Therapist - OBRA

As part of our total benefit package, Macomb County proudly offers medical, dental, and vision coverage, with no monthly premium to employees for single, two (2) person or family coverage. Health care, dental and vision benefits are effective the first day of employment.CLASSIFICATION TITLE:Therapist - OBRASALARY:$66,559.45 - $86,089.08DEPARTMENT:Community Mental HealthOpening Date:10/29/2026Closing Date:11/14/2026 12:00 a.m.FLSA STATUS: Non-exempt – Overtime pursuant to Collective Bargaining AgreementEMPLOYMENT RELATIONSHIP: Just cause subject to probationary periodCURRENT HOURS AND STARTING TIME: Full-time (37.5 hours per week) position. The starting time for this position is currently 8:30 a.m. with one late night on Tuesdays until 7:30 p.m.LOCATION: SUMMARYUnder direction, completes Omnibus Budget Reconciliation Act (OBRA) pre-admission (PAS) and annual resident review (ARR) screenings. Delivers and reviews completed screenings with consumers and guardians.ESSENTIAL DUTIES & RESPONSIBILITIESReviews and prescreens Level I referral forms submitted by hospitals and nursing homes to determine need for full assessment.Schedules Level II Assessment with nursing facilities, hospitals, consumers, guardians and family homes.Completes face-to-face assessments at nursing facilities, hospitals and family homes. Consults with nursing facility and hospital staff. Reviews available clinical records to incorporate into Level II assessment.Completes Level II Assessment in State electronic medical record (EMR) system.Reviews list of Level II assessments with upcoming due dates. Notifies nursing facilities of assessments coming due.Delivers and reviews completed Level II Assessments with consumers and guardians.Screens Level II assessments for consumers needing specialized treatment and transition services.Makes referrals for specialized services or other mental health services.Performs indirect clinical services, including timely and complete case documentation following Macomb County Community Mental Health (MCCMH) policies and procedures.Confirms diagnosis to make the most suitable, least restrictive, and medically necessary clinical recommendations.Assists client and/or family in obtaining appropriate programs and resources.Maintains accurate clinical documentation, including assessments, progress notes, treatment plans and other required documentation.Ensures administrative paperwork is accurate and up to date, including staff activity logs, statistical reports, attendance, mileage reports, and case lists.Conducts thorough, accurate, clinically sound triage/screening with consumer/guardian/family members in a timely manner.Requests appropriate authorizations for services provided; monitors utilization of services; requests re-authorizations or continuations as appropriate.Serves on community mental health or community-based committees.Operates an automobile to perform assigned job functions.Performs related duties as assigned.QUALIFICATIONSRequired Education and ExperienceMaster’s Degree from an accredited college or university in Social Work, Counseling, Psychology or Doctorate in Psychology or a directly related mental health fieldTwo (2) years or more clinical experience working in a mental health settingPreferred Education and ExperiencePrevious community mental health experience with children, adolescents, and adultsRequired Licenses or CertificationsLicensed Master Social Worker (LMSW), Limited Licensed Master of Social Work (LLMSW), Licensed Professional Counselor (LPC), Limited Licensed Professional Counselor (LLPC), Masters Limited Psychologist (LLP), Temporary Limited Licensed Psychologist (TLLP), Licensed Psychologist (LP), Licensed Marriage and Family Therapist (LMFT), or Marriage and Family Therapist Limited (LLMFT)Possession of required state licensure appropriate to position and ability to meet privileging and credentialing guidelinesPossession of a valid Michigan driver’s license and operable, insured automobile for authorized travelPreferred Licenses or CertificationsCertification with the Michigan Certification Board for Addiction Professionals (MCBAP) or an approved development planCOMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIESKnowledge of:Michigan Mental Health Code/401 criteriaMental illness, serious emotional disturbance, and developmental disabilitiesTechniques to de-escalate/interact in potentially dangerous situationsRecovery-oriented and trauma-informed practicesApplicable computer applications, including electronic medical record (EMR) systemsSkill in:Strong assessment, de-escalation, crisis intervention, and relationship-building skillsUsing good professional judgment for the welfare and safety of our persons servedProviding excellent and timely customer servicePerforming a variety of duties, often changing from one task to anotherAbility to:Collaborative: Approaches all situations with a teamwork and solution focused mindset demonstrated through active participation in meetings, volunteering to assist teammates and other departments as appropriate. Examples include participation in internal and external committees, subcommittees, process improvement groups or other multi-organizational initiativesAccountable: Takes ownership and empowers others to do the same as evidenced by identifying solutions and acting on job responsibilities and organizational objectives, dailyRespectful: Treats people with dignity while honoring individual differences demonstrated through use of positive and encouraging statements and/or interactions to, about and/or with colleagues and persons served; evidenced by supervisor observation, feedback from other department staff and leadershipEngage effectively with diverse communities; interact with people in an inclusive manner that respects cultural and socio-economic differencesWork in an environment which embraces the county’s Dignity CampaignEffectively speak, write, and understand the EnglishEffectively speak, write, and understand a language other than English is preferredUnderstand and carry out oral and/or written instructionsAccurately organize and maintain paper documents and electronic filesMaintain the confidentiality of informationWork independentlyWORK ENVIRONMENT/CONDITIONSThe work environment and exposures described here are representative of those an employee encounters while performing the essential functions of this job.N/S =Never/Seldom O =Occasionally F/C = Frequently/ContinuouslyWork EnvironmentOffice or similar indoor environment: F/COutdoor environment: N/SStreet environment (near moving traffic): N/SConstruction site: N/SConfined space: N/SExposuresIndividuals who are hostile or irate: OIndividuals with known violent backgrounds: OExtreme cold (below 32 degrees): N/SExtreme heat (above 100 degrees): N/SCommunicable diseases: N/SMoving mechanical parts: N/SFumes or airborne particles: N/SToxic or caustic chemicals, substances, or waste: N/SLoud noises (85+ decibels): N/SBlood Borne Pathogens: N/SPHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.N/S =Never/Seldom O =Occasionally F/C = Frequently/ContinuouslyDemand :Balancing on even or uneven surfaces/ground: F/CBending (forward or backward bending at the waist): F/CClimbing up or down stairs, ladders, scaffolding and platforms: N/SCrawling (moving about on hands and knees): N/SInspecting in confined spaces: N/SDigging: N/SDriving on sealed and unsealed roads: OGrasping, gripping, holding, clasping with fingers or hands: F/CKneeling to work at low levels: OManual Dexterity (fine finger movements i.e., keyboard operating, writing): F/CLift/Carry/Move objects from one level/position to another:Up to 10 pounds: N/SUp to 50 pounds: N/SMore than 50 pounds: N/SOver 100 pounds: N/SPush/Pull objects away from or towards the body: OReaching overhead (arms raised above the shoulder) or forward reaching (arms extended): OSitting in a seated position during the task performance: F/CStanding in an upright position without movement: F/CWalking considerable distances in the facility on multiple surfaces: F/CRunning considerable distances in the facility on multiple surfaces: N/SGENERAL REQUIREMENTS AND DISCLAIMERSComplies with P.A. 390, as amended, known as the State’s Emergency Management Act and the County’s Emergency Management resolution as well as all related plans, policies and procedures covered by those statutes.The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment amongst other possible accommodations.The American Federation of State, County, and Municipal Employees (AFSCME) Local 411 bargaining unit represents this position. Therefore, there may be contract language which could require consideration in the selection process.GRANT OR EXTERNALLY FUNDED POSITION – This position will continue only if sufficient grant or external funds are provided. #J-18808-Ljbffr Macomb County Government