Job Description

POSITION SUMMARY: Provides direct treatment, rehabilitative and supportive services in a community setting to members; works as a team member of a clinical team to assess member needs and wants, participates in the development of individual service plans, acts as a member advocate and liaisons with families and community agencies; provides on-call crisis intervention services, as well as weekend and holiday coverage; serves as the team’s lead member advocate and mentor.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

  • Provides time-unlimited, community-based services to assigned caseload size of 10:1, ensures intake rate is low to maintain a stable clinical environment for other members on the case load.
  • Actively participates as part of the member’s clinical team.
  • Actively recruits new members who could benefit from ACT.
  • Takes full responsibility for the treatment services for members; coordinates care with ACT team members and other providers to ensure member’s needs are met and the member continues to receive treatment in the community to the greatest extent possible
  • Works with informal support system with or without the member present to provide clinical skills training to increase informal supports (family, landlords, employer etc).
  • Maintains high intensity of services and high-frequency contact with members as needed.
  • Utilizes assertive engagement mechanisms, including street outreach and legal mechanisms (probation/parole, court ordered treatment), when necessary, to re-engage the member in prescribed treatment.
  • Routinely assesses member’s need for ACT services, using explicit criteria to determine need to transfer to less intensive services. Gradually and individually transitions eligible members and ensure continuity of care. Monitors member’s status during transition and reintroduces services as needed to ensure member’s stability in the community.
  • Is responsible for crisis services for assigned members, coordinating hospital admissions and discharge planning.
  • Participates in daily team meeting; provides updates on assigned case load; identifies member’s risks and needs and coordinates care to access needed services. Serves as the subject matter expert in designated role; offering skills training and technical assistance
  • Complies with all program requirements per SAMHSA evidence based practice guidelines, Western Interstate Commission for Higher Education (WICHE), Mercy Maricopa and others as identified by Lifewell Behavioral Wellness.
  • Responsible for transporting members to necessary services, as outlined in their service plan, as needed.
  • Provides all services to members in accordance with established policies and procedures and clinical protocols to provide supportive counseling skill development and other support services as needed.
  • Works with member’s Prescribing Clinician, Nurse, and other members of the clinical team to ensure the timely development and implementation of the individual’s service plan (including all necessary assessments) and their crisis plan.
  • Assists members and families in accessing additional needed services and obtaining entitlements, including identification of funding services.
  • Assumes “primary contact” responsibility for a percentage of team members to: assure maintenance of accurate, thorough, and current documentation in the medical record (in accordance with policies, procedures, and clinical protocols) for those specific individuals; keep weekly member schedule for those individuals updates, and act as first contact for those members and their families.
  • Documents all member events in accordance with policies, procedures, and clinical protocols.
  • Coaches and consults with members to promote recovery and self-direction (e.g. preparation for role in treatment planning meetings
  • Facilitates wellness management and recovery strategies (e.g., Wellness Recovery Action Plans (WRAP), Illness Management and Recovery (IMR), or other deliberate wellness strategies)
  • Participates in all team activities (e.g., treatment planning, chart notes) equivalent to fellow team members
  • Models skills for and providing consultation to fellow team members
  • Provides cross-training to other team members in recovery principles and strategies
  • Assists members and families in accessing additional needed services and obtaining entitlements, including identification of funding services.
  • Assists team in identifying member perspectives and issues, which may be impacting individual member’s recovery journey
  • Serves as a role model and mentor for members being served by the team
  • Keeps informed on local and national level member initiatives, and shares information as appropriate.
  • Coordinates with the PCP, Integrated Care Provider or RBHA Care Management Department when developing member’s integrated, individualized service plan, as appropriate.
  • Develops individualized service plans (ISP) that include goals related to member’s medical and behavioral health needs; screens for physical health issues.
  • Ensures clinical interventions recommended by the RBHA care manager/care coordinator are incorporated into the members care.
  • Coordinates transition of member care for PCP services into or out of the clinic setting.

 

 

Skills / Requirements

EDUCATION/LICENSE/CERTIFICATION/EXPERIENCE REQUIREMENTS

  • The position has a requirement of a shared experience. A shared experience is defined as personally utilizing privately or publically funded behavioral health services, to include substance abuse treatment.
  • High School Diploma/GED and three years behavioral health work experience; OR
  • Associate’s degree in behavioral health related field and two years behavioral health work experience; OR
  • Bachelor’s degree in a non-behavioral health related field and one year behavioral health work experience; OR
  • Bachelor’s degree in behavioral health related field
  • Completion of Peer Support Training and Peer Support Certification
  • Current Arizona Driver License and a current satisfactory 39-month Motor Vehicle Record (MVR)
  • Must be 21 years of age

Important Notes

Lifewell Behavioral Wellness is a non-profit behavioral healthcare agency providing treatment, services and support for low-income clients diagnosed with serious mental illness (SMI), general mental health issues and substance abuse disorders. Lifewell offers residential, outpatient, community living and psychosocial rehabilitation programs which are client centered and adapted to address a broad range of needs.

Lifewell programs provide safe and supportive environments that foster recovery, healthy living and personal growth for clients as they build on existing strengths, focus on addressing deficiencies, and learn new social and vocational skills.