Employment

Primary Function    

The child services manager provides clinical and administrative supervision for child and adolescent services and programs. This includes services provided to children in the Analenisgi location as well as in the schools, DJJ, women’s wellness, the pediatric clinic, and in the community. Position will collaborate effectively with relevant stakeholders, clients and families. Serves as primary therapist for adults and children with mental health and substance abuse disorders including dual diagnoses who are EBCI and IHS eligible. This position will primarily serve children and families. 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 Description        

• Carry out a vision for an evidenced based and culturally appropriate continuum of care for child and family services to CIHA, stakeholders and the community.
• Provide clinical and administrative oversight for services for children, adolescents and their families
• Provide clinical and administrative supervision to support staff, clinicians and case managers.
• Ensure adequate coverage for essential functions, including but not limited to therapeutic foster care operating 24/7, as needed.
• Ensure adequate staffing for designated service locations including the Analenisgi center, DJJ, child welfare, Women’s Wellness Center, satellite clinics and the schools by managing schedules and leave requests
• Ensure adequate staffing and supervision for enhanced child services, including on call response
• Assist with recruitment and interviewing prospective employees
• Ensure appropriate clinical supervision for all staff through weekly case staffing and individual supervision where indicated
• Ensure provision of case management services to individuals and families in need, including those admitted to and being discharged from detox, psychiatric inpatient and residential treatment
• Ensure appropriate use of evidenced based practices across programs
• Work closely with the Behavioral Health Clinical Director, Child Services Director and Behavioral Health Medical Director to ensure clinical capacity to serve adults, children and families
• Ensure timely access to care through provision of a daily walk-in clinic
• Ensure appropriate clinical triage and disposition for clients according to procedure for emergent, urgent and routine requests
• Ensure appropriate first response to individuals in crisis, as well as engagement with the emergency department and crisis
• Ensure effective team work across all ages, disabilities and programs to meet the behavioral health needs of the EBCI
• Ensure complete, accurate and timely documentation and billing for services
• Communicate regularly with the Behavioral Health Director, Behavioral Health Medical Director and CIHA executive management staff as appropriate.
• Develop and maintain collaborative relationships with community stakeholders
• Monitor work flow, case assignment and employee performance to achieve or exceed productivity standards for individual employees and the department
• Coordinate with universities for clinical internships and ensure appropriate supervision of interns
• Provide staff training as directed, according to expertise and scope of practice
• Provide staff training as directed, according to expertise and scope of practice
• Manage departmental contracts as assigned.
• Ensure support for strategic objectives.
• Ensure service coverage as delegated by CIH Managed Care Organization Tribal Option.
• Ensure after hour coverage for on-call.
• Ensure relationships and a coordination of services amongst internal and external services.
• Carry out vision created for Cherokee Indian Hospital customer-owners as outlined by BH Director
• Ensure coverage of all 24 hour and essential services in areas of responsibility.
• Other duties as assigned

             

  Direct Service Duties

• Provide assessment and appropriate treatment to all eligible persons including individual, group, couples and family modalities.
• Develop care plan with clients and family members based on clearly defined problem and need statements. Include measurable goals and objectives based on the assessed needs, strengths and the client’s limitations.
• Document in RPMS or other assigned Electronic Medical Record, as outlined in policy, in a timely fashion all treatment and clinically significant events for client records in the manner prescribed by CIHA policies and procedures and quality assurance standards.
• Cooperate and collaborate with medical staff and other health professions/agencies in developing a viable therapeutic team network to facilitate patient care, discharge and follow up.
• Adhere to all applicable confidentiality policies, procedures, and practices for maintenance and release of patient records.
• Provides services to EBCI and other eligible persons on primarily outpatient basis with some inpatient consultation. Required to provide services to individuals/families in Graham and Cherokee County.
• 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 as determined by treatment needs
• Asses and treat inpatients and outpatients 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.
• Work in collaboration with the treatment team, will conduct psychosocial assessments to determine patients' needs and resources (both family support and community support).
• Cooperate and collaborates with the medical staff and other health professional/agencies 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.
• Responsible for the behavioral assessment of any case involving issues of sexual abuse or other serious behavior problems, development of treatment plan recommendations for intervention, supervision of treatment plan implementation and attendance at treatment team meetings to review behavioral data and adjust treatment plans.
• Responsible for conducting individual and family therapy sessions that review behavior management data, school performance, process relationship conflicts and focuses on success indicators. Family sessions will support the development of a plan within the home that defines acceptable behavior and establishes a method for resolving conflicts.
• Responsible for conducting behavioral assessments as assigned and providing the necessary consultation with court services and other treatment team members in developing an intervention plan.
• Implements and follows the provisions contained in all applicable privacy/confidentiality policies, procedures, and practices including EBCI, CIHA, IHS, DHHS, HIPPA, CFR 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 as outlined in CIH/other relevant policies and procedures, quality assurance and quality improvement standards .
• 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 A na le ni sgi Center 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 to achieve the standard  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.
• Provides on call crises services on a rotating basis with other staff.
• Attends multi-disciplinary team meetings]

   

  Education /Experience   

• Master’s Degree in social work, or counseling required; or doctoral level Psychology degree. Degree must be obtained from an accredited university that is accepted by appropriate licensing agencies in NC.
• Must be licensed in NC in specific discipline including Licensed Clinical Social Work, Licensed Profession Counselor, or Licensed Clinical Psychologist; Clinical Supervisor Certification required (LSCW or LPCS)
• Must show competence in Substance Abuse by licensure/certification (CSAC or LCAS) or experience providing with assessment and treatment of substance use disorders.
• A minimum of 3 years of direct practice with diagnostic, therapeutic experience;
• 2 years or more management/supervisory experience
• Must be approved for and maintain medical credentialing, upon hire
• Proficiency in Microsoft Suite (Excel (Graphs and Charts), Word, PowerPoint), in and Electronic Health Record/ documentation software
• Healthcare experience and working within a multi-disciplinary team.
• 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 and 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.
• Considerable   knowledge 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. executes work effectively.
• Provides regular dashboard/program reports to management and executive leadership.
• Flexible schedule and at times must be able to produce reports with limited notice.
• Monitor and produce outcome reports from revenue statements at interval as determined by director
• Ensure leadership development with current supervised staff.
• Ensure organizations mission, vision and values are communicated throughout teams.
• Demonstrate Right Way concepts and skills in leadership approaches to issues and concerns.

Complexity of Duties           

This position is responsible for assisting in maximizing the available resources to develop and maintain the A na le ni sgi Center that best meets the constantly changing 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. At times may be dealing with individuals who are highly agitated, emotional, or out of touch with reality.

Supervision Received           

Works under the direct guidance of the Behavioral Health Director A na le ni sgi Center Manager where goals, objectives, policies, and procedures are well defined. Works independently within applicable licensing regulations where latitude for creative thinking, initiative and discretion are given to achieve department goals and objectives.

Scope of Supervision

The incumbent is responsible for the daily, routine, technical and administrative operation of the child services teams. The incumbent will supervise the work of the staff, and the student. The child services manager interviews, hires, and terminates employees as necessary. The child services manager is responsible for all personnel and/or policy matters.

Responsibility for Accuracy

Most clinical errors would be detected with proofing and review procedures. Failure to properly manage and direct activities could result in ill will for the department, 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. 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 more 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    

Works with and/or has access to highly confidential Division files, memos, contract proposals, personnel and payroll information of which would be considered confidential and should not be disclosed. Must adhere to all CIHA confidentiality policies and procedures, as well as the Privacy Act of 1974 and HIPAA.

Mental /Visual /Physical      

Close concentration and attention to detail are required while performing most duties of the job. Is subject to frequent interruptions, both by phone and in person, which require varied responses with each contact. The duties of this job routinely require standing, walking, and sitting, kneeling, crouching, reaching, seeing, speaking, and hearing. May occasionally move more than 10 pounds.

Environment

The work is 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, and irritant chemical.  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.

Customer Service     

Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA’s guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.