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Residential Treatment Clinical Supervisor
Job Code:2018-08-013
Department:Residential Treatment-Snowbird
FT/PT Status:Regular Full Time
Salary Range:52339-78509
Position Closes:
Position Closes 6/21/2018

***$2,500 Sign-on Bonus***

Job Responsibilities & Qualifications:
Serves as primary therapist for adults with mental health and substance abuse disorders including dual diagnoses who are EBCI and IHS eligible. This position will primarily serve adults in the residential treatment program. Services include comprehensive clinical assessment of client and family needs, utilization of evidenced based treatments for psychiatric and substance use disorders.  Employee is expected to provide individual, family, and group therapy using brief focused therapy methods as well as more traditional methods of treatment. Employee will also provide emergency, crisis intervention, consultation and education services as needed. In addition to the above duties, the position will supervise, train, and monitor the performance of other Masters Level Therapists assigned to the program.

- Provide direct supervision for Masters Level Therapists at the Residential Treatment Program.
- Train assigned staff on integrated care model and Evidenced based culturally appropriate treatment modalities used in the program such as Matrix Model, Wellbriety, etc.
- Advise BH Leadership on the clinical programming and treatment modalities used at Kanvwotiyi, presenting information to BH Leadership regularly for guidance on requested changes to the program.
- Manage the clinical program schedule, working closely with other staff to ensure coverage of activities.
- Address performance challenges according to Cherokee Indian Hospital (CIH) policy.
- Ensure behavioral health support for all residents in the program.
- Participate in Kanvwotiyi Leadership Team meeting each week, or as instructed by Snowbird Residential Treatment Manager.
- Identify training priorities for assigned staff.
- Provide reports to leadership as required.
- Ensure documentation of all treatment and clinically significant events in Electronic Health Record as prescribed by CIH policies and procedures and quality assurance standards.
- Communicate regularly with the Kan Residential Treatment Manager, Behavioral Health Clinical Director, Behavioral Health Assistant Director, other hospital departments and CIH Executive staff as needed. 
- Provide staff training as directed, according to expertise and scope of practice.
- Ensure supervised program is taking measures to improve practice by completing performance improvement projects in areas needing improvement.
- Assist Kan Residential Treatment Manager in ensuring sufficient billable/reimbursable services are met for the program assigned. Medicaid, ie. OMB rate. 
- Participate in completing performance appraisals of direct reports with applicable manager/supervisor.
- Assist BH Clinical Director in meeting accreditation requirements of the Joint Commission of Health Care Organizations.
- Ensure implementation of provisions contained in all applicable privacy/confidentiality policies, procedures, and practices for maintenance and release of patient records and clinical information, including EBCI, CIH, IHS, DHHS, HIPAA, JCAHO, CFR 42, or other licensing bodies.
- Assist with recruitment and hiring process for employees.
- Develop and maintain collaborative relationships with community stakeholders.
- Ensure timely access to care.
- Assume administrative responsibilities of manager or director as assigned or delegated.
- Other clinical and administrative duties as assigned.

- Provides services to EBCI and other eligible persons on primarily outpatient basis with
some inpatient consultation. Services are provided at the residential treatment program primarily. 
- Responsible for completion of intake forms, identification of community resources, patient assessment, provision and coordination of supportive services, patient advocacy.
- Provides therapy services to patients in exceptionally difficulty cases where such is appropriate as determined by treatment needs, which require incumbents' special skills and/or level of expertise.
- Assess and treat inpatient and outpatient clients in individual, group, couples, and family modalities exercising mature professional judgment and using a wide range of therapeutic skills to include individual and family counseling to assist patients and their families in dealing with chronic and acute MH/SA diagnoses.
- Working in collaboration with the treatment team, will conduct psychosocial assessments to determine patients' needs and resources (both family support and community support).
- Cooperates and collaborates with the medical staff and other health professional/agencies in developing a viable therapeutic team network to facilitate and establish patterns of cooperative efforts and to facilitate patient care, discharge and follow-up.
- Provide counseling to patient and family in matters directly related to patients' limitations, finances, adjustments to medical condition and ongoing treatment.
- Develop and implement discharge plans, follow-up care, and transfers to other behavioral health facilities as appropriate.
- Implements and follows the provisions contained in all applicable privacy/confidentiality policies, procedures, and practices for maintenance and release of patient records and clinical information, including EBCI, CIH, IHS, DHHS, HIPAA, CHR 42, or other licensing bodies.
- Responsible for attending clinical staffing as an integral component of a treatment team, facilitating the discussion of patient data, and formulating changes to the treatment plan.
- Responsible for the development of individual treatment plans including comprehensive assessment, development of time limited, quantified, measurable, and salient goals, and prescribing procedures and interventions which facilitate goal attainment. Treatment plans must be consistent with the patient diagnosis, agency quality assurance guidelines, and level of care policies.
- Shall perform limited administrative duties, which include maintaining statistical records of clinical workload, utilization review, and quality assurance, participating in education programs, and participating in clinical quality assurance functions.
- Assists in attaining and maintaining accreditation by the Joint Commission of Health Care Organizations.
- Participates in division/program meetings to review and identify opportunities to improve the program and treatment provided, and recommend corrective action when problems are identified. This includes assisting with changes in policy and procedure, which would improve the care of service delivery.
- Participates in the provision of periodic in-service training for non-health care practitioner members of the clinical and administrative staff on subjects germane to clinical and case management, services. This shall include responsibility for developing and implementing psycho educational programs, community relations, information and referral.
- Timely record all treatment and clinically significant events for the medical record in the manner prescribed by CIH policies and procedures, quality assurance and quality improvement manuals.
- Provides written, telephone, and face to face consultation services to various persons and organizations which affect the patient These include schools, courts, probation officers, physicians, hospitals, medical care providers, law enforcement officers, social services and community agencies. Regular progress reports are required for communicating with the court and judicial supervisors. Represents the Kanvwotiyi/Behavioral Health at regular team meetings for progress review and during emergency meetings dealing with high-risk situations
- Utilizing training and skill in community organization, participates in community planning and implementation of programs to help resolve such complex issues as improving coordination of services or developing programs of the developmentally delayed, emotionally disturbed persons, and persons with drug, alcohol, and inhalant problems. 
- This position is expected to provide sufficient billable/reimbursable services a set for the program assigned. Medicaid, ie. OMB rate.
- Expected to obtain continuing education both through in-service training and through access and tuition payment for approved training seminars and workshops.
- May provide on call crisis services on a rotating basis with other staff.
- Participate in treatment program cross training, in order to assist with fulfilling other programmatic needs, such as work units supervision, kitchen, housekeeping, maintenance/grounds, client supervision, intake/discharge coordination, etc.  This position will assist in various capacities as needed.  
- Other duties as assigned.
Communications & Teamwork:
- Shares and receives information, opinions, concerns, and feedback in a supportive manner.
- Works collaboratively by building bridges, and creating rapport with team members within departments and across the organization.
- Communicates effectively.
- Performs job duties as a member of the residential treatment program team.
- Provides simultaneous focus on health and behavioral health issues.
- Attends Kan Residential Treatment staff meetings, training sessions, and planning and problem solving sessions.
- Participates in regularly scheduled individual and group supervisory sessions.
- Develops educational, training materials and conducts sessions or disseminates information to residential treatment program team on recent advances in the field.
- Utilize professional communication and conflict resolution skills with customer-owners and staff. 
- Effectively coordinates with multi-disciplinary team and CIH providers in accomplishing goals/objectives of treatment plan.
- Present clinical presentations at clinical review meetings.  

Improvement & Innovation:
- Makes meaningful improvement to services, program, and processes and/or organizational effectiveness that creates new value for customer-owners and employees.
- Works in coordination with management to develop and implement a quality assurance program.

Additional Responsibilities for Residential Treatment Clinical Supervisor: Meets all requirements of Masters Level Therapist, including the following: 

Workforce Development Skills & Abilities:
1. Demonstrated ability and skills to serve in capacity of “lead” clinician or serve as a resource on behavioral health/treatment issues for program staff.
2. Demonstrated ability to plan, develop and facilitate trainings on specific mental health/treatment approaches for program staff.
3. Demonstrated ability and skills to facilitate Clinical and Treatment Reviews for program.
4. Demonstrated ability to make independent decisions/problem solve on issues of intervention strategies and crisis interventions.
5. Demonstrated ability and skill to train staff on use of therapeutic models, investigates new models and determines applicability for clients/program served.
6. Demonstrated ability to work collaboratively as part of the Residential Treatment Program Team in managing chronic and behavioral health conditions.
7. Demonstrated ability to work in a “readiness to change” model versus a long term therapeutic model of care.
8. Demonstrated ability to optimize the roles and responsibilities of all of the residential treatment program team members in order to facilitate health and healing.
9. Demonstrated ability to serve as a clinical supervisor, if needed, for Masters Level Therapists or other clinical staff.
10. Demonstrated ability and skills to chair or facilitate a new initiative or group in the Residential Treatment Program.
11. Other duties as assigned.

- Master’s Degree in social work, psychology, or counseling; OR PhD/PsyD in Clinical or Counseling Psychology; OR current certification by the American Academy of Nurse Practitioners or American Nurse Credentialing Center, (NP). Degree must be obtained from an accredited university that is accepted by appropriate licensing agencies in NC; and 
- Must be licensed in NC in specific discipline including Licensed Clinical Social Work, Licensed Marriage Family Therapist, Licensed Psychological Practitioner or Licensed Profession Counselor full or provisional license (Licensed Clinical Social Worker Associate; Licensed Professional Counselor Associate; Licensed Psychological Associate); if a Nurse Practitioner, current North Carolina Licensure; and
- Must be approved for and maintain medical credentialing, upon hire; and
- Must possess valid drivers' license; and
- Ages of Population(s) served: All ages, and
- Completion of Alcohol and Drug credentialing by the North Carolina Substance Abuse Professional Practice Board (CSAC or LCAS); and 
- Two (2) years of supervised clinical work experience for master’s level or Nurse Practitioner OR Two (2) years of post-graduate clinical experience for PhD or Psy.D. level; and  
- Must be approved for and maintain medical credentialing, upon hire.

- Leadership or supervisory experience;
- Specific experience working with Americans Indians.
- Knowledge of individual, group and couples/family modalities with expertise in crises intervention with individual and families experiencing acute episodes of distress.
- Ability to ascertain the potential lethality of a situation and respond and refer accordingly.
- Ability to learn computerized treatment systems such as the Electronic Medical Record, RPMS and ability to maintain records and files manually and on the computer.
- Displays originality and initiative to complete daily performance of tasks. 
- Knowledge of principles, techniques, and practices, and their application to complex casework, group work, and community problems.
- Knowledge of a wide range of medical, behavioral and psychosocial problems and their treatment.
- Knowledge of governmental and private organizations and resources in the community.
- Knowledge of the laws, regulations, and policies, which govern the program.
- Knowledge of medical terminology, disease processes, and their treatment as they relate to decisions regarding clinical interventions and appropriate therapies based on medical or psychological diagnosis. 
- Knowledge of substance abuse to include diagnostic criteria for abuse, dependence, intoxication and withdrawal of all drug classifications, methods of evaluation and assessment, impact of behavioral health issues on patients ability to negotiate treatment recommendations, current treatment approaches, modalities of care, and substance abuse and other programs or services available to patients.
- Skill in establishing rapport with a patient and in applying techniques of assessing psychological, behavioral, and psychosocial aspects of patients problems.
- Willingness to learn more about the various culture/spiritual components integrated into the program and have considerations for this when identified.
- Ability to establish and maintain effective working relationships with members of caseload and their families, other professional disciplines, and a variety of governmental and private resources and organizations in the community.
- Ability to express ideas clearly and concisely and to plan and execute work effectively.

This position is responsible for assisting in maximizing the available resources to meet the behavioral health needs of the community. Must have the ability to interpret policy, laws and regulations in order to make decisions when a precedent is not available. Duties require the application of clinical judgment and problem solving skills in order to be effective. Judgment often involves decisions that may have life or death results. 

Works under the direct guidance assigned supervisor, manager and/or behavioral health clinical director where responsibilities and assignments are often broadly defined. Position must demonstrate considerable initiative and ability to work independently within applicable licensing regulations where latitude for creative thinking, initiative and discretion are given to achieve department goals and objectives. Position must communicate effectively with supervisor to ensure alignment with organizational goals, mission, vision and values. 

Failure to provide adequate clinical services or to properly manage and direct activities could result in poor client outcomes, delays in patient treatment, and negative patient and community relations. Ineffective health planning could have adverse effects on the health status of the community by limiting access to necessary resources. Accuracy of data and research is critical in the allocation of tribal resources. Employee is responsible for the adherence to policy and procedure. Inappropriate actions or inaccuracies in judgment could result in improper diagnosis and treatment, serious liability for the tribe, or serious health risks to patients.

Interacts frequently with coworkers, hospital staff, patients, stakeholders and other health professionals for the purpose of exchanging information, obtaining, or providing assistance. Serves on various local, community, and health committees, boards and advisory councils, as appropriate. Tact, courtesy, and professional conduct are required to maintain positive working relationships. Utmost sensitivity and confidentiality is required when dealing with patients and families.

The provision of medical care requires that the incumbent maintain strict appropriate confidentiality regarding all patient information. The employee will have access to patient records and highly confidential information and must function with utmost integrity to safe guard this information. The employee complies with EBCI policy on confidentiality of patient records, Cherokee Indian Hospital Confidentiality policy, HIPAA, and other federal law requirements. Violations of confidentiality regulations may result inter-disciplinary action and other action as allowed by federal regulations.  

Job duties can be mentally and emotionally stressful at times given the complexity of the duties, management and supervision of staff and the clinical areas being addressed with the people being served. Close mental concentration and attention to detail are required. Physical activities require the ability to be mobile, sit, reach, bend, and be in front of groups and deliver training for extended periods of time. Some physical exertion and stamina is required such as required to transport training materials or to travel. Must have visual acuity, manual dexterity, and the ability to speak and hear. Must be able to lift 30 lbs.  

- Position requires: stand (under 1/3 time); walk (under 1/3 time); sit (to 2/3 time); talk or hear (over 2/3 time).
- Weight lifted or force exerted: none.
- Special vision requirements: Close vision (clear vision at 20 inches or less).

The employee works primarily in a hospital, inpatient or outpatient clinical environment but may be required to work at other offices and locations. The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, irritant chemical and explosive gases. Employee must strictly adhere to OSHA guidelines and protocol for maintaining sterile conditions.

Some travel is required.  Infrequent overnight travel may be required for meetings or to attend training.  

Consistently demonstrates superior customer service to patients/customers by displaying Culture of Caring behaviors and skills. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.

In the case of an emergency, any member of the Medical Staff, to the degree permitted by his/her license shall be permitted to do everything possible to save a patient’s life or save a patient from serious harm, regardless of the individual’s clinical privileges. This shall be defined as those situations in which a delay could result in serious harm or death and in which a more qualified member is not immediately available.