Job Title: Licensed Clinical addiction Specialist (LCAS/LCASA) or Certified Alcohol and Drug Counselor (CADC/CADC-I) or Licensed Clinical Social Worker (LCSW) or Licensed Clinical Mental Health Counselor (LCMHC/LCMHCA) or Licensed marriage Family Therapist (LMFT/LMFTA)
Reports To: Program Director and Clinical Supervisor
Flsa Status: Exempt
Position Summary:
Responsible for providing clinical counseling services to Morse Clinic patients and providing addiction treatment and rehabilitation services. Responsible for providing a range of cognitive, behavioral, and other substance use focused and co-occurring therapies, reflecting a variety of medically necessary evidenced based, individualized, person centered care. The LCAS provides clinical program supervision to the OTP clinical staff. All clinical services must be identified and meet medical necessity criteria based on the clinical assessment and documented in the patient's individualized person centered plan.
Clinical services may be provided on-site or through telehealth based on patients needs.
Essential Duties and Responsibilities: (this includes the following and other duties as assigned.)
- Provides individual and group counseling to patients assigned to caseload. Documents all time spent with patients and all calls related to patients in Electronic health record - Methasoft. Maintains accurate service notes and documentation for all interventions provided. All case notes are completed and signed within 24 hours.
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Function as a liaison with other community based agencies and law enforcement agencies to ensure continuity of treatment (referrals) and compliance to legal obligations.
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Completes screening for new patients, as needed.
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Completes individual comprehensive assessment and other required admission paperwork for new patients. This includes all other consents, ROI’s, transition plan, PCP/Crisis Plan, NCTOPPS, and GPRA, as needed. The counselor is responsible for the accuracy and completion (all blanks filled) of the assessment process.
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Annual CCA and other documentation is completed in a timely fashion.
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Developing individualized PCP and its ongoing revisions in coordination with the patient and ensures its implementation. A Person Centered Plan (PCP) for the new patient is developed and signed on the day of patients admission. This PCP is completed with the patient’s input and consultation; verified by the patient’s signature on the treatment plan. PCPs will comply with the documentation standards for Medicaid treatment for all patients.
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Ongoing treatment plans/crisis plans are required on all patients and will reflect current problems/goals. All goals on the Treatment Plans will be expressed “in the words of the person served.” PCP Revisions will be completed and signed on the day of completion. Medication types and dosages will be updated with each review. Drugs screens and treatment compliance will be discussed, as well. Completed documentation will be uploaded to Methasoft.
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Provide crisis interventions when clinically appropriate;
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Orientation of all new patients will be completed within 30 days of admission.
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Work with the lab and medical staff in reviewing drug screen samples for monthly urinalysis. Will review results in the patient’s electronic record and discuss in counseling sessions as needed.
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Active involvement in Diversion Control through execution of random bottle recalls.
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Provide necessary forms to the Medical provider, properly and accurately completed, when the patient has special requests for take-out medications, dose changes, phase changes, guest dosing and medication changes.
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Ensures that patient confidentiality is protected by properly completing release of information to ALL outside referrals and contacts (i.e. Medical coordination, information from other facilities). All information shared via ROI will be documented in Methasoft in compliance with HIPAA/CFR 42 part 2 and documentation rules.
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Follow-up phone calls to patients after missed appointments and dosing. Follow up phone calls to patients after discharge.
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The counselor is responsible for all assigned patient’s files; these files are to be kept in compliance with DHHS regulations as well as the Policy and Procedure Manual of Morse Clinics. This includes protection of the file from any and all unauthorized access. Computers will remain locked and secured in a locked office at all times.
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A patient is discharged from the program after 30 days from the last scheduled appointment and/or dispensing of medication. A discharge summary is completed in Document manager and in Methasoft. Also, a patient should be discharged from NCTOPPS, GPRA, and MCO as needed and documented in Methasoft.
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Attends all treatment teams, supervision and staff meetings.
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Provides substance use, health and community services education;
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Provides education and public information services to the general public and the professional community regarding opioid treatment programs.
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Completes Referrals and coordination of care as well as referral follow-up/tracking. Provides linkage and referrals for recovery services and supports, community resources and benefits and services;
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Provides coordination and consultation with medical, clinical, familial and ancillary relevant parties with patient consents. Ensures linkage to the most clinically appropriate and effective services along with arranging psychological and psychiatric evaluations;
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Follows the Ethical guidelines of their certification or licensing body in all aspects of their work.
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Participates in the Continuing Quality Improvement- Post Intake audits monthly and Peer Reviews Quarterly.
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Answers Crisis Phone as scheduled.
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Follows all Morse Clinic Policy and Procedures and any updates or improvements.
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Maintains HIPAA and CFR 42 Part 2 compliance in all interactions with or for patients.
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Ongoing Relias training completed in a timely fashion. CPI training annual.
Additional Job Duties as assigned:
This is an office based position which primarily occurs during normal business hours (5:30 AM - 1:30 PM), but at times might require flexibility to meet the needs of patients during emergency situations. The CEO and Program Director have the authority to assign staff duties, work schedule and approve leave at his/her discretion in order to meet the needs of the clinic and patients served. All work is performed in the clinic setting in person. Any work from home or remote work will be scheduled and approved by the Program Director or CEO. Crisis Phone duties are not bound by this expectation.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Language Ability:
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, patients, customers, and the general public.
Math Ability:
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 draw and interpret bar graphs.
Reasoning Ability:
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.
Computer Skills:
To perform this job successfully, an individual should have knowledge of Microsoft Office Suite, Dominion Connect, and Methasoft software.
Education/Experience:
All must have a valid license or certification from Professional boards. (NCSAPPB, NC Social Work Board, NC Board of LCMHC, etc.)
Specialized Training:
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Crisis Prevention Institute (CPI) training preferred and is an annual training expectation.
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Responsible for meeting the following qualifications established by the North Carolina Regulations (NCAG3602).
Knowledge, Skills, and Other Abilities:
- Time management
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Oral and written communication skills
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Professionalism
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Ability to search the internet for information
Counselors will be evaluated by subjective and objective methods, but principally:
- Completion of treatment plans and treatment plan reviews, discharge summaries, and diagnostic summaries in the manner and time-frame specified above
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Ensuring that the team is actively involved in patients’ treatment and conflict resolution
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Ability to manage caseload, and maintain an efficient and productive schedule
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Ability to document patient progress in a substantive manner
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Ability to manage the admissions process
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Ability to communicate (verbally or otherwise) patient progress to all supervisors
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Attendance and punctuality at work
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Ability to work as a member of a team and participate in team meetings with excellent communication skills
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Completion of intake and assessments, treatment plans and treatment plan reviews, discharge summaries, etc. in the required manner and time-frame established in the policy and procedures manual
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Ability to effectively manage a case-load, and maintain therapeutic relationships with patients
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Presents a professional demeanor and complies with Business Casual Dress code, clean and in good repair.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to walk, sit, use hands, reach with hands and arms, and taste or smell. The employee is occasionally required to stand, and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly at risk to be exposed to blood borne pathogens and TB infectious disease. The noise level in the work environment is usually moderate.