Primary Duties and Responsibilities:
- Conduct intake assessment and ongoing evaluation for individuals needing substance use disorder services. Assessments may include those who are court ordered, seeking deferred prosecution, or needing evaluation following a DUI.
- Formulate and update individual treatment plans within established timeframes with input from the client and multi-disciplinary team.
- Provide on-going intensive case management services to individuals participating in mental health and/or substance use treatment, including: referral, screening, and coordination of care.
- Assume primary responsibility for coordinating all aspects of individuals’ care for a primary caseload of 10-20 mental health clients and 20-30 substance use clients, for a total of 40 discreet individuals served.
- Provide and/or facilitate the provision of a range of therapeutic responses and interventions that support the overall stability and recovery for clients, including access to: basic needs (food, clothing and shelter); permanent housing stability, acute and ongoing medical care, psychiatric treatment, substance use services, and financial assistance.
- Provide advocacy-based information and referral, including life skills, independent living, social skills, budgeting, jobs/education, crisis intervention and permanent housing search.
- Maintain a focus on strengths, needs and creative solutions and inspire others to follow this format in problem solving.
- Document therapeutic interactions in progress notes that reflect aspects of the treatment plan, tying together a golden thread of services in a clinical file.
- Participate in psychiatric consultation and staffing.
- Attend psychiatric prescriber appointments with clients as needed to provide collaborative care and advocate for client requests.
- As part of the treatment team, assist with medication monitoring, noting changes in symptoms, and reactions to medications or side effects.
- Assist in problem solving issues around medication refills with the client and the team: check in with client routinely to ensure that adequate supplies of medications are available, advocate for client follow-up appointments with prescriber, advocate for refills from the pharmacy or alternative packaging as needed (bubble packs, i.e.)
- Facilitate group and individual treatment sessions according to agency manuals and client needs, also following requirements from state WAC, DBHR, and KCBHO standards.
- As a group facilitator for Intensive Outpatient Treatment or Outpatient level of care, report attendance and track compliance with requirement.
- For clients who are court ordered or have legal involvement for substance use service, conduct urinalysis screenings as needed and report on progress and compliance to court and probation officers on a minimum of monthly basis.
- Provide and/or arrange necessary crisis response and stabilization services. Respond to crises in a prompt, effective and collaborative manner.
- Seek clinical consultation as needed to insure quality of care for residents; participate in clinical review and case conferences for residents on caseload.
- Provide crisis de-escalation and risk assessments for residents as needed. Advocate with Seattle Police Department, County Designated Mental Health Professionals and Involuntary Treatment Services when more intensive services are needed.
- Develop and maintain cooperative relationships with current internal and external programs providing services for people who are homeless or who have mental health or substance use disorders.
- Collaborate closely with staff in other agencies or programs such as housing, clinical, medical care to help coordinate care and ensure housing, medical, financial or emotional stability.
- Represent the CReW program in a variety of settings to build awareness and develop community partners in order to contribute to the growth of a newer program.
- Comply with the agency’s clinical accountability policies and procedures; maintain current and complete clinical records; participate in quality assurance review when assigned.
This position requires the employee to work in an environment where there may be exposure to blood, bodily fluids, and other potentially infectious material. Other exposures could include cleaning supplies, chemicals involved in pest control, paint and other materials used in building maintenance. Working conditions may include interruptions, interactions with angry persons, and exposure to computer CRTs.
PHYSICAL AND MENTAL ACUITY REQUIREMENTS:
The requirements 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.
- Able to hear telephone rings, phone conversation, doorbells, emergency alarms and face-to-face conversation.
- Able to speak clearly in person and on the telephone.
- Able to hand write legibly.
- Vision that enables person to read normal size print and handwritten notes; and distance and peripheral vision than enables person to monitor large space and identify concerns that require staff response.
- Mobility/dexterity of hands/arms to enable keying into locked areas as well as using a computer and other office equipment.
- Able to sit for sustained periods of time.
- Able to walk the entire building and ascend and descend stairs quickly to move from one floor to another in order to respond to emergency situations.
- Able to lift, move and/or carry up to 40 pounds.
- Regularly able to perform duties as assigned.
- Able to make independent decisions and apply sound judgment in performing job duties.