Responsibilities:
Clinical Responsibilities:
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Provides effective clinical assessment of the consumer at intake and continuously thereafter
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Utilizes assessment data to support a DSM – 5 diagnosis; updates diagnoses as needed
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Formulates a person centered, recover oriented, medically appropriate treatment plan along with consumer that proves medical necessity and obtains signatures each time the plan created, updated and/or revised
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Enters medications into the Pre Entry Medications for Infosribe form upon intake and as needed
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Provides individual, group, and family therapy, utilizing evidenced based and research based models and theories according to consumer needs as stated in the treatment plan
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Provides referrals when needed to internal and external agencies
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Completes intakes for group home consumers and includes needed documentation required for consumers in residential
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Completes DLA-20 for consumers residing in residential at intake and then at 3 month intervals thereafter
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Completes DLA-20 for consumers in RDP at admission and then every 6 months thereafter
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Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation
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Effectively collaborates with the treatment team members and outside sources in the delivery of clinical services
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Evaluates the consumer for discharge planning – provides appropriate referrals and/or linkage and closes chart appropriately
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Reviews API and signs off at the end of each time period according to standards
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Assists with assessing and providing therapy for children and adolescents if needed
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Effectively demonstrates the application of adult specific competencies
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Adheres to professional code of ethics
Supervision and Consultation:
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Seeks clinical supervision and consultation as needed
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Accepts and employs suggestions for improvement
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Actively works to enhance clinical skills
Clinical Record Keeping:
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Documents in a timely fashion per AltaPointe policy
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Documents appropriate, complete, and clinically comprehensive mental health assessments – including diagnostic impression and referrals
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Documents measurable and specific problem statements, goals and objectives in the treatment plan
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Documents in a clear and concise manner treatment goals and objectives addressed, interventions provided, techniques used, consumer progress and response in direct service record
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Documents case disposition, case closings, follow-up and referrals
Qualifications:
Minimum Qualifications:
Master’s degree in a mental health discipline; 23 years of age; valid driver’s license; successful completion of a practicum as part of the requirements for the degree or has six (6) months of post master’s level clinical experience supervised by a master’s level clinician with two years of postgraduate clinical experience.
