Archive for category: Employment

• Provides face-to-face in-home services including securing and monitoring other treatment services to adults with SMI who are referred by CSB intake staff, through the Supervisor or other agency referral sources.
• Manages an assigned caseload of individuals with serious mental illness, some of whom have co-occurring disorders.
• Assesses, secures, monitors, and coordinates multiple services according to client’s needs.
• Provides supportive counseling to persons with serious mental illness, and their family members as appropriate.
• Provides support to clients and families during times of crisis, and links clients to appropriate crisis stabilization services;
• Participates in pre-discharge planning for assigned caseload of clients in psychiatric hospital, and/or other facilities.
• Assures compliance with agency policy, client rights, confidentiality, licensure regulations, and Medicaid regulations as applicable.
• Maintains effective relationships with co-workers and customers based on courtesy, compassion, and respect. insures that staff protect carefully the confidentiality of clients.
• Participates in team meetings.
• Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service.
• Demonstrates a desire and willingness to continue growing and learning professionally, as evidenced by participation in appropriate workshops, seminars, and conferences.
• Performs other related duties consistent with the mission of the Harrisonburg-Rockingham Community Services Board.

•  Extensive knowledge of a wide range of client service approaches and resources for individuals with serious and persistent mental illness.
• Skills in delivering services and crisis interventions.
• Ability to work cooperatively and effectively with clients, co-workers, and service providers from the community.
• Ability to make use of local community resources to meet client’s needs.
• Knowledge of and adherence to basic ethics appropriate for helping professions.
• Ability to write and document services concisely and effectively.
• Demonstrated good judgment.
• Good interpersonal skills.
•  Basic computer literacy and word processing skills preferred.

Crisis Stabilization Unit Nurse (LPN or RN) Hourly

Be a part of the dynamic, interdisciplinary team teaching and supporting individuals experiencing psychiatric crisis. HRCSB is seeking hourly nursing staff who are proficient in the field, yet sensitive to the challenges individuals face when dealing with a psychiatric crisis. Arbor House is a short-term, 7-bed crisis stabilization program working with folks to avoid psychiatric hospitalization, or stepping down from hospital setting before returning home. Duties include standard nursing practices, as well as working with team of mental health professionals to ensure high quality care to those experiencing a psychiatric crisis. This position provides flexible scheduling with opportunities to engage with clients on an individual level, facilitating teaching moments, and life skill development outside of general nursing duties. Candidates must be registered and in good standing with the Virginia Board of Health Professions as a Licensed Practical Nurse or as a Registered Nurse.

General Statement of Duties:

The Community Integration Specialist takes primary responsibility to provide Psychiatric Rehabilitation Services (PRS) through social recreation outings and community integration activities for Community Mental Health Services (CMHS) clients. This advocate seeks to work both individually and with clients of the CMHS team in various community settings, prioritizing clients in the HRCSB supervised residential program.  The role of the Community Integration Specialist is to support clients in achieving and maintaining meaningful work, education and/or volunteering in the community.

Psychiatric Rehabilitation Services are evidence-based, collaborative, person directed, and individualized. These services promote recovery, full community integration, and improved quality of life for persons who have been diagnosed with behavioral health diagnoses. These services should be delivered in a person-centered, recovery-oriented, trauma-informed, culturally competent, and equitable manner. PRS focuses on skill and resource development related to independent living and increasing the individual’s ability to manage their challenges to more fully participate in community opportunities related to functional, social, educational, and vocational goals.

Primary interventions used include side by side skills training, demonstration, practice/role-plays, feedback, active listening, problem solving and ongoing prompting and cueing. The advocate works alongside clients to identify strengths, build skills, and connect to meaningful work and learning opportunities in the community.

Supervision will be provided by the Residential Site Coordinator through regular individual and team supervision.

This work requires that confidentiality be maintained in accordance with Board policy and other (private health information) PHI standards of practice (HIPAA).

This position is classified non-exempt under the Fair Labor Standards Act.

Major Duties and Responsibilities:

• Develop regular social and recreational programming linking clients to events, activities and places in the community.
• Coordinate and support clients in participating in community events and activities through communication, schedules, and promotional materials.

• Provide ongoing assessment and personalized psychoeducational interventions which identify factors that affect client vocational readiness and promote adaptive change. Provides long-term support of client progress through symptom stabilization, engagement in vocational services such as the department of disability and rehabilitation services (DARS), and employment.
• Provides support, education, and service coordination to clients’ community support systems including families, natural supports, educators, and employers within parameters of client release of information.
• Provide one-on-one and group support during outings.

• Collaborate with clients to identify and pursue social, recreational and community activities related to clients’ interests.
• Monitor engagement outcomes and collaborate with clients to address challenges and celebrate successes.
• Support clients in developing social skills appropriate for community engagement.
• Assist clients in financial planning needed to afford community activities and events.

• Maintain accurate and up-to-date client records in compliance with agency requirements and confidentiality regulations. Complete documentation same day per the agency expectation.
• Develop and maintain effective relationships with co-workers and clients based on courtesy, compassion and respect.
• Intervene promptly during psychiatric and physical crisis to address mental health issues, disruptive behavior or physical distress. Mandt, CPR, First Aid and Trauma Informed Care training are provided.
• Seek training that fosters professional growth.
• Assume other duties as assigned, consistent with established organizational policies and procedures.

Required knowledge, skills and abilities:

• Working knowledge of mental illness, trauma, and treatment principles.
• Strong interpersonal skills, including ability to empathize, demonstrate respect, communicate warmly and honestly, reflect feelings, confront constructively and allow clients to assume responsibility for themselves.
• Ability to work effectively with clients and service providers.
• Ability to intervene effectively during psychiatric crisis or medical emergencies.
• Knowledge of and adherence to basic ethics appropriate for a helping relationship.
• Ability to write concisely and clearly.
• Sound clinical and situational judgment.
• Ability to function independently as well as work as part of a team.
• Basic computer literacy and word processing skills, including Microsoft Office, Windows, and electronic medical record.

Minimum Education and Experience:

Graduation from an accredited college or university with a bachelor’s degree in human services or a related specialty with at least one year of experience working with individuals with SMI; or any equivalent combination of education and experience which provides the required knowledge, skills and abilities to seek the QMHP-T. QMHP preferred.

Additional requirements

Possession of a valid and current driver’s license, and acceptable driving record. Mandt training, CPR and First Aid Certification, Trauma Informed Care training and Medication Administration training required within first three months of hire. Continued employment is contingent on the employee becoming certified as a QMHP or QMHP-T within three months of hire.

Other Information:

Equipment: Telephone, vehicle, PC, word processing program, electronic health record, kitchen appliances, cleaning materials.

Work Environment: Community settings and offices with lighting levels, temperature ranges, air quality, and ventilation and noise levels as provided in each setting.

Work Location: Market Street residential facility 477 E. Market St., and HRCSB Main Building 1241 N. Main St., Harrisonburg, VA 22801 and other community settings.

Work Hazards: Minimal hazards associated with general day-to-day activities; occasional hazards associated with problem behaviors. Essential abilities to perform job duties including bending, crouching, and stooping, reaching, sitting, standing, and walking.

Work Schedule: General schedule is Monday through Friday and hours between 8am and 5pm, with some evenings and weekend hours. Regular and reliable attendance is required.

[RB1]Recommend changing to “General schedule is Monday through Friday and hours between 8am and 5pm, with some evenings and weekend hours.

Starting Salary:$43,527 – $48,045 annually

Actual starting salary will be commensurate with the selected candidates’ education,  experience, and qualifications.

General Statement of Duties:

Provides support functions for CSB facilities management, along with other assigned duties.  Incumbent is responsible for supporting the day-to-day operation, maintenance and upkeep of all CSB facilities and vehicles.

Distinguishing Features of Work:

This position is directly responsible to the Facilities Manager and coordinates his/her work closely with same.  He/she supports maintenance work for all CSB facilities, surrounding grounds and vehicle maintenance. The work requires knowledge in facility management and assists in decision-making and appropriate independent action regarding repairs, replacement equipment, vehicles and property management. This position has regularly scheduled supervision provided as well as consultation and assistance necessary to accomplish the work. The incumbent must coordinate his/her work closely with supervisor and others impacted by the work. The position requires planning and problem solving abilities, excellent judgment, and the ability to identify and undertake proactive property and vehicle maintenance initiatives.

Persons in this position classification are non-exempt under the Fair Labor Standards Act.

Major Duties and Responsibilities:

Helps maintain CSB office facilities as clean, safe, attractive, and functional buildings and grounds, including but not limited to the following:

• Serves as a point of contact for CSB properties held as landlord-only contracts;
• Communicates with the custodial services and/or staff engaged by the CSB as required for maintenance responsibilities.
• Monitors all facilities to ensure safety risks are anticipated and managed, as practicable.
• Tracks and maintains building keys at assigned buildings, including internal offices.
• Assists in the completion of all routine and preventive maintenance functions for CSB office buildings and grounds. This includes HVAC systems, structural repairs, incidental repairs, etc. plus recommends and assists with implementing major upgrades and renovations. Coordinates work performed by qualified contractors.
• Secures needed equipment/supplies with approved vendors.
• Maintains documentation and backup information needed for repairs, emergencies, and disaster response activities, such as warranty documents, floor plans, vendor information, etc.
• Assists in oversight responsibility for outside facility grounds, including lawn maintenance and landscaping, snow removal, etc. Responsible for contracts and vendors for those functions.
• Performs light maintenance tasks such as changing light bulbs, hanging pictures, moving small furnishings, spraying for common insects, etc. as appropriate. This includes clean up of spills, leaks or other facility-related messes.
• Helps maintain all agency vehicles in terms of inspections, cleaning, and any oversight of all necessary maintenance work to ensure safety of operation.

Assists Management and Risk Management Specialist with safety and security at CSB facilities as follows:

• Maintains staff awareness about physical security issues and procedures and monitors physical security at each site.
• Serves as a technical resource for staff and the agency around physical security issues at their perspective location(s).
• Assists leadership in the event of a major disaster to secure (as feasible) the facility to limit the loss or exposure of protected health information.

Work with Supplies clerk to ensure appropriate volume of supplies to be maintained on site, including regular inventories.

Active involvement with “Receiving” group, ensuring deliveries are received and stored in appropriate locations.

Makes effective use of available technology, including computers, e-mail, texts and voice mail in order to enhance customer service.

Maintains and assures that staff and vendors maintain effective relationships with coworkers and clients based on courtesy, compassion and respect. Requests assistance if needed.

Performs other duties as assigned in conformance with established operational policies and procedures.

Required Knowledge, Skills, and Abilities:

Knowledge of designated technical support functions involving facility management and related financial management functions. Excellent organizational skills; ability to make appropriate independent decisions and take related action based on knowledge of facility management needs; knowledge of accounts payable procedures; ability to manage assigned routine with minimal supervision, excellent communication skills, including speaking, writing, and the ability to interact effectively with the public; excellent interpersonal skills; good judgment, tact, courtesy; efficiency; dependability.  Some repair, HVAC, vehicle repair, and/or property management experience preferred. Experience with Spreadsheet Software (preferably Excel) a plus.

Minimum Education and Experience:

Two years of progressively responsible technical experience related to the functions noted above, OR any equivalent combination of experience or training that provides required knowledge, skills and abilities.

Other Information:

Equipment: Telephone system, multi-functional printer (MFP), PC and/or other designated computer hardware, designated software. Basic hardware tools and items often used in Facilities Management (e.g., screwdrivers, hammers, light bulbs, insect spray, etc.)

Work Environment: General office environment with normal lighting levels, temperature ranges, air quality, ventilation, and noise levels. Some exterior work in environments with less than office-levels of cleanliness (i.e. crawl spaces, mechanical rooms, etc.) Exposure to heat & cold conditions during times of year when exterior work required.

Work Location: North Main Street Campus, Harrisonburg, VA, and 463 East Washington Street, Harrisonburg, VA; and CSB residential properties.

Work Hazards: Some hazards associated with repetitive motion necessary for data entry/typing; possible hazards associated with overseeing capital repair/maintenance/related activities; minimal hazard associated with human services environment, and lifting or carrying supplies and equipment.

Work Schedule: Monday through Friday, regular office hours; some evening hours as scheduled; additional hours as need to perform job requirements, including emergency facility issues.  Regular attendance is required.

 HIPAA Access Level 3: Read-only access to protected health information (PHI), limited to minimum necessary, and full read/write access to demographic and financial information, limited to the minimum necessary, for all clients as part of staff provision of support services in agency health care operations. Staff at Level 3 are allowed to seek out client PHI as necessary to perform assigned duties, but are expected to exercise due precautions to avoid exposure to PHI which is not necessary to perform these assigned duties. Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI.

Starting Salary:$40,247 – $45,536 annually

Actual starting salary will be commensurate with the selected candidates’ education,  experience, and qualifications.

General Statement of Duties:

 This position plays a crucial role in supporting the financial aspects of client care within HRCSB. This position is responsible for managing client financial information, verifying insurance coverage, assisting with financial intakes, resolving billing and insurance claim issues and ensuring that clients have a clear understanding of their financial responsibilities related to services provided. The position serves as a key point of contact for clients and insurance companies as appropriate, ensuring a seamless financial experience in a supportive and compassionate manner.  This position reports to the Reimbursement Supervisor.

This position is classified non-exempt under the provision of the Fair Labor Standards Act.

Major Essential Functions:

1. Client Financial Intake

• Conduct financial intake for new and existing clients, gathering necessary demographic, insurance, and financial information. Works collaboratively with Client Account Representative to cover in-person financial intakes for clients.
• Explain financial policies to clients, including payment plans, co-pays, and insurance coverage. For self-pay clients, provides standard fees for each client in accordance with the agency policy and established sliding scale fee schedule, completes fee agreement forms, processes fee appeals for Reimbursement Supervisor/CFO approval, and scans all required documents in EHR system, attached to the client records.
• Ensure accurate entry of all client information into the electronic health record (EHR) or billing system.

2. Insurance Verification

• Verify insurance eligibility and coverage for behavioral health services, including checking for in-network benefits, co-pays, and deductibles.
• Communicate with insurance companies as needed to resolve coverage or billing discrepancies.

3. Billing and Claims Management

• Monitor and follow up on claim denials, rejections, and underpayments, working with insurance companies to resolve issues promptly.
• Assist with resubmitting corrected claims and appeals to ensure accurate reimbursement.
• Maintains up-to-date knowledge of third-party and other payers’ requirements in order to assist with notifications within the electronic health record and maximize reimbursements from those sources of revenue.

4. Client Billing and Collections

• Communicate directly with patients regarding their financial responsibilities, including statements of services and payment expectations.
• Updates client contact information as appropriate.
• Address patient inquiries related to billing issues, such as discrepancies in charges, insurance coverage, or payment plans.
• Assist patients in understanding their insurance benefits and any out-of-pocket costs, offering solutions for payment arrangements when necessary.
• May assist in the collection procedures of client overdue accounts (legal action, set-off debt).
• May assist with preparing and sending necessary paperwork to maintain CSB information with the state Set-Off Debt (SOD) Collection program, including processing Add, Change, and Update Forms under the direction of the Reimbursement Supervisor.

5. Customer Service and Support

• Provide compassionate and professional support to patients and their families regarding financial matters related to behavioral health services.
• Collaborate with clinical staff, case managers, and other departments to ensure accurate financial documentation and service delivery.

6. Compliance and Documentation

• Maintain accurate records of all financial transactions, communication with patients, and insurance interactions.
• Stay up-to-date on insurance policies, regulations, and compliance requirements in the behavioral health field.
• Ensure that all activities comply with relevant federal, state, and local regulations as well as organizational policies.

7. Problem Resolution

• Work proactively to resolve billing issues, payment discrepancies, and other financial concerns for clients in a timely and empathetic manner.

8. Collaboration and Team Support

• Collaborate with clinical and administrative teams to ensure timely and accurate processing of financial information and payments.
• Participate in training sessions to stay informed about industry changes and new financial procedures.
• Maintains effective relationships with co-workers and clients based on courtesy, compassion, and respect.
• May back up other departmental functions or perform other duties and special projects as assigned consistent with established operational policies and procedures.

 Required Knowledge, Skills and Abilities:

• Knowledge of insurance processes, claims adjudication and reimbursement procedures.
• Work independently, coordinate responsibilities and assignments with others at the appropriate level. Ability to seek and use supervision appropriately.
• Make decisions and initiate action based on established policies and procedures.
• Ability to explain complex payment/billing issues in an understandable manner to others who don’t have the billing knowledge.
• Demonstrate knowledge of computer operations in automated accounts receivable systems, office procedures and equipment;
• Perform detailed work in an accurate, efficient, and professional manner.
• Provide excellent customer service internal and external.
• Ability to understand and follow oral and written directions.
• Strong organizational, communication-both oral and written and interpersonal skills.
• Ability to be a team player within the department, agency and external to others. Flexibility with work duties.
• Maintain confidentiality of client and staff at all times.

Minimum Educational Experience:

Completion of high school or GED required.  Additional education, certifications or work experience preferred which could include college or business school courses; plus two- three years of experience in relevant customer service or administrative support work;  reimbursement and third-party billing experience a plus; or any equivalent combination of experience and training which provides the required knowledge, skills, and abilities.

Other Information:

Equipment: PC and designated software, adding machine/calculator, copy machine, fax machine, printer, document scanner, and telephone system.

Work Environment: General office environment with normal lighting levels, temperature ranges, air quality, ventilation, and noise levels.

Work Location: 1241 North Main Street Campus, Harrisonburg, VA

Work Hazards: Some hazard associated with repetitive motion necessary for data entry/ typing; standard hazards associated with human services environment.

Work Schedule: Hours will occur Monday – Friday between 8am – 5pm; hours scheduled as needed to meet agency operational needs.

HIPAA Access Level 3:  Read-only access to protected health information (PHI), limited to minimum necessary, and full read/write access to demographic and financial information, limited to the minimum necessary, for all clients as part of staff provision of support services in agency health care operations.  Staff at Level 3 are allowed to seek out client PHI as necessary to perform assigned duties, but are expected to exercise due precautions to avoid exposure to PHI which is not necessary to perform these assigned duties.  Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI.

Position Salary Range:$40,270 to $49,066 annually

Actual starting salary will be commensurate with the selected candidates’ education,  experience, and qualifications.