Cherokee Indian Hospital Authority is an Equal Opportunity Employer (Minorities/Females/Disabled/Veterans).  To read more about this, view the EEO is the Law poster and this EEO is the Law Poster Supplement

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Masters level Therapist - Kanvwotiyi (Hiring Bonus)
Job Code:2021-08-012
Department:Residential Treatment-Snowbird
FT/PT Status:Regular Full Time
Salary Minimum45,512
Salary Midpoint56,891
Position Closes:
Open Until Filled

Job Responsibilities & Qualifications:

Primary Function:

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.


Job Duties and Responsibilities:

  • 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, CIHA, 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 CIHA 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 Analenisgi Center at regular team meetings for progress review and during emergency meetings dealing with high-risk situations
  • Utilize training and skills 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 to achieve the 55% productivity standard established for this primary therapist position. Standard is based on "actual minutes" billable/reimbursable hours of service provided, divided by available hours in a given period.
  • 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.


Education / Minimum Qualifications:

  • Master’s Degree in behavioral health field such as Social Work, Psychology or Counseling required. Degree must be obtained from an accredited university that is accepted by appropriate licensing agencies in NC.
  • One of the following NC licenses required:LCSW, LPP, LPC.
  • Must be licensed by the NC Substance Abuse Certification Board as a Licensed Clinical Addiction Specialist.
  • Certified Clinical Supervisor (full or provisional) is not required but preferred.
  • Must show competence in Substance Abuse either by licensure/certification or by at least 3 years’ experience in substance abuse treatment.
  • A minimum of three years of diagnostic, therapeutic experience preferred.
  • Specific experience working with Native Americans preferred.
  • Must possess valid drivers' license.


Job Knowledge:

  • Knowledge of individual, group and couples modalities with expertise in crises intervention with individual and families experiencing acute episodes of distress.
  • Ability to ascertain the potential lethality of a situation, respond, and refer accordingly.
  • Ability to learn computerized treatment systems such as RPMS, and ability to maintain records and files manually and on the computer.
  • Considerable originality and initiative are required in the daily performance of tasks.
  • Considerable knowledge of principles, techniques, and practices, and their application to complex casework, group work, and community problems.
  • Considerableknowledge of a wide range of medical, behavioral and psychosocial problems and their treatment.
  • Considerable knowledge of governmental and private organizations and resources in the community.
  • Considerable knowledge of the laws, regulations, and policies, which govern the program.
  • Considerable 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.
  • Significant 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 mental illness 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.
  • 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.


Complexity of Duties:

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 judgment and problem solving skills in order to be effective. Judgment may involve decisions that may have life or death results.


Supervision Received:

Works under the direct guidance of the Residential Treatment Program Manager where goals, objectives, policies, and procedures are defined but require judgment in application. Works independently within scope of practice where latitude for creative thinking, initiative and discretion are given to achieve department goals and objectives. Will receive regular supervision from the Residential Treatment Program Manager and others.


Responsibility for Accuracy:

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.


Contact with Others:

Interacts frequently with coworkers, hospital staff, patients, 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.


Confidential Data:

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 Authority Confidentiality policy and HIPAA requirements. Violations of confidentiality regulations may result in disciplinary action and other action as allowed by federal regulations.


Mental / Visual / Physical:

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. 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 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, and irritant chemical and explosive gases. Employee must strictly adhere to OSHA guidelines and protocol for maintaining sterile conditions. Some travel is required. Overnight travel may be required for meetings or training.

Customer Service:

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.


Emergency Privileges:

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.