Intake and Assessment Therapist
4 weeks ago
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:
- 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.
- 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.
- 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.
- 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).
- Crisis Intervention
- Identification of client’s current risk level.
- Maintain client safety through crisis intervention.
- Responsible for review and acceptance of client Informed Consent documents.
- Ensuring all Informed Consent has been appropriately given via electronic signature.
- Provide direct service by assessing client’s bio-psycho-social needs, within the allotted 1-hour session.
- Attend monthly supervision with Intake and Assessment Supervisor.
- Attend weekly Intake Clinical Meeting.
- Facilitate referral of clients to higher levels of care, when needed.
- Maintain Key Performance Indicator expectations.
- Respond to emails from staff within a 24-hour time frame.
Intake and Assessment Clinicians’ performance will be evaluated on several competencies including but not limited to:
- 70% of admitted clients linked to therapeutic services.
- 10% of admitted clients linked to specialty services.
- Average rating of 4.3 of 5 or higher on client satisfaction surveys.
- Documentation completed within 48 hours of service.
- Chart audit scores at or above 80% each quarter.
- Appropriate documentation of and adherence to processes related to higher level of care recommendations and high-risk reporting.
Job Type: Full-time
Required education: A master's degree in the Human Services field and Full or Associate Licensure in state of practice
Required experience: 2+ years’ experience at a working in a Mental Health Treatment Facility
Job Specific Competencies:
- Clinical Charting
- Crisis Management and Suicide Intervention
- Understanding of evidenced-based practices in mental health treatment.
- Basic knowledge of TMS and Spravato
- Familiarity with telehealth services and virtual, HIPAA-compliant meeting platforms
Core Competencies
- Proper English and grammar, usage, and spelling
- Familiarity with Electronic Health Record systems
- Basic computer knowledge including outlook, excel and EHR systems
- Knowledge of HIPAA
Core Values:
- Demonstrate company core values through “Taking Accountability, Living in the Solution, Be Professional and Create Meaningful Connections”.
- Occasional to frequent walking, sitting, standing
- Close eye work (computers, typing, reading, writing)
- Communicable diseases
- Hot/cold temperatures
- Environmental conditions may vary
This description reflects management’s assignment of essential functions, it does not proscribe or restrict the tasks that may be assigned.
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