Crisis Stabilization Services Clinician

Job Description

Job Description

The position follows a rotating schedule of seven 12-hour shifts within a two-week pay period. It may include both daytime and nighttime shifts.

JOB SUMMARY :

The Crisis Stabilization Clinician is a master’s level clinical professional position. The clinician provides daytime and/or afterhours crisis stabilization services with the West Michigan CMH emergency services model. The clinician is available to respond to service requests made by phone through the West Michigan CMH 24-hour phone service, ProtoCall. The clinician provides this service for the WMCMH service area of Lake, Oceana, and Mason Counties. The clinician provides the service per the program assigned schedule to meet the 24/7/365 availability of this service.

The clinician is to provide the following services of the West Michigan CMH Crisis Stabilization Services program for individuals of all ages: Pre-Admission screenings (PAS), Dialectical Behavior Therapy (DBT) coaching, phone triage, and mobile crisis. Mobile crisis is an acute mental health crisis stabilization and psychiatric assessment service to individuals by phone, within their own homes, or in other secure community sites or other traditional clinical settings. The primary purpose is to meet acute needs and thereby reduce ER usage and inpatient hospitalizations.

The clinician is responsible for maintaining excellent connections with referral sources. The expected practice of the clinician is to engage well with the consumer, families, and fellow professionals, to listen empathically, to clinically understand the situation, triage risk, assess the clinical condition, de-escalate the situation, and guide the individual to the most appropriate service to meet their need.

 

JOB DUTIES:

1. Program Assessment and Evaluation Services
   Completion of a comprehensive assessment for either Mental Health or Substance Use, which determines service eligibility, including medical necessity, and therapeutic appropriateness for persons seeking services at WMCMH. The Assessment identify and reflect each person’s presenting problem, clarification of the identified problem, including functional impairments and desired outcomes. Additional assessment items include a comprehensive mental status evaluation, identification of health and safety risks, diagnostic workup, natural supports, consumer assets and a referral and link to the most appropriate resources necessary to address the identified need(s).
2. Linking to, Coordinating with, Follow-up of, Advocacy with, and/or Monitoring Specialty Services and Supports and other Community Services/Supports
   Linking and coordination of resources in accordance to each person’s identified need, both internal and external, and coordination of care, services or benefits provided to each person. Additionally, there is ongoing coordination of services with each person’s Primary Care Physician and the qualified health care providers. Each individual is provided assistance in the development and maintenance of natural supports.
3. Support Services
   Performing as a consistent link into the system for the individual and/or family, including educational support around the specific disability, and/or condition. Education and/or counseling for families caring for, or who regularly interact with, a family member who has serious mental illness, addiction, severe emotional disturbance or disability. Education includes information about the disability, treatment options and regimens, use of medication, management and crisis situations, etc.
4. Maintenance of the Key Elements of the Individual Consumer Record
   The clinical record is the responsibility of the identified provider and/or care manager. The identified provider and/or care manager holds responsibility in assuring the record is up to date and accurate with releases, consents, and other pertinent clinical information. They are to assure that the consumer’s confidentiality of information is maintained and have knowledge of what is in the clinical record.
5. Mental Health Crisis Assessment and Intervention Services
   The process of responding to community identified mental health crisis 24 hours a day, 7 days a week and includes serving on an after-hours on-call rotation. The process includes identification and clarification of the presenting problem, triage, crisis intervention, coordination of support and appropriate referral.
6. Brief Individual Mental Health Psychotherapy Services
   Defined as the general application of one or more psychotherapies for the purpose of modifying maladaptive behavior or the reduction of dysfunctional symptoms for consumers requiring three sessions or fewer (i.e., employee assistance programs).
7. Mental Health Crisis Assessment and Intervention Services
   Defined as the application of mental health crisis screening, crisis intervention and triage services during business hours as a provision of daily on call service for assigned consumers or consumers being served.
8. Utilization Review

Defined as the review of authorizations within the individuals, Individuals plan of service, to ensure that services are provided are medically necessary and accomplish positive outcomes. This includes a collaborative, dynamic process by which specific questions are asked about individuals and the population to determine if over-or under-utilization of services detected, monitored and corrected.

1. Other

The staff will be assigned other routine agency duties within the person’s scope of practice while not actively engaged in Crisis Stabilization related work.

1. 1. For overnight clinicians working a more than 40 hour scheduled work week the clinician will be actively engaged in direct work no more than 40 hours per week. Non-crisis work (i.e., screenings, follow-up calls, meds only assessments, UM functions, special projects (i.e., BH Teds clean-up) will be scheduled for up to 10 hours of that time per week based on capacity.