Under the direction of the program supervisor, work involves providing comprehensive, person-centered, team based, assertive community treatment to persons living with severe and persistent mental illness receiving services through the Community Support Program. Work includes the provision of: case management, symptom management, supportive psychotherapy, psychosocial rehab, vocational related support and assisting clients with activities of daily living according to individualized treatment plans. In conjunction with service provision, responsibilities include the development and maintenance of client case records, benefits, plans and reports in accordance with DHS 63, Social Security and Medicaid/Medicare requirements. Work in collaboration with a treatment team, other HSD employees, families and collateral agencies.
Medication Management
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Setting up of medications, taking and filling orders, medication reconciliation after hospitalization (medical or psychiatric), medication packet reconciliation each week/med set up, monitoring of medication efficacy and side effects
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Physician supports - interim medication checks, side effect monitoring, efficacy monitoring, collateral contacts with primary medical doctors (PMD) including coordination of medical treatment/taking medication orders from PMD/medical providers, review of laboratory reports (including Clozapine), coordination of lab orders, injections, lab draws, coordination with program psychiatrist when psychiatric issues present while MD out of the office
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Nursing assessment - monitoring vitals, monitoring weights, patient education, management of mild medical issues, provide direction on when to seek ER/urgent care/PMD appointment, DISCUS completion/tracking
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Part of interdisciplinary team
Work in collaboration with a treatment team, other HSD employees, families and collateral agencies.-
Actively participate in treatment team meetings, individual and group supervision meetings, and treatment plan meetings for consumers on your case load and team.
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Attend in-services, trainings, division/department meetings, committee meetings and trainings as requested or approved by your supervisor.
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Maintain prompt communication with family members, team members, Rock County Crisis Intervention, and collateral agencies requesting information.
15% Documentation-
Writes and participates in the development of clinically relevant individualized treatment plans based on DHS 63 (DHS 35). Documentation of treatment progress notes, orders, consultation with doctors/treatment providers/hospitals, documentation required for medication maintenance, Patient Assistance Program coordination for clients, insurance, prior authorizations, prescription refills, assistance with informed consents for medications
5% Other duties as assigned