In general, under direct supervision of the immediate supervisor or clinical manger the individual is responsible for providing community based crisis services that are aimed at the prevention, intervention, and immediate stabilization of crisis events experienced by MH/DD/SA consumers or consumers experiencing emotional distress in response to a crisis. Examples of crisis services shall include in community crisis response and crisis prevention/intervention.
Performance Expectations (Quality and Quantity):
Each clinician will be assigned primary and secondary responsibilities, these assignments may changes at any time depending on the need of the agency/department and at the direction of the supervisor.
- Shall demonstrate the use of knowledge/skill/judgment and provide24/7/365 crisis management services that evidence quality, performance, and meet the needs of persons served and other stakeholders. Performance tasks shall include:
* Mobile Crisis Counselor/Clinician will be responsible for telephone triage for crisis calls received via direct from consumer, Family, Community are through Partners Behavioral Health Management. Calls will directed based on need of consumer.
* Mobile Crisis Counselor/Clinician will assist with daily, weekly, and monthly reports as directed by Mobile Manager
- Mobile Crisis Counselor/Clinicians will respond to all referrals and requests within the catchment area (Gaston, Lincoln, and Cleveland Counties) on a 24/7/365 basis. Referrals and requests can come from a variety of sources. Each consumer is required to meet the admission criterion that is outlined by the state of NC. Our goal is to enable individuals that are experiencing a MH/DD/SA crisis or distress to access a range of crisis prevention and intervention services in a timely and effective manner in the least restrictive setting. The right service, in the right place, at the right time.
- Timely engagement and response is required for each referral and request. Mobile Crisis Counselor/Clinicians will respond within 30 minutes via telephone and within 2 hours face to face.
- Mobile Crisis Counselor/Clinicians will be expected to respond to a variety of locations (i.e. consumer residence, hospitals, work sites, schools, jails, shelters, walk-ins to one of the PCC 24/7 sites, etc.) and are expected to meet the consumer where they are at; ideally in the least restrictive setting.
- Once face to face with the consumer that is in crisis, the Mobile Crisis Counselor/Clinician will conduct a crisis screening/interview process. Then after the assessment the Mobile Crisis Counselor/Clinician will begin to assist in the transition planning process, which includes referrals to a variety of resources and levels of care. Mobile Crisis Counselor/Clinicians will spend a portion of their time with the consumer in crisis and create a crisis plan to assist the consumer in preventing future crisis situations.
- Ideally a crisis event will be resolved within 24 hours of the event begin date/time, however, it is required that staff continue to provide necessary follow up and transition planning until the consumer meets criteria for discharge from Mobile Crisis Services. All efforts and interventions, including the discharging of the consumer from Mobile Crisis must be documented.
- Mobile Crisis Counselor/Clinicians are required to complete documentation and service noting at all stages of the response. For each Mobile Crisis event there is a required list of documentation that must be completed. All documentation is to be completed and meet all documentation and clinical standards within 24 hours from the event begin date/time.
- Under the direct supervision of a supervisor, shall utilize knowledge/skill to achieve positive outcomes and resolve the crisis through the use of crisis prevention/intervention techniques.
- Crisis services shall be based on models/techniques that are considered best/evidence based practice(s) as defined by federal guidelines, program service definition, accrediting bodies (i.e. CARF), the NC Division of MH/DD/SA, purchasers of service, and PCC policy/procedure.
- Accurate service and billing record documentation that clearly communicates the service(s) provided and consumer progress. Documentation shall maintain compliance with PCC policy/procedure, purchaser of service requirements (NC Division of MH/DD/SA, DMA/Medicaid, CCMH/LME); and, accrediting/regulatory bodies (CARF and NC Statute/APSM rules). All Mobile Crisis Counselor/Clinicians shall maintain consumer Record Documentation to include (as applicable to the service rendered):
- Crisis Plans
- Service Notes
- Other Clinical Documentation (i.e. crisis evaluation, financial forms, other forms as indicated by MCM Audit Form or by supervisor).
- Use of a community based team approach that utilizes the resources of the community, consumer, and treatment team, to achieve positive consumer outcome, stabilize the crisis and assist with arranging appropriate transitions for the consumer to needed services and supports.
- Treatment approaches could include assessment, individual/family counseling, process, and psycho-educational groups that promote the development of knowledge and skills related to recovery from substance abuse and mental health disorders
- The ability to effectively utilize clinical supervision to enhance professional growth and promote the recovery of persons served.
- Must meet productivity standards as specified by administrative and/or clinical supervisor.
- Shall demonstrate the ability to work/be part of24/7/365 organizational and therapeutic teams, and maintain positive working relationships with consumers, community stakeholders, referral organizations, and other employees/ departments of PCC.
- Based on the daily needs of the services provided by the 24/7 clinical team a range of clinical, administrative, and support services to assure effective care and programming are necessary and required. This position requires a high degree of flexibility and a willingness to take on a number of roles and responsibilities from day to day, at the direction of the immediate administrative supervisor and/or the clinical supervisor and in support of the clinical team.
- To be a effective clinical team member flexibility is essential, clinical staff may hold primary and secondary roles and are required to fulfill both; roles may change at the discretion of the supervisory team and/or with the changing needs of the program/agency. Onsite clinical coverage must be maintained on a daily basis (i.e. 24/7/365 Clinical staffing), which requires the clinical team to be flexible in their scheduling; scheduling occurs on a rotational basis and may include 1st, 2nd, and 3rd shifts, as well as weekends and holidays. On-call coverage may be an additional duty assigned by the immediate supervisor.
- Shall develop a working knowledge of applicable organizational policy and procedure and demonstrate compliance. This shall include, but not be limited to:
- Personnel policies/procedures
- Employee Ethics/Corporate Compliance/Consumer Rights
- Service record documentation
- Clinical Policy and Procedure
- Credentialing Bodies: NCDHHS, CARF, DMA, and Partners Behavioral Health Management
- Shall attend assigned training and continuing education to maintain credentialing and privileging, to include, but not limited to:
- NC Credentialing as a Licensed Qualified Professional, Qualified Professional or Associate Professional.
- Obtaining credentialing as assigned by the Clinical Director of Crisis Services
- Required Training (NCI, CPR, First Aid, blood borne pathogens, Consumer Rights)
- Adhering to PCC Employee Code of Ethics
- Adhering to PCC clinical policy and procedures.
- Required 20 Hours of Crisis training as defined in PCC HR Training and Development Policy and Procedure (I-B-006)
- Attend any and all supervision sessions and group staff meetings as assigned by supervisor.
- Shall complete other duties as assigned by supervisor.
General Knowledge and Skills (will possess at time of employment or will be expected to learn upon employment)
General Knowledge of the dynamics of MH/DD/SA behavioral health disorders (BHD) and their impact upon persons served and their families; the bio/psycho/social factors involved in (BHD); up-to-date principles/techniques (evidence based/best practices) of crisis response, prevention, and intervention application to individuals possessing (BHD); the community resources available to persons with (BHD), to include behavioral health, social service, community services, and self-help groups; knowledge of billing and service record documentation requirements (NC Division of MH/DD/SA ASAM/IPRS, DMA/Value Options, CCMH/LME, and PCC policy/procedure.
General Skill in the application of crisis assessment/prevention/intervention techniques that are considered as evidence based/best practices as defined by the NC Division of MH/DD/SA, and/or literature/research, and organizational policy/procedure; skill in the delivery of services using accepted crisis treatment modalities, to include, individual, family, marital, and in-community; skill in establishing/maintaining effective therapeutic and professional relationships with persons served and/or their family members; behavioral health providers; and, skill in accurately documenting services provided and billed.
Mobile Crisis Counselor I/II
- At a minimum the individual must meet the NC Division of MH/DD/SA requirements for Associate Professional or Qualified Professional.
- Bachelor’s degree in a behavioral science field from an accredited college/university and meet NC Division of MH/DD/SA Professional (QP or AP) credentialing requirements.
- At least one (1) year experience in delivering clinical Crisis services. Credit may be given for previous clinical experience in other job positions, practicums, and internships as this experience relates to the provision of crisis services.
- CSAC certification may be required for some positions.
Mobile Mobile Crisis Counselor/Clinician II/III (licensure requirements)
Must be either fully or provisional licensed as a LCSW(A), LPC(A), LCAS(A), etc.
Additional Job Requirements:
- Must have the ability to effectively hear and communicate with other employees, professionals, law enforcement, magistrate the public and persons served.
- Must have physical mobility to respond and provide service in various community and onsite locations.
- Being on-call and shift work is required as part of this position with a team requirement to provide 24/7/365 clinical coverage.
- Must provide crisis prevention/intervention services in community locations to include: hospital setting, in-home, and other locations that are safe in the community. In-home crisis intervention may require escort from law enforcement.
- Must have reliable transportation, maintain valid NC driver’s license, and maintain adequate automobile insurance.
- Limited consumer transportation may be required when applicable and approved by immediate supervisor.
- Travel is required as part of this position and may use company supplied vehicle and/or use of personal vehicle with mileage reimbursement as defined in PCC policy/procedure.
- Must have the ability to operate telephone, fax machine, and computer hardware/software.
- Requires superior writing skills, and the ability to compose a variety of complex and sophisticated professional documents, assessment, and reports. Requires the ability to comprehend and explain complicated clinical documents and professional literature.
- Willingness to work in a high stress/risk environment that is driven by team performance