with Assistant Team Leader to obtain and maintain guardianships for PS in the community who have determined to lack the capacity to give informed consent to treatment.
Work with PS and assigned Team members to develop Safety Plans and/or Crisis Prevention and Response Plans. Review and update Safety Plans and/or Crisis Prevention and Response Plans when there are changes in protective factors or a PS strengths and preferences, after care transitions, and at the annual treatment plan review, at a minimum.
Interface with Emergency Services as needed, in conjunction with BH CP, One Care or DMH Case Management.
Interface with ACCS Employment Coordinator and Care Coordination entities as needed.
Conduct Face-to-Face visit within 48 hours of a PS return to the community after Emergency Department visit, arrest, incarceration, homelessness, hospitalization, etc.
Visit each assigned GLE/SIE twice each week, and as the needs of assigned PS dictate, to supervise staff in the delivery of the Treatment Plans and check on progress if assigned.
Provide regular field supervision to Outreach Workers, directly observing them performing interventions related to PS Treatment Plans.
Receive regularly scheduled role-based clinical supervision from ACCS Assistant Team Leader.
Participate in other activities and perform other related duties, as assigned.