Intake and Assessment Therapist

2 weeks ago

Clementon, United States ABHS Full time
Job DescriptionJob Description

Job Title: Intake and Assessment Clinician

Base: Harmony Bay Wellness

Direct Report: Intake and Assessment Supervisor

Job Purpose Summary:

Overview of Intake and Assessment Clinician job functions which include providing direct clinical service and administrative assistance to clients:

  1. Obtaining Informed Consent

  • Facilitate acceptance of client Informed Consent documents from patient portal.

  • Ensure all documentation is properly completed prior to the start of the Intake Assessment.

  • Outreach and provide rescheduling opportunities for clients unable to complete paperwork.

  1. Assessment and Diagnosis

  • Ensure each client completes a PHQ and Columbia-Suicide Severity Rating Scale during Intake Assessment.

  • Gather all relevant clinical data to make an informed preliminary diagnosis.

  • Justify all diagnoses given using DSMV criteria.

  • Assess client’s level of care, and facilitation to higher levels of care when needed.

  1. Clinical Documentation

  • Completion of Biopsychosocial, Missed Appointment Notes, Phone Call notes, etc. within 48 hours of service.

  • Maintain accurate and concise documentation of client interactions.

  1. Clinical Recommendations and Scheduling

  • Make clinically justified recommendations for the client’s treatment plan.

  • Educate clients on recommended treatment services.

  • Facilitate the linkage of clients to recommended services (therapy, medication management, specialty services).

  1. Crisis Intervention

  • Identification of client’s current risk level.

  • Maintain client safety through crisis intervention.

Responsibilities Include:

  • Responsible for review and acceptance of client Informed Consent documents.

  • Ensuring all Informed Consent has been appropriately given via electronic signature.

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