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2020-SE-008: Mental Health Clinician (Children’s ICSS Clinician)
Req Code:2020-SE-008
FT/PT Status:Full Time
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 with an emphasis on providing Children’s Intensive Crisis Stabilization Services per the program requirements outlined in the Michigan Medicaid Provider Manual. 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 with an emphasis on providing crisis stabilization services to youth ages 0-21 and their families/caregivers; 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.

This clinician is responsible for task managing care of identified populations; makes referrals to and authorizes levels of treatment, performs concurrent and retrospective reviews, resource use of monitoring, and participating in the utilization review appeal process. Provides in-service education to staff on utilization management issues, will make referrals and provide authorizations for services. Performs follow-up on referrals and can assist in developing appropriate service delivery based on clinical judgement. Will implement practices in accordance with principles of evidence-based practices and other models of care, which will include attitudes and values, as well as knowledge and skill.
This position utilizes various shift lengths to accommodate scheduling needs and includes a regular 40-hour daytime shift and longer on-call night and weekend shifts. Clinicians working a 40 hour per week schedule are included in the additional agency on-call Pool rotation process. Clinicians who work shifts longer than 40 hours per week will be exempt from this requirement but may volunteer for the pool.

Job Responsibilities:
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.

9. 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.

Job Qualifications:
1. State of Michigan licensure, certification, or registration as required by one of the following professions: Psychologist (LP, LLP, and TLLP), Physician (MD or DO), Licensed Master’s Social Worker (LMSW or LLMSW), Licensed Professional Counselor (LPC or LLPC), or Licensed Marriage and Family Therapist (LMFT). If not currently licensed, certified, or registered in one of these professions, the individual must be eligible and willing to apply for and obtain such licensure, certification, or registration immediately per the guidelines for the profession.

2. Must be a Mental Health Professional (MHP), Qualified Mental Health Professional (QMHP), Children’s Mental Health Professional (CMHP) and a Qualified Intellectual Disability Professional (QIDP) or must be eligible to obtain the designations.

3. Enrolled in or have completed formal study, course credits and practicum experience at the graduate level in theory and application of one or more current individual and group psychotherapies at an accredited college or university. These may include, but are not limited to, Interpersonal Psychotherapy, Cognitive Behavioral Therapy, Rational-Emotive Therapy, Behavior Therapy, Reality Therapy, and Solution-Focused Psychotherapy. Cognitive Behavioral Therapy is preferred.

4. One or more years of conducting clinical assessments is preferred. Position incumbent must be competent to provide assessments for all population groups (severely mentally ill adults, adults with acute behavioral health care problems, severely emotionally impaired children and families, persons who are developmentally disabled and persons with a substance abuse/ chemically dependent disorder) as well as older adults with complicated medical/psychiatric problems.

5. Position incumbent must have documented, demonstrated skills and understanding in clinical diagnostic work using the most recent version of the DSM, the most recent version of the American Society of Addiction Medicine Criteria (ASAM), or any like tools. In addition, the position incumbent must show evidence of clinical judgement in their ability to accurately interpret psychological testing data and/or psychiatric evaluation information for the purpose of differential diagnosis and treatment decisions.

6. Previous work experience within a behavioral health setting such as a Community Mental Health is highly desirable. Emergency services and/or crisis management experience is highly desirable.

7. Must be credentialed and privileged to practice at WMCMH by the Executive Committee of the Clinical Oversight Committee of WMCMH.

8. Must possess a valid driver’s license and provide own transportation to and from meetings and activities at varying work locations including all agency locations in Lake, Mason, and Oceana Counties.

9. Lived experiences with mental illness/developmental disabilities/substance use disorders are valued.