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5d
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1d
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2d

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Residential Crisis Stabilization QMHP

Tandem Behavioral Health -
Bedford, VA

Quick Apply

Job Details

Full-time
$22 - $25 an hour

Benefits

Paid holidays
Paid time off
Retirement plan

Qualifications

CPR Certification
Google Workspace
Electronic health records (EHR) management
BLS Certification
De-escalation techniques
Conflict de-escalation
Driver's License
Bachelor's degree
First Aid Certification
Productivity software

Full Job Description

Important To Note: The Residential Crisis Stabilization Unit is not currently open. We are anticipating opening around mid July, with training starting 1-2 week prior.

Position Summary

What This Role Actually Is

You are the eyes, ears, and steady presence on a small residential unit where people in acute psychiatric crisis are trying to stabilize. You work under the supervision of licensed clinical staff, alongside nurses, peers, and other QMHPs. You don't diagnose, you don't develop treatment plans, you don't conduct clinical assessments, those are LMHP roles. What you do is just as important:

You implement the treatment plan the LMHP has developed.
You're the person who notices when a client's mood shifts, when something's off, when withdrawal is escalating, when a quiet client suddenly isn't.
You're the person who can de-escalate a situation
You're the person who makes the unit feel structured, safe, and human at the same time.

QMHPs who do this work well are not invisible, they're the operational backbone of crisis stabilization. The licensed clinicians on the team can't do their jobs without strong QMHPs running the floor.

Key Duties & Responsibilities

What You'll Do Day-to-Day

Direct Client Support

Monitor and supervise clients to ensure safety and maintain a supportive therapeutic environment.
Conduct regular safety checks per policy (30-minute rounds, headcounts, line-of-sight observations as ordered).
Observe and document changes in client behavior, mood, or functioning and report to clinical staff promptly.
Assist clients with daily living activities: hygiene, meals, structured activities, transitions between groups.
Support clients in attending scheduled groups, therapy, and recreational activities.
Implement interventions as identified in the Treatment Plan developed by the LMHP.

Crisis Response & De-Escalation

Use approved de-escalation strategies (CPI, Handle With Care, or agency-trained equivalent) to defuse escalating situations.
Assist with the implementation of safety and crisis intervention protocols.
Respond appropriately to behavioral emergencies under the direction of the LMHP and nursing staff.

Documentation & Compliance

Document all observations, services provided, and significant events in the EHR.
Submit clinical documentation (progress notes, daily logs, incident reports) within the 24-hour Virginia Medicaid documentation window.
Maintain compliance with DBHDS, Medicaid, Office of Human Rights, HIPAA, and 42 CFR Part 2 (SUD confidentiality) standards.
Report incidents, behavioral concerns, and suspected abuse/neglect per agency protocol.

Supportive Care Coordination

Assist with screening, intake, and orientation of new admissions under LMHP supervision.
Help gather mental health, substance use, and criminal history information for the clinical record.
Support discharge planning by linking clients with community-based resources and services.
Provide psychoeducation on mental health, substance use prevention, and self-care under clinical direction.

Team Participation

Participate in shift hand-offs, interdisciplinary team meetings, and required trainings.
Promote a trauma-informed, culturally responsive, and recovery-oriented care environment.
Assist with facility upkeep and maintaining a clean, safe, and therapeutic setting.

Pay Rate: $22-$25 depending on experience. Additionally, we offer $2 per hour shift differential for shifts starting at 7pm, and $2.50 per hour shift differential for weekend hours.

The Residential Crisis Stabilization Unit is a 24/7 Operation. We are looking for QMHPs interested in one of the following shifts:

Full-Time:

Monday-Friday 7am-3:30pm

Monday-Friday 3pm-11:30pm

Monday-Friday 11pm-7:30am

Part-Time:

Saturday and Sunday 7am-7pm

Saturday and Sunday 7pm-7am

We are also looking for PRN QMHPs!

Benefits:

1 week PTO
2 paid Mental Health Days
Group Health Insurance
Retirement Plan
7 Paid Holidays
Free CEUs
Free Supervision

Qualifications

Required

Active registration with the Virginia Board of Counseling as a QMHP
Bachelor's degree in human services, counseling, psychology, social work, or related field approved by the Board
Completion (or active completion) of the 80 hours of Board-required didactic education across the six core areas
Current CPR and First Aid certification
De-escalation training such as CPI or Handle With Care (or willingness to certify within 15 days)
Valid Virginia driver's license and current DMV record
Proficiency with Microsoft Office, Google Workspace, and an EHR

Skills & Competencies

Strong observation skills and the ability to notice subtle changes in mood, behavior, or functioning
Excellent documentation skills, accurate, timely, professional in tone
Ability to de-escalate stressful situations using trauma-informed approaches
Strong interpersonal skills and the ability to engage with clients experiencing serious mental illness, addiction, and/or developmental disabilities
Ability to maintain professional boundaries with clients in crisis
Strong time management, ability to complete rounds, document, support groups, and respond to needs in the same shift
Ability to work collaboratively with nurses, LMHPs, peers, and other QMHPs
Discretion in managing confidential information (HIPAA + 42 CFR Part 2)

Quick Apply

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Important To Note: The Residential Crisis Stabilization Unit is not currently open. We are anticipating opening around mid July, with training starting 1-2 week prior.

Position Summary

What This Role Actually Is

Key Duties & Responsibilities

What You'll Do Day-to-Day

Direct Client Support

Crisis Response & De-Escalation

Documentation & Compliance

Supportive Care Coordination

Team Participation

Qualifications

Required

Skills & Competencies