243 Css jobs in the United States

CSS provides high school and college students with a clinical observation experience shadowing SLP's and OT's. This observation experience is aimed at helping students fulfill service/observation hours, as well as provide exposure to these disciplines for those students who are deciding upon a field of study. We believe that observations can provide an understanding of the skill set required for clinical practice, including interpersonal communication, writing skills, professional conduct, behavior management, and evidence-based practice aspects of speech-language pathology or occupational therapy.

PLEASE NOTE - At this time, we are able to accept student observation requests but acceptances will be based on a case by case basis. Observation times available are Monday through Thursday from 3pm - 7pm ONLY. There is a limit on the # of students we can allow each day and we provide a maximum of up to 10 observation hours per student (with the exception of graduate students).

Not all observations will be in person. If a patient is not able to be observed in person for any reason, you will be asked to view the session via a monitor from another room.

Our therapists will be contacted by our front office to coordinate a student's request to determine if the request can be accommodated. If we are able, you will receive an email connecting you with a therapist(s).

**The possibility of an observation is contingent on approval from patients and availability of our therapists. Not all observation requests are guaranteed**

If the above observation schedule or observations via monitor are not possible for you. we wish you luck in your search and apologize that we cannot accommodate you at this time.

The vision of Marrakech Inc. is that each person we serve will live and work in the community and be accepted by their neighbors, co-workers, family, friends and acquaintances for their individual qualities and contributions.Start a career in Human Services! Part-Time and Full-Time positions, 1st and 2nd shifts availableSUMMARY We are looking for staff to provide direct care to persons with developmental and physical disabilities. This person will be responsible for implementing behavior programs and other habilitation programs, and also facilitating and promoting community integration and safety. Must have own, insured vehicle to use for work for this position. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Ensure individuals' medical health issues are addressed. This may include scheduling doctor's appointments, providing transportation to appointments, following through on doctor's orders and communicating all pertinent health issues to supervisor. Monitors, observes and prompts individuals self medication administration. Assists individuals in daily activities including daily hygiene functions. Implements behavioral goals, teaching strategies, monitoring procedures, exercise programs and other team recommended programs and procedures. Assists in the completion of individuals assessments. Model positive adult roles in the community, provide meaningful community experiences, and foster community belonging through individual centered appropriate activities Supervise and assist in the preparation of food for individuals following special prescribed diets and food consistency. Assist individuals with their money management and budgeting tasks Pre-vocational/vocational skill development duties are included. These may include active participating in Life Skills Training, assisting with job applications, interviews, job coaching, etc. Mandatory attendance at staff meetings REQUIREMENTS:PROFESSIONAL COMPETENCIESUnderstanding the nature of human systems: individual, group, organization, community and society, and their major interactions for individuals with developmental disabilities. Skill in identifying and selecting natural opportunities which promote growth and goal attainment for individuals with developmental disabilities. Skill in implementing interventions for individuals with developmental disabilities. Process skills which are required to implement services for individuals with developmental disabilities. EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED); 3 to 6 months related experience and /or training, or human service training certificate. Experience using basic computer programs. CERTIFICATES, LICENSES, REGISTRATIONS Own, insured vehicle to use for work Valid Connecticut Driver's License Ability to obtain the following licenses/certifications: Department of Developmental Services - Medication Certification Public Service License valid for the state of Connecticut (if applicable) CPR and First Aid certification, as required by program site. PMT certificationRATE $18.43/hr. Rate increases to $19.06/hrBenefits:Paid time off (PTO) and Dedicated Sick TimePaid HolidaysNew Year's DayMartin Luther King, Jr. DayMemorial DayJuneteenthIndependence DayLabor DayThanksgivingChristmasPaid and Unpaid Leave for:BereavementJury DutyDisaster Relief VolunteerFamily and Non-FMLA Medical LeaveMilitary LeaveEmployer- Sponsored Medical, Dental, Vision and Life Insurance (for full time employees)External Employee Assistance Program (EAP) (for full time employees)401K and Profit Sharing PlanEducational Benefits, Including:DSP Credentialing through the NADSPTuition ReimbursementTuition discounts at local colleges and universitiesAccess to Various Voluntary Insurances and BenefitsStaff Recognition ProgramOther Financial Benefits, Including but not limited to:Dayforce Wallet (On-Demand Pay)Marrakech's Homeownership ProgramPerfect Attendance Bonus ProgramRecruitment Referral BonusOther Corporate Discount ProgramsMarrakech is an equal opportunity employer. Marrakech, Inc. does not discriminate on the basis of sex, race, color, religion, age, disability, status of veteran, national or ethnic origin, or sexual orientation.

City/StateHampton, VAWork ShiftSecond (Evenings)Overview:Sentara is currently hiring a CSS Tech I in Hampton, VirginiaThis is a Flexi, Evening shift opportunity.Located in Hampton, VA, Sentara Careplex Hospital provides advanced programs, specialized services, and is home to the area's first dedicated orthopedic hospital. We focus on attention to detail to keep our patients safe.The CSS Tech I is responsible for receiving, decontamination, sterilizing, storing, and distributing all instruments handled by Sterile Processing. Assembles and disassembles case carts.Qualifications:High School diploma or equivalentSentara Careplex Hospital provides advanced programs, specialized services, and is home to the area's first dedicated orthopedic hospital. We focus on attention to detail to keep our patients safe.Sentara is an integrated, not-for-profit healthcare delivery system with more than 29,000 employees (including 1,375 physicians and advanced practice providers), 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves over 900,000 members.Join a team with a mission to improve health every day and a vision to be the healthcare choice of the communities we serve! Keywords: CSS Tech, Indeed, Monster, Talroo-Allied HealthBenefits: Caring For Your Family and Your Career•Medical, Dental, Vision plans•Adoption, Fertility and Surrogacy Reimbursement up to $10,000•Paid Time Off and Sick Leave•Paid Parental & Family Caregiver Leave •Emergency Backup Care•Long-Term, Short-Term Disability, and Critical Illness plans•Life Insurance•401k/403B with Employer Match•Tuition Assistance - $,250/year and discounted educational opportunities through Guild Education•Student Debt Pay Down - $1 ,000•Reimbursement for certifications and free access to complete CEUs and professional development•Pet Insurance •Legal Resources Plan•Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is metSentara CarePlex Hospital, located in Hampton, VA, is a 224-bed technologically advanced, acute care facility, and Certified Primary Stroke Center. Other features include specialized services in heart and vascular, urologic care, along with advanced diagnostic and surgical capabilities, a hospitalist program, and one of the state's busiest emergency departments. We are also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital. We improve health every day, come be a part of the community.Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.In support of our mission "to improve health every day," this is a tobacco-free environment.For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Compensation: $17/hr.

Case Manager Community Supportive Services

Join our mission to provide a comprehensive continuum of care for people in Louisiana, encompassing primary care, behavioral health, and substance use disorder treatment. Help save lives at OHL!

Job Summary

Odyssey House Louisiana, Inc. is seeking an experienced full-time Case Manager that is responsible for engaging all clients upon admittance into Odyssey House Louisiana, Inc. (OHL). The schedule for this position is Monday-Friday 8am-5pm. The Case Manager is responsible for engaging all clients upon admittance into Odyssey House Louisiana, Inc. (OHL). The Case Manager will inform the client(s) of the different programs and levels of care. The Case Manager will develop and implement strategies to ensure that client(s) transfer from each level of care (e.g., from Detox into Residential, from Residential to Outpatient/Housing, from Outpatient with Housing to Sober Living). The Case Manager will follow-up with client(s) to ensure that the client(s) whereabouts are tracked throughout their treatment stay. The Case Manager will follow-up with client(s) to ensure that they are enrolled into OHL's Community Health Center and adhere to their follow-up appointments. The Case Manager is responsible for monitoring client(s) progress and needs, discharge plans, and tracking participants who have exited the program. The Case Manager is responsible for entering data into the agency's assigned databases and prepares weekly, monthly, quarterly, and annual reports reflecting such activity. The Case Manager must negotiate LA Medicaid systems. The Case Manager will transfer client(s) to the Residential Program and will be responsible for monitoring Sober Living Program (SLP) participant(s) and units. The primary goal of the Case Manager is to support the client, encourage them to stay in treatment, and help fill their needs or gaps in care with resources from OHL and/or the community. The Case Manager will support and coordinate with each program and staff with the goal of retaining clients in treatment.

PHYSICAL DEMANDS

Lifting, twisting,standing, bending for periods of time will occur (As you will pick up officesupplies and assist client(s).) Employee may be required to travel from time totime. (Program conferences and trainings).

WORK ENVIRONMENT

45% of the work isnormally performed in a shared office setting and 55% will be performed outsidewith varying temperatures as you visit clients.

Responsibilities and Duties

It is the duty and responsibility of the Case Manager to:

• provide case management that will involve screening, assessment, service plan development, linkage to appropriate community resources, discharge planning and follow up;
• coordinate with the OHL Federally Qualified Community Health Center (FQHC) staff to ensure that client(s) are adhering to appointments;
• schedule or reschedule transportation to/from medical appointments;
• assess clients Medicaid status and follow agencies policy and procedures to obtain and maintain Medicaid status; assist with verifying insurance information;
• ensure clients understand time, place, needs for medical appointments, procedures, education;
• coordinate with OHL department staff to determine best time to meet with clients to discuss OHLâ€'s programs;
• coordinate with program staff to follow-up with client throughout their treatment stay;
• develop strategies to follow-up with client(s) prior to and upon discharge;
• schedule and perform efficient client, office, and SLP unit(s) visits that are geared towards client(s) maintaining sobriety while becoming self-sufficient;
• assist participants with obtaining documents such as identification, social security card, birth certificate, etc. as required;
• enter participantâ€'s information into the appropriate agency databases in a timely matter and update as needed;
• prepare and submit reports to Program Manager in a timely manner;
• facilitate and coordinate supportive service activities with other program staff including employment assistance activities, such as job readiness training, resume preparation, interview practice, attending job fairs and networking with perspective employers, etc.;
• conduct quality assurance and self-monitoring plan as assigned by the Program Manager;
• establish and maintain collaborative working relationships with community resources;
• attend appropriate coalition and other community resource meetings;
• attend training and workshops;
• work a flexible schedule; and
• perform other duties as assigned.

• Valid Driver's License
• High school diploma or equivalent
• 3 years successful experience in adult case management or equivalent experience
• Ability to work with homeless individuals of diverse backgrounds, and disabilities including physical, mental, substance abuse, HIV/AIDS, etc.
• Outstanding organizational, verbal, and written communication skills
• Ability to adapt to change in a fast-paced environment
• Ability to perform daily duties to achieve expected outcomes and performance
• measures with minimal supervision
• Ability to travel to various sites daily

• Undergraduate degree in social work or behavioral science
• Experience in LA Behavioral Health Partnership Billing
• Experience in providing Community Psychiatric Treatment; Psychosocial Rehabilitation and Crisis Intervention
• Knowledge of AA/CA/NA/Faith Based Principles

Job Description: Summary: The Supervisor/Team Leader is responsible for the supervision and management of team operations and staffing for SACOT/SAIOP/MOUD treatment services. The Supervisor/Team Leader ensures that services are provided to the members served to meet the clinical needs of each recipient through direct and indirect interventions in accordance with DHHS Clinical Coverage Policy 8A. The Supervisor/Team Lead oversees and assures the program integrity of SACOT/SAIOP/MOUD services as outlined below. Essential Duties and Responsibilities: The team leader (clinical supervisor) must provide individual therapy and group for recipients served by the team.Behavioral interventions such as modeling, behavior modification, and behavior rehearsal.Designates the appropriate team staff so that specialized clinical expertise is applied as clinically indicated for each recipient.Implementation and monitoring of ASAM levels of care, Matrix Model, Illness Management and Recovery, MOUD, Dimensions of Wellness and Cognitive Behavioral TherapyProvides, coordinates, and oversees initial assessment and ongoing assessment of the recipient’s clinical needs.Develops and implements individualized supervision plans for team members.Provides clinical supervision of all members of the team for the provision of this service.Determines team caseload by the level of acuity and the needs of the individual served.Facilitates weekly team meetings.Monitors and evaluates the services, interventions, and activities provided by the team.Provide clinical expertise and guidance to the members in the team’s interventions with the recipient.Development of relapse prevention and disease management strategies to support recovery.Psychoeducation for the recipient, families, caregivers, and/or other individuals involved with the recipient about the recipient’s diagnosis, symptoms, and treatment.Performs Intensive Case Management functions of linking and arranging for services and referrals.Participates in the initial PCP and revision of the Person-Centered Plan (PCP) as needed.Ensure and monitor the implementation of the PCP.Spends time at the location where services are being performed as specified in the service definition for that service.Participates in a first responder on-call system available to consumers and/or his/her natural support network on a 24/7/365 basis; coordinates “first response” resources according to consumer needs and the PCP.Works closely with other clinical/professional staff to maintain communication and provide feedback, standardize procedures, and expedite PCP implementation.Conducts and supervises formal investigations into incidents/allegations of abuse, neglect, exploitation, or other circumstances that may present a risk to the safety and health of the person supported.Ensures that all initial and reauthorizations for services occur in a timely fashion.Provides timely and accurate information when requesting authorizations from the LME/MCO/Statewide Vendor and follows up on each request for authorization modified, not approved, and/or not responded to.Notifies appropriate parties upon the denial/modification of continued services and provides person-supported/guardian DMA-approved appeal policies and materials.Monitors utilization of service to ensure that it is effective, appropriate, and within the limits set forth in both rules, PCP, and the service authorization.Coordinates transition to another level/type of care for the person supported.Coordinates and oversees the discharge planning process including the development of a discharge plan initially upon admission and a discharge summary with follow-up resources at the conclusion of services.Facilitates relationships and serves as a link between the company, consumer, guardians, local agencies, and the community.Drafts responses to and implements changes required by Medicaid, the Department of Facility Services, and/or other regulatory agencies.Performs all other duties as reasonably required and assigned.Practices standard medical precautions by understanding and utilizing personal protective and safety equipment.Ensures confidentiality regarding sensitive and protected information.Ensures individual rights to privacy and protected health information for the person supported.Maintaining records, charting each individual, and reporting unusual and critical incidents in a professional, timely manner (within 24 hours).Familiarization with medications used by the client and policies. regarding medication administration.Represent the company in a positive manner, reflective of the company’s mission, at all times.Ensures confidentiality regarding sensitive and protected information.Ensures individual rights to privacy and protected health information for the person supported.Ensures service, agency, LME/MCO, state and/or federal documentation requirements and timelines such as NCTOPPs, PCPs/ITRs, and reminders relative to Clinical Monthly Summaries, Discharge Summaries, and Aggregate Reports.Completes Intake Packets for any of the referrals that the office receives.Accurately document all billable encounters into Southeastern Integrated Care’s EMR (electronic medical record) system within 24 hours. Any corrections will be entered within 24 hours of being notified.Other duties as assigned.In addition, the employee must participate in all required training and education as mandated by the specific service line and clinical coverage policy. Program Integrity: SACOT/SAIOP integrated with MOUD are the most comprehensive, structured, and clinically intense ambulatory services for the treatment of substance use disorders/addiction. The integrity of these services is dependent on quality clinical interventions, scheduled duration of interventions, and frequency of care weekly. These are the vital components of care. Therefore, key quality metrics driving program integrity include milieu, pharmacological interventions, frequency of each episode of care and duration of each episode of care PROGRAM INTEGRITY includes: 1. Structure/ time/ content of all groups and services 2. Expectations regarding attendance, drug testing (medication monitoring), LOS and hours per week3. Expectations regarding use - limitations around “harm reduction” and relapse 4. Program safety - constant client observation, engagement, surveillance while on campus 5. Documentation quality – tied to PCP goals, interventions provided, response to interventions 6. Expected KPIs - duration and frequency of care, admitted clients per week, relapse rate/positive urine screening, ED, or hospitalizations-clinical stability Harm Reduction, albeit controversial does have a role in the continuum of interventions for the treatment of substance use disorder and addiction, however harm reduction is defined as reducing the severity of the outcomes of behaviors, IE death, overdose, infection, and DOES NOT directly address the biopsychosocial and spiritual aspects of the brain diseases of substance use disorder and addiction. Therefore, harm reduction does not appropriately overlay on intensive treatment services such as SACOT/SAIOP which are designed to change behavior, thinking, and beliefs. When a client is unable to maintain abstinence during ambulatory treatment, it is called relapse, and appropriate treatment revisions and interventions must be made to assist the client in working toward the biopsychosocial and spiritual changes needed for ongoing and continued recovery. Therefore, use during intensive treatment must be addressed as a relapsing issue. ASAM defines SACOT and SIOP services from a threefold perspective or what we can call the three components of treatment. TIME: Like all medical treatment protocols, frequency and duration are treatment is critical. In SACOT and SAIOP, duration or time spent on clinical interventions per episode of care, inclusive of group counseling, individual counseling, psycho educational counseling, therapeutic recreation/socialization interventions, etc. is equivalent to the “dose” or “intensity” of a medication. Frequency of episodes of care, or times attended weekly, is equivalent to any prescription for medical care that clearly outlines how often the medication, procedure, etc. should be administered. Frequency and duration both are critical components in the structure of SACOT and SAIOP, the integrity of the intervention and combined help determine a length of stay. Honoring LOS and therefore duration of each episode and frequency of those episodes is a key component for clients to process the beginning and end of each phase of treatment. Care is not arbitrary; LOS is not arbitrary. Recognizing the unique characteristics of each level of care in treatment is vital for a robust therapeutic experience for clients MILIEU- This is the structure/environment that is established to allow for quality, best practice, standards of clinical practice/interventions to be provided including the use of SAMHSA Illness, management and recovery practices (IMR), Eight Dimensions of Wellness, MATRIX model, Integrated Treatment for Co-Occurring Disorders, Relapse Prevention, Motivational Interventions, 12 Step Integration, Disease Management, Cognitive Behavioral Therapy, Family Systems, etc. PSYCHOTROPIC/PHARMOLOGICAL/PROCEDURE Management- The use of medications for opioid use disorder, or alcohol abuse disorder, stimulant use disorder, or co-occurring use disorders is critical as a bridge (short term and on occasion long term) to recovery and adherence to the other facets of clinical interventions inclusive of SACOT and SAIOP. In addition, procedures like acicular acupuncture can be incorporated into care. SACOT- ASAM 2.5 minimum 5 days a week of care, preferably 6 (FREQUENCY) with minimum of 4 hours a day, taper up if needed to 6 hours daily (DURATION)- minimum of 20 hours of care a week, preferably 25 -30 which is standard with commercial payers THIS IS A PARTIAL HOSPITLIZATION MODEL. Anticipated LOS is 60 to 120 days per clinical coverage guidelines SAIOP-ASAM 2.1 minimum 3 days a week of care, preferably 4-5 initially (FREQUENCY), with a minimum of 3 hours a day, preferably 4 hours daily initially (DURATION)- minimum 9 hours a week, preferably 12-15 hours up to 19 per week, with no more than 48 hours between episodes/events of care- Anticipated LOS is 30-90 days per clinical coverage guidelines Recommended schedule of care to assure duration, frequency and milieu are adequately provided The below structured schedule allows for the services to be more clients driven as opposed to program driven, i.e., more flexibility on delivering care to the client - allowing for both “frequency and duration” “along with achieving specific “objectives “to be the measures of success as opposed to completing a program. The structure (bones) of the program included a: Monday - Friday schedule – eventually Saturdays as well6 hours a day of services plus lunch i.e., 10-4pm and an evening IOP 6-9Each service/even was broken into one-hour segmentsTwo services running concurrently at a time (allowing for 20 patients to be seen) Services included one therapy group- theme focused, one psych educational group - dimension focused, and one therapeutic activity group - i.e., mediation, art therapy, Rec therapy, team building (gym across street) etc. PER three-hour block This model allows for SACOT/SAIOP to operate simultaneously with duration and frequency changing as client progresses in treatment. This also allows for the clients to attend at various times of the day, as long as they receive their prescribed clinical interventions EXAMPLE TREATMENT SCHEDULE DAILY 10 AM Therapy group Psych Educational group 11 AM Activity Group 1Activity Group 2 12 PM Therapy group Psych Educational group 1 -130 Pm lunch 1:30 PM Therapy group Psych Educational group 2:30 PM Activity Group 1Activity Group 2 3:30 PMTherapy group Psych Educational group This is staffed accordingly to assure two professionals in their designated role/ discipline where available per one hour segment Supervisor/Team Lead will “pinch “hit for two to three groups a week allowing some additional non-Clinical time for their direct care providers Embedded throughout the day would be individual sessions as needed, family sessions as needed, pharmacological management, and medication monitoring Care management services, appointments to DSS, etc. are services provided in addition to onsite therapeutic interventions, to assure the integrity and quality of services, and are not billed as part of the duration and frequency of outlined care. Peer Support Services as outlined in clinical coverage policy 8G can be provided to SACOT/SAIOP clients as long as services are not at the same time of day as scheduled SACOT/SAIOP intervention/events The model requires between 2.5 FTE direct care staff and a Team LEAD. Additional per diem staff as needed to adhere to clinical coverage policy guidelines inclusive of peer support specialists, paraprofessionals, etc. 1 Team Lead- LCAS onsite 1 40 hours CSAC, CADC, etc. 1 40-hour social worker/QP .5 FTE or 20 hours of activity therapist times. Need two individuals each working about 10 hours or so a week Supervisory Responsibilities: The team leader supervises all members of the team demonstrating the knowledge, skills, and abilities for this role as required by the population and age served. 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. Education/ExperienceMaster’s degree in human services-related field required. Must have a minimum of one (1) year of documented supervisory experience working with the population served with MH/SA diagnosis. ORThree years of clinical experience with Substance Use Disorder Treatment, Required Skills/AbilitiesMust maintain strict confidentiality.Must possess effective communication/documentation skills.Ability to learn and use personal computers. Work with a computer is common and the ability to understand word processing and certain spreadsheet programs is important. Successfully complete other training as may be required or amended by company policy. Develop organizational and communication skills that foster TEAMWORK.Requires flexibility in scheduling and availability to adequately meet the service needs of the consumer/family and other team members. Must have reliable transportation and be willing to travel locally.Must meet 10A NCAC 27G.0104 Certificates, Licenses, RegistrationsLCAS or CCSValid NC driver’s license including personal vehicle insurance coverage.Current license must be maintained.NCI within 30 days of hireCPR certificationTrauma Informed Training Supervisory Resp

Job Description: Summary: The Supervisor/Team Leader is responsible for the supervision and management of team operations and staffing for SACOT/SAIOP/MOUD treatment services. The Supervisor/Team Leader ensures that services are provided to the members served to meet the clinical needs of each recipient through direct and indirect interventions in accordance with DHHS Clinical Coverage Policy 8A. The Supervisor/Team Lead oversees and assures the program integrity of SACOT/SAIOP/MOUD services as outlined below. Essential Duties and Responsibilities: The team leader (clinical supervisor) must provide individual therapy and group for recipients served by the team.Behavioral interventions such as modeling, behavior modification, and behavior rehearsal.Designates the appropriate team staff so that specialized clinical expertise is applied as clinically indicated for each recipient.Implementation and monitoring of ASAM levels of care, Matrix Model, Illness Management and Recovery, MOUD, Dimensions of Wellness and Cognitive Behavioral TherapyProvides, coordinates, and oversees initial assessment and ongoing assessment of the recipient’s clinical needs.Develops and implements individualized supervision plans for team members.Provides clinical supervision of all members of the team for the provision of this service.Determines team caseload by the level of acuity and the needs of the individual served.Facilitates weekly team meetings.Monitors and evaluates the services, interventions, and activities provided by the team.Provide clinical expertise and guidance to the members in the team’s interventions with the recipient.Development of relapse prevention and disease management strategies to support recovery.Psychoeducation for the recipient, families, caregivers, and/or other individuals involved with the recipient about the recipient’s diagnosis, symptoms, and treatment.Performs Intensive Case Management functions of linking and arranging for services and referrals.Participates in the initial PCP and revision of the Person-Centered Plan (PCP) as needed.Ensure and monitor the implementation of the PCP.Spends time at the location where services are being performed as specified in the service definition for that service.Participates in a first responder on-call system available to consumers and/or his/her natural support network on a 24/7/365 basis; coordinates “first response” resources according to consumer needs and the PCP.Works closely with other clinical/professional staff to maintain communication and provide feedback, standardize procedures, and expedite PCP implementation.Conducts and supervises formal investigations into incidents/allegations of abuse, neglect, exploitation, or other circumstances that may present a risk to the safety and health of the person supported.Ensures that all initial and reauthorizations for services occur in a timely fashion.Provides timely and accurate information when requesting authorizations from the LME/MCO/Statewide Vendor and follows up on each request for authorization modified, not approved, and/or not responded to.Notifies appropriate parties upon the denial/modification of continued services and provides person-supported/guardian DMA-approved appeal policies and materials.Monitors utilization of service to ensure that it is effective, appropriate, and within the limits set forth in both rules, PCP, and the service authorization.Coordinates transition to another level/type of care for the person supported.Coordinates and oversees the discharge planning process including the development of a discharge plan initially upon admission and a discharge summary with follow-up resources at the conclusion of services.Facilitates relationships and serves as a link between the company, consumer, guardians, local agencies, and the community.Drafts responses to and implements changes required by Medicaid, the Department of Facility Services, and/or other regulatory agencies.Performs all other duties as reasonably required and assigned.Practices standard medical precautions by understanding and utilizing personal protective and safety equipment.Ensures confidentiality regarding sensitive and protected information.Ensures individual rights to privacy and protected health information for the person supported.Maintaining records, charting each individual, and reporting unusual and critical incidents in a professional, timely manner (within 24 hours).Familiarization with medications used by the client and policies. regarding medication administration.Represent the company in a positive manner, reflective of the company’s mission, at all times.Ensures confidentiality regarding sensitive and protected information.Ensures individual rights to privacy and protected health information for the person supported.Ensures service, agency, LME/MCO, state and/or federal documentation requirements and timelines such as NCTOPPs, PCPs/ITRs, and reminders relative to Clinical Monthly Summaries, Discharge Summaries, and Aggregate Reports.Completes Intake Packets for any of the referrals that the office receives.Accurately document all billable encounters into Southeastern Integrated Care’s EMR (electronic medical record) system within 24 hours. Any corrections will be entered within 24 hours of being notified.Other duties as assigned.In addition, the employee must participate in all required training and education as mandated by the specific service line and clinical coverage policy. Program Integrity: SACOT/SAIOP integrated with MOUD are the most comprehensive, structured, and clinically intense ambulatory services for the treatment of substance use disorders/addiction. The integrity of these services is dependent on quality clinical interventions, scheduled duration of interventions, and frequency of care weekly. These are the vital components of care. Therefore, key quality metrics driving program integrity include milieu, pharmacological interventions, frequency of each episode of care and duration of each episode of care PROGRAM INTEGRITY includes: 1. Structure/ time/ content of all groups and services 2. Expectations regarding attendance, drug testing (medication monitoring), LOS and hours per week3. Expectations regarding use - limitations around “harm reduction” and relapse 4. Program safety - constant client observation, engagement, surveillance while on campus 5. Documentation quality – tied to PCP goals, interventions provided, response to interventions 6. Expected KPIs - duration and frequency of care, admitted clients per week, relapse rate/positive urine screening, ED, or hospitalizations-clinical stability Harm Reduction, albeit controversial does have a role in the continuum of interventions for the treatment of substance use disorder and addiction, however harm reduction is defined as reducing the severity of the outcomes of behaviors, IE death, overdose, infection, and DOES NOT directly address the biopsychosocial and spiritual aspects of the brain diseases of substance use disorder and addiction. Therefore, harm reduction does not appropriately overlay on intensive treatment services such as SACOT/SAIOP which are designed to change behavior, thinking, and beliefs. When a client is unable to maintain abstinence during ambulatory treatment, it is called relapse, and appropriate treatment revisions and interventions must be made to assist the client in working toward the biopsychosocial and spiritual changes needed for ongoing and continued recovery. Therefore, use during intensive treatment must be addressed as a relapsing issue. ASAM defines SACOT and SIOP services from a threefold perspective or what we can call the three components of treatment. TIME: Like all medical treatment protocols, frequency and duration are treatment is critical. In SACOT and SAIOP, duration or time spent on clinical interventions per episode of care, inclusive of group counseling, individual counseling, psycho educational counseling, therapeutic recreation/socialization interventions, etc. is equivalent to the “dose” or “intensity” of a medication. Frequency of episodes of care, or times attended weekly, is equivalent to any prescription for medical care that clearly outlines how often the medication, procedure, etc. should be administered. Frequency and duration both are critical components in the structure of SACOT and SAIOP, the integrity of the intervention and combined help determine a length of stay. Honoring LOS and therefore duration of each episode and frequency of those episodes is a key component for clients to process the beginning and end of each phase of treatment. Care is not arbitrary; LOS is not arbitrary. Recognizing the unique characteristics of each level of care in treatment is vital for a robust therapeutic experience for clients MILIEU- This is the structure/environment that is established to allow for quality, best practice, standards of clinical practice/interventions to be provided including the use of SAMHSA Illness, management and recovery practices (IMR), Eight Dimensions of Wellness, MATRIX model, Integrated Treatment for Co-Occurring Disorders, Relapse Prevention, Motivational Interventions, 12 Step Integration, Disease Management, Cognitive Behavioral Therapy, Family Systems, etc. PSYCHOTROPIC/PHARMOLOGICAL/PROCEDURE Management- The use of medications for opioid use disorder, or alcohol abuse disorder, stimulant use disorder, or co-occurring use disorders is critical as a bridge (short term and on occasion long term) to recovery and adherence to the other facets of clinical interventions inclusive of SACOT and SAIOP. In addition, procedures like acicular acupuncture can be incorporated into care. SACOT- ASAM 2.5 minimum 5 days a week of care, preferably 6 (FREQUENCY) with minimum of 4 hours a day, taper up if needed to 6 hours daily (DURATION)- minimum of 20 hours of care a week, preferably 25 -30 which is standard with commercial payers THIS IS A PARTIAL HOSPITLIZATION MODEL. Anticipated LOS is 60 to 120 days per clinical coverage guidelines SAIOP-ASAM 2.1 minimum 3 days a week of care, preferably 4-5 initially (FREQUENCY), with a minimum of 3 hours a day, preferably 4 hours daily initially (DURATION)- minimum 9 hours a week, preferably 12-15 hours up to 19 per week, with no more than 48 hours between episodes/events of care- Anticipated LOS is 30-90 days per clinical coverage guidelines Recommended schedule of care to assure duration, frequency and milieu are adequately provided The below structured schedule allows for the services to be more clients driven as opposed to program driven, i.e., more flexibility on delivering care to the client - allowing for both “frequency and duration” “along with achieving specific “objectives “to be the measures of success as opposed to completing a program. The structure (bones) of the program included a: Monday - Friday schedule – eventually Saturdays as well6 hours a day of services plus lunch i.e., 10-4pm and an evening IOP 6-9Each service/even was broken into one-hour segmentsTwo services running concurrently at a time (allowing for 20 patients to be seen) Services included one therapy group- theme focused, one psych educational group - dimension focused, and one therapeutic activity group - i.e., mediation, art therapy, Rec therapy, team building (gym across street) etc. PER three-hour block This model allows for SACOT/SAIOP to operate simultaneously with duration and frequency changing as client progresses in treatment. This also allows for the clients to attend at various times of the day, as long as they receive their prescribed clinical interventions EXAMPLE TREATMENT SCHEDULE DAILY 10 AM Therapy group Psych Educational group 11 AM Activity Group 1Activity Group 2 12 PM Therapy group Psych Educational group 1 -130 Pm lunch 1:30 PM Therapy group Psych Educational group 2:30 PM Activity Group 1Activity Group 2 3:30 PMTherapy group Psych Educational group This is staffed accordingly to assure two professionals in their designated role/ discipline where available per one hour segment Supervisor/Team Lead will “pinch “hit for two to three groups a week allowing some additional non-Clinical time for their direct care providers Embedded throughout the day would be individual sessions as needed, family sessions as needed, pharmacological management, and medication monitoring Care management services, appointments to DSS, etc. are services provided in addition to onsite therapeutic interventions, to assure the integrity and quality of services, and are not billed as part of the duration and frequency of outlined care. Peer Support Services as outlined in clinical coverage policy 8G can be provided to SACOT/SAIOP clients as long as services are not at the same time of day as scheduled SACOT/SAIOP intervention/events The model requires between 2.5 FTE direct care staff and a Team LEAD. Additional per diem staff as needed to adhere to clinical coverage policy guidelines inclusive of peer support specialists, paraprofessionals, etc. 1 Team Lead- LCAS onsite 1 40 hours CSAC, CADC, etc. 1 40-hour social worker/QP .5 FTE or 20 hours of activity therapist times. Need two individuals each working about 10 hours or so a week Supervisory Responsibilities: The team leader supervises all members of the team demonstrating the knowledge, skills, and abilities for this role as required by the population and age served. 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. Education/ExperienceMaster’s degree in human services-related field required. Must have a minimum of one (1) year of documented supervisory experience working with the population served with MH/SA diagnosis. ORThree years of clinical experience with Substance Use Disorder Treatment, Required Skills/AbilitiesMust maintain strict confidentiality.Must possess effective communication/documentation skills.Ability to learn and use personal computers. Work with a computer is common and the ability to understand word processing and certain spreadsheet programs is important. Successfully complete other training as may be required or amended by company policy. Develop organizational and communication skills that foster TEAMWORK.Requires flexibility in scheduling and availability to adequately meet the service needs of the consumer/family and other team members. Must have reliable transportation and be willing to travel locally.Must meet 10A NCAC 27G.0104 Certificates, Licenses, RegistrationsLCAS or CCSValid NC driver’s license including personal vehicle insurance coverage.Current license must be maintained.NCI within 30 days of hireCPR certificationTrauma Informed Training Supervisory Resp

Job Description: Summary: The Supervisor/Team Leader is responsible for the supervision and management of team operations and staffing for SACOT/SAIOP/MOUD treatment services. The Supervisor/Team Leader ensures that services are provided to the members served to meet the clinical needs of each recipient through direct and indirect interventions in accordance with DHHS Clinical Coverage Policy 8A. The Supervisor/Team Lead oversees and assures the program integrity of SACOT/SAIOP/MOUD services as outlined below. Essential Duties and Responsibilities: The team leader (clinical supervisor) must provide individual therapy and group for recipients served by the team.Behavioral interventions such as modeling, behavior modification, and behavior rehearsal.Designates the appropriate team staff so that specialized clinical expertise is applied as clinically indicated for each recipient.Implementation and monitoring of ASAM levels of care, Matrix Model, Illness Management and Recovery, MOUD, Dimensions of Wellness and Cognitive Behavioral TherapyProvides, coordinates, and oversees initial assessment and ongoing assessment of the recipient’s clinical needs.Develops and implements individualized supervision plans for team members.Provides clinical supervision of all members of the team for the provision of this service.Determines team caseload by the level of acuity and the needs of the individual served.Facilitates weekly team meetings.Monitors and evaluates the services, interventions, and activities provided by the team.Provide clinical expertise and guidance to the members in the team’s interventions with the recipient.Development of relapse prevention and disease management strategies to support recovery.Psychoeducation for the recipient, families, caregivers, and/or other individuals involved with the recipient about the recipient’s diagnosis, symptoms, and treatment.Performs Intensive Case Management functions of linking and arranging for services and referrals.Participates in the initial PCP and revision of the Person-Centered Plan (PCP) as needed.Ensure and monitor the implementation of the PCP.Spends time at the location where services are being performed as specified in the service definition for that service.Participates in a first responder on-call system available to consumers and/or his/her natural support network on a 24/7/365 basis; coordinates “first response” resources according to consumer needs and the PCP.Works closely with other clinical/professional staff to maintain communication and provide feedback, standardize procedures, and expedite PCP implementation.Conducts and supervises formal investigations into incidents/allegations of abuse, neglect, exploitation, or other circumstances that may present a risk to the safety and health of the person supported.Ensures that all initial and reauthorizations for services occur in a timely fashion.Provides timely and accurate information when requesting authorizations from the LME/MCO/Statewide Vendor and follows up on each request for authorization modified, not approved, and/or not responded to.Notifies appropriate parties upon the denial/modification of continued services and provides person-supported/guardian DMA-approved appeal policies and materials.Monitors utilization of service to ensure that it is effective, appropriate, and within the limits set forth in both rules, PCP, and the service authorization.Coordinates transition to another level/type of care for the person supported.Coordinates and oversees the discharge planning process including the development of a discharge plan initially upon admission and a discharge summary with follow-up resources at the conclusion of services.Facilitates relationships and serves as a link between the company, consumer, guardians, local agencies, and the community.Drafts responses to and implements changes required by Medicaid, the Department of Facility Services, and/or other regulatory agencies.Performs all other duties as reasonably required and assigned.Practices standard medical precautions by understanding and utilizing personal protective and safety equipment.Ensures confidentiality regarding sensitive and protected information.Ensures individual rights to privacy and protected health information for the person supported.Maintaining records, charting each individual, and reporting unusual and critical incidents in a professional, timely manner (within 24 hours).Familiarization with medications used by the client and policies. regarding medication administration.Represent the company in a positive manner, reflective of the company’s mission, at all times.Ensures confidentiality regarding sensitive and protected information.Ensures individual rights to privacy and protected health information for the person supported.Ensures service, agency, LME/MCO, state and/or federal documentation requirements and timelines such as NCTOPPs, PCPs/ITRs, and reminders relative to Clinical Monthly Summaries, Discharge Summaries, and Aggregate Reports.Completes Intake Packets for any of the referrals that the office receives.Accurately document all billable encounters into Southeastern Integrated Care’s EMR (electronic medical record) system within 24 hours. Any corrections will be entered within 24 hours of being notified.Other duties as assigned.In addition, the employee must participate in all required training and education as mandated by the specific service line and clinical coverage policy. Program Integrity: SACOT/SAIOP integrated with MOUD are the most comprehensive, structured, and clinically intense ambulatory services for the treatment of substance use disorders/addiction. The integrity of these services is dependent on quality clinical interventions, scheduled duration of interventions, and frequency of care weekly. These are the vital components of care. Therefore, key quality metrics driving program integrity include milieu, pharmacological interventions, frequency of each episode of care and duration of each episode of care PROGRAM INTEGRITY includes: 1. Structure/ time/ content of all groups and services 2. Expectations regarding attendance, drug testing (medication monitoring), LOS and hours per week3. Expectations regarding use - limitations around “harm reduction” and relapse 4. Program safety - constant client observation, engagement, surveillance while on campus 5. Documentation quality – tied to PCP goals, interventions provided, response to interventions 6. Expected KPIs - duration and frequency of care, admitted clients per week, relapse rate/positive urine screening, ED, or hospitalizations-clinical stability Harm Reduction, albeit controversial does have a role in the continuum of interventions for the treatment of substance use disorder and addiction, however harm reduction is defined as reducing the severity of the outcomes of behaviors, IE death, overdose, infection, and DOES NOT directly address the biopsychosocial and spiritual aspects of the brain diseases of substance use disorder and addiction. Therefore, harm reduction does not appropriately overlay on intensive treatment services such as SACOT/SAIOP which are designed to change behavior, thinking, and beliefs. When a client is unable to maintain abstinence during ambulatory treatment, it is called relapse, and appropriate treatment revisions and interventions must be made to assist the client in working toward the biopsychosocial and spiritual changes needed for ongoing and continued recovery. Therefore, use during intensive treatment must be addressed as a relapsing issue. ASAM defines SACOT and SIOP services from a threefold perspective or what we can call the three components of treatment. TIME: Like all medical treatment protocols, frequency and duration are treatment is critical. In SACOT and SAIOP, duration or time spent on clinical interventions per episode of care, inclusive of group counseling, individual counseling, psycho educational counseling, therapeutic recreation/socialization interventions, etc. is equivalent to the “dose” or “intensity” of a medication. Frequency of episodes of care, or times attended weekly, is equivalent to any prescription for medical care that clearly outlines how often the medication, procedure, etc. should be administered. Frequency and duration both are critical components in the structure of SACOT and SAIOP, the integrity of the intervention and combined help determine a length of stay. Honoring LOS and therefore duration of each episode and frequency of those episodes is a key component for clients to process the beginning and end of each phase of treatment. Care is not arbitrary; LOS is not arbitrary. Recognizing the unique characteristics of each level of care in treatment is vital for a robust therapeutic experience for clients MILIEU- This is the structure/environment that is established to allow for quality, best practice, standards of clinical practice/interventions to be provided including the use of SAMHSA Illness, management and recovery practices (IMR), Eight Dimensions of Wellness, MATRIX model, Integrated Treatment for Co-Occurring Disorders, Relapse Prevention, Motivational Interventions, 12 Step Integration, Disease Management, Cognitive Behavioral Therapy, Family Systems, etc. PSYCHOTROPIC/PHARMOLOGICAL/PROCEDURE Management- The use of medications for opioid use disorder, or alcohol abuse disorder, stimulant use disorder, or co-occurring use disorders is critical as a bridge (short term and on occasion long term) to recovery and adherence to the other facets of clinical interventions inclusive of SACOT and SAIOP. In addition, procedures like acicular acupuncture can be incorporated into care. SACOT- ASAM 2.5 minimum 5 days a week of care, preferably 6 (FREQUENCY) with minimum of 4 hours a day, taper up if needed to 6 hours daily (DURATION)- minimum of 20 hours of care a week, preferably 25 -30 which is standard with commercial payers THIS IS A PARTIAL HOSPITLIZATION MODEL. Anticipated LOS is 60 to 120 days per clinical coverage guidelines SAIOP-ASAM 2.1 minimum 3 days a week of care, preferably 4-5 initially (FREQUENCY), with a minimum of 3 hours a day, preferably 4 hours daily initially (DURATION)- minimum 9 hours a week, preferably 12-15 hours up to 19 per week, with no more than 48 hours between episodes/events of care- Anticipated LOS is 30-90 days per clinical coverage guidelines Recommended schedule of care to assure duration, frequency and milieu are adequately provided The below structured schedule allows for the services to be more clients driven as opposed to program driven, i.e., more flexibility on delivering care to the client - allowing for both “frequency and duration” “along with achieving specific “objectives “to be the measures of success as opposed to completing a program. The structure (bones) of the program included a: Monday - Friday schedule – eventually Saturdays as well6 hours a day of services plus lunch i.e., 10-4pm and an evening IOP 6-9Each service/even was broken into one-hour segmentsTwo services running concurrently at a time (allowing for 20 patients to be seen) Services included one therapy group- theme focused, one psych educational group - dimension focused, and one therapeutic activity group - i.e., mediation, art therapy, Rec therapy, team building (gym across street) etc. PER three-hour block This model allows for SACOT/SAIOP to operate simultaneously with duration and frequency changing as client progresses in treatment. This also allows for the clients to attend at various times of the day, as long as they receive their prescribed clinical interventions EXAMPLE TREATMENT SCHEDULE DAILY 10 AM Therapy group Psych Educational group 11 AM Activity Group 1Activity Group 2 12 PM Therapy group Psych Educational group 1 -130 Pm lunch 1:30 PM Therapy group Psych Educational group 2:30 PM Activity Group 1Activity Group 2 3:30 PMTherapy group Psych Educational group This is staffed accordingly to assure two professionals in their designated role/ discipline where available per one hour segment Supervisor/Team Lead will “pinch “hit for two to three groups a week allowing some additional non-Clinical time for their direct care providers Embedded throughout the day would be individual sessions as needed, family sessions as needed, pharmacological management, and medication monitoring Care management services, appointments to DSS, etc. are services provided in addition to onsite therapeutic interventions, to assure the integrity and quality of services, and are not billed as part of the duration and frequency of outlined care. Peer Support Services as outlined in clinical coverage policy 8G can be provided to SACOT/SAIOP clients as long as services are not at the same time of day as scheduled SACOT/SAIOP intervention/events The model requires between 2.5 FTE direct care staff and a Team LEAD. Additional per diem staff as needed to adhere to clinical coverage policy guidelines inclusive of peer support specialists, paraprofessionals, etc. 1 Team Lead- LCAS onsite 1 40 hours CSAC, CADC, etc. 1 40-hour social worker/QP .5 FTE or 20 hours of activity therapist times. Need two individuals each working about 10 hours or so a week Supervisory Responsibilities: The team leader supervises all members of the team demonstrating the knowledge, skills, and abilities for this role as required by the population and age served. 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. Education/ExperienceMaster’s degree in human services-related field required. Must have a minimum of one (1) year of documented supervisory experience working with the population served with MH/SA diagnosis. ORThree years of clinical experience with Substance Use Disorder Treatment, Required Skills/AbilitiesMust maintain strict confidentiality.Must possess effective communication/documentation skills.Ability to learn and use personal computers. Work with a computer is common and the ability to understand word processing and certain spreadsheet programs is important. Successfully complete other training as may be required or amended by company policy. Develop organizational and communication skills that foster TEAMWORK.Requires flexibility in scheduling and availability to adequately meet the service needs of the consumer/family and other team members. Must have reliable transportation and be willing to travel locally.Must meet 10A NCAC 27G.0104 Certificates, Licenses, RegistrationsLCAS or CCSValid NC driver’s license including personal vehicle insurance coverage.Current license must be maintained.NCI within 30 days of hireCPR certificationTrauma Informed Training Supervisory Resp