PURPOSE : Provide substance abuse treatment services in outpatient or residential setting. Responsible for assessment, treatment planning, provision of counseling (individual, family, and group) services, urinalysis, consultation with care providers and coordination of multiple service providers for his/her assigned client caseload; and for keeping accurate, timely records.
ESSENTIAL RESPONSIBILITIES :
- Responsible for client evaluation including initial intake interview, formulating a substance abuse diagnosis, identifying appropriate treatment services. Notify client, significant other(s), care givers and care providers of diagnosis and initial treatment recommendations in a timely manner, complete written narrative of evaluation, obtain necessary authorizations for disclosure.
- Collect information about individuals or clients, using interviews, case histories, observational techniques, urinalysis, and other assessment methods. Observe and evaluate client's performance, behavior, social development, and physical health.
- Analyze data such as interview notes, test results, and reference manuals to identify symptoms, diagnose the nature of clients' substance abuse problems and determine an ASAM PPC-2R level of care.
- Identify and diagnose substance abuse disorders, using information obtained from interviews, tests, records, and reference materials. Address legal issues, such as child abuse and discipline, assisting with hearings and providing testimony to inform custody arrangements. Provide accurate screenings for mental health, health, gambling, trauma and domestic violence issues, and make referrals to appropriate services providers as necessary.
- Provide referral services to clients and their families, e.g., residential services, health care, mental health services, employment services, housing, recovery support services, etc. Maintain awareness of community referral resources.
- Develop therapeutic Individual Service and Support Plans (ISSP), based on clients' interests, abilities, strengths and clinical needs. ISSP’s will be evidence-based, using clinical experience and knowledge, and will have measurable goals and objectives based on the diagnosis and will specify type, frequency, intensity, and duration of services. ISSP’s will be client-driven and follow-ups will be completed on time, assessing the quantity and quality of services provided.
- Confer with clients, significant others and treatment team to develop plans for post-treatment activities to maintain recovery.
- Counsel individuals or families, using evidence-based treatment practices, to help them understand problems, define goals, and develop realistic action plans. Guide clients in the development of skills and strategies for resolving substance abuse problems.
- Facilitate or co-facilitate group treatment services, using evidence-based/manualized treatment models with demonstrated effectiveness for the population served. Demonstrate proficiency in using evidence-based practices, as evidenced by observation, fidelity rating scales, client report, and client outcomes.
- May be responsible for service coordination. Coordinate/collaborate with physicians, staff, families, caregivers, referents, etc. Maintain chart notes related to external contracts, obtaining pertinent records from other treatment and tracking clients’ involvement, follow-through and progress in varied treatment activities. Provides regular and timely progress reports to referents when appropriate.
- Evaluate the effectiveness of counseling or treatments and the accuracy and completeness of diagnoses, ASAM PPC-2R dimensions modifying plans and diagnoses as necessary. ISSP’s must be updated at least every three months. Behavioral Health Assessments must be updated at least annually.
- Document and maintain client records in electronic healthcare system within 24 hours of meeting with client to ensure compliance with agency and contract guidelines and confidentiality.
- Provide training to staff, caregivers, and family regarding issues of substance abuse as it relates to clients.
- Provide crisis intervention. May serve as Clinician of the Day.
- Administer and submit urinalyses with minimal errors. Evaluate and communicate results within agency guidelines.
- Provides culturally appropriate resources and support linkage, advocacy and community collaboration as well as evaluation and treatment for clients.
- Will need to travel between sites or in the community.
- May need to work evenings and/or weekends, depending on job assignment.
- Meets performance standards for direct service, documentation (including progress notes, assessments, ISSP’s, status reports, and authorization requests) proficiency in clinical model and evidence based practices, quality of care (including engagement and retention) and teamwork.
- Participate in regular individual and team meetings.
- Master’s degree in area of specialization directly related to work performed; or a bachelor’s degree in nursing or occupational therapy and licensure through the State of Oregon or QMHP.
- If recovering from a substance abuse related disorder, must be able to demonstrate continuous sobriety under nonresidential, independent living conditions for the immediate past two years.
- Requires a current CADC or equivalent national certification, or a submitted application for CADC upon hire, with a formal plan to obtain certification within two years of hire.
- Have knowledge, skills, and abilities demonstrating competence in: treatment of mental health and substance-related disorders including client evaluation and individual, group, family, and other counseling techniques; program policies and procedures for client case management and record keeping; and accountability for recording information in the client files assigned to them consistent with those policies and procedures. Should be familiar with theory or concepts of prevention.
- Demonstrated ability to maintain case management in accordance with federal, state and/or funding source requirements as well as LifeWorks NW policies and procedures.
- Compliance with federal and state confidentiality rules and regulations.
- Knowledge of community resources and treatment agencies enabling appropriate referrals for specific client needs.
- May require access to a car and ability to drive between sites or in the community.
- Good computer skills including a functional knowledge of Microsoft Outlook and Word. Ability to master proprietary software including electronic health record system.
- May need to work some evenings and/or weekends, depending on job assignment.
LifeWorks NW - 18 months ago