Psychiatric Nurse Practitioner

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General Statement of Duties:

Persons in this position provide a range of specialized medical diagnostic and treatment services to patients. PNPs in this position work under the supervision of the Medical Director / Chief Psychiatrist. As designated Nurse Coordinator, the incumbent provides supervision to assigned nursing staff.

Persons in this position are classified exempt under the Fair Labor Standards Act.

Major Essential Functions:

Conducts psychiatric evaluations and assessments;

Diagnoses client illnesses and carries out the necessary psychiatric treatment program;

Promptly documents services as required by State and Federal laws and agency regulations and/or requirements;

Meets agency standards for staff productivity;

Provides consultation and coordination of services with case managers and other agency staff;

May provide crisis intervention and emergency assessments;

May provide periodic psychiatric coverage for Arbor House patients, including on-site admission work-ups;

Coordinates care with other healthcare professionals; and may provide consultative           services to other professionals;

May provide services to off-site clientele (e.g., to inmates at the regional jail);

Provides administrative and clinical supervision to assigned nursing staff and other

personnel

Coordinates nursing services and other medical department services and initiatives;

Oversees operations and compliance activities under the CSB’s alternative delivery site

pharmacy license;

Coordinates leave schedules with other CSB physicians/NPs and works cooperatively with other CSB prescribers to provide backup coverage as needed during absences;

Maintains effective relationships with co-workers and customers based on courtesy, compassion, and respect;

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

Responsible for other duties as assigned, consistent with agency policies and procedures.

Required Knowledge, Skills, and Abilities:

Thorough knowledge of community behavioral and developmental health treatment services, and demonstrated interest in serving individuals with serious mental illness; knowledge of treatment protocols for individuals with a co-occurring intellectual disability and/or substance use disorder; thorough knowledge of the principles of recovery; ability to provide professional treatment services consistent with professional licensing in Virginia; ability to write concisely and effectively; excellent interpersonal skills; demonstrated good judgment. 

Minimum Education and Experience:

Incumbent must have a Masters of Science in Nursing, and have graduated from an accredited program for nurse practitioners.  He/she must show current certification and/or licensure as a Psychiatric Nurse Practitioner by the American Nurses Credentialing Center, and in Nursing.  He/she must possess and maintain current licensure and prescriptive authority in the Commonwealth of Virginia and with the DEA.  At least two years of experience in a mental health treatment setting is preferred. Staff member is responsible for submitting proof of license renewal to the Human Resources office.

Other Information:

Equipment: Computer and electronic health record; voice mail.

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

Work Location: 1241 and 1353 N. Main St. office; other facilities as needed.

Work Hazards: Standard hazards associated with human service and/or behavioral health office environment; occasional hazards associated with problem behaviors and necessary use of medical procedures. Use of universal precautions required.

Work Schedule: Office hours as defined in letter of employment; additional hours as needed to fulfill job requirements.  Regular attendance is required.

Reimbursement Administrator

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General Statement of Duties:

Provides oversight, supervision, technical direction, and administrative leadership in the areas of reimbursement and accounts receivable.  Coordinates the daily operation of the Board’s accounts receivable system and performs highly technical third-party transactions and consumer account adjustments.  Maintains the reimbursement/accounts receivable functions within the electronic health record software and serves as primary contact for reimbursement-related service changes and updates.  This position reports to the Controller.

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

Major Duties and Responsibilities:

Assists in hiring and supervises staff and directs day-to-day functions related to reimbursement.

Specifically, provides oversight and staff supervision for activities associated with accounts receivable, direct and third-party billing, and fee collection.  Interprets, implements, and assesses staff compliance with related Board policies and procedures.  Maximizes fee revenue within Board policies and procedures, and usual and customary practices.  Recommends reimbursement policies and procedures to Controller.

Coordinates, as well as participates in all phases of the reimbursement system.  Specifically,

coordinates and/or directs all billing activity/transactions to insurance/third-party payers and CSB consumers; monitors overpayments and unapplied payments and refunds appropriate balances, in accordance with Board policy and guidelines; maintains fee liability schedule for Arbor House; may coordinate financial interviews, set fees, collect fees, etc.;

Performs regular review of accounts receivable and coordinates appropriate follow-up of outstanding accounts, consistent with established guidelines and procedures. Specifically, leads collection activities on overdue accounts.  Manages collections of direct consumer payments and subsequent procedures/activities including write-offs, adjustments and/or pursuit of additional collection procedures (legal action, set-off debt, etc.); directs appropriate action to resolve unpaid claims, delays, denials, or other problems in payment from third-party payers;

Serves as a reimbursement liaison with third-party payers, including Medicaid, managed care companies, commercial insurance companies, etc.;

Maintains accounts receivable system in accordance with policies and procedures including recording, posting, and reconciling activities;

Implements and monitors procedures for the proper posting, billing, collecting and aggregate reporting of reimbursable services;

Monitors and ensures CSB compliance with payer rules, regulations and industry standards. Proactively identifies problems and areas of potential non-compliance to supervisor/ management, and works to resolve/correct these items consistent with an approved plan of correction;

Ensures the CSB is maximizing fee collections in compliance with internal and external standards of practice;

Manages the reimbursement and accounts receivable functions within the electronic health

record software.  Maintains/updates the billing matrix, billing payers, billing payer types, adjustment types, minimum fee on service types, credential groups, etc.  May update the revenue code matrix.  May assist with month-end reconciliation;

Serves as primary contact for reimbursement-related service changes and updates.  (Re)-Open or

“Undo” services to allow clinical form changes or for liability to process, etc.;

Serves as the liaison between Reimbursement and IT Department for computer/software issues;

Ensures proper reconciliation of monthly bank statement for the Representative Payee Program;

Serves as payroll backup with Controller;

May serve as backup for Controller;

Provides excellent customer service to consumers, clinical staff, auditors, and others stakeholders;

Expands own knowledge of job related areas by such means as academic study, independent reading, and attending outside conferences, workshops, etc.;

Maintains effective relationships with co-workers and customers based on courtesy, compassion, and respect;

Responsible for other duties as assigned, consistent with established operational policies, procedures, and practices.

Required Knowledge, Skills and Abilities:

Thorough knowledge of computer operations in automated accounts receivable systems; thorough technical knowledge of Medicaid, Medicare, and other third-party payer systems, regulations, and procedures; skills in effective supervision of technical areas with the ability to ensure staff accountability, efficiency, accuracy, productivity and effective interactions with staff and consumers; ability to make appropriate independent decisions and take related action based on knowledge of Board policies, procedures, and practices; ability to perform detailed, accurate work; excellent customer service and organizational skills; ability to maintain confidentiality; excellent communication skills, including speaking and writing; excellent interpersonal skills; good judgment, tact and courtesy; efficiency; dependability; and ability to be a team player.

Minimum Education and Experience:

Completion of high school, preferably supplemented by college or business school courses; plus, four years of progressively responsible experience in reimbursement and/or billing areas utilizing third-party payer systems; supervisory experience preferred; OR any equivalent combination of experience or training which provides required knowledge, skills and abilities.

Other Information:

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

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

Work Location: HRCSB 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: Monday through Friday, regular office hours; some evening hours as scheduled; additional hours as needed to perform job requirements.  Regular attendance is required.  This position is required to take at least five consecutive days of leave each year.

 

Program Assistant/Residential Advisor

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General Statement of Duties:

The Residential Advisor/Program Assistant provides administrative assistance and direct client services to residents of Market Street House (MSH). Residents of MSH are individuals with serious mental illness who require support and skills training in daily living. Serves as member of Residential Services team to provide a variety of residential supports to clients in individualized settings.

This position has primary responsibilities for providing program assistance to Residential Site Supervisor and office administration for Market Street House. These include responsibility for assigned reports, coordinating vehicle maintenance, and coordinating facility repairs. Incumbent will provide monitoring of an array of program functions, client documentation, and facility needs. Schedule is primarily daytime Monday- Friday, but is willing to work flexible schedules as needed for the program.

Additional responsibilities could include training and support in daily living skills, household management skills, supportive and/or education counseling, client goal-setting and progress evaluation, and activities to promote community integration. The residential advisor also provides on-site support with facility and grounds maintenance. Supervision is provided regularly by the Residential Site Supervisor of Market Street House. The work requires that confidentiality be maintained in accordance with Board policy. Discretion and independent judgment in providing services are required.

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

Major Essential Functions

Assures that medications are checked day and evening shifts and matches prescribed directions; checks that staff have initialed medication monitoring; calls in refills and faxes medication renewals- supervision is provided by the Integrated Care Coordinator;

Insures modules are assigned to residents and completed with staff;

Insures new residents complete initial assessment and orientation; insures referral to a primary care physician;

Completes and submits Monthly Bed Days Report;

Assures vacated rooms and/or apartments are cleaned and refurbished in timely manner

Assures monthly health and safety checks are completed; follows through quickly with correcting any safety or repair issues cited;

Monitors for facility or equipment repair needs; assures that repairs are scheduled and completed;

Tracks structured hours for residents daily; totals weekly; prompts residents as needed;

Insures vans are inspected and maintained; schedules repairs as needed;

Monitors to ensure Individual Services Plans and Monthly Summaries are completed and dated correctly; notifies Residential Site Supervisor of any exceptions.

Check the Credible schedule for all residents daily; ensures residential appointment schedule and Credible schedule match;

Assures breathalyzer or other require checks are completed for residents

Assures community outings and appointments are planned and completed

Keeps phone numbers and addresses updated for residents and community agencies;

Completes other duties as assigned by Residential Site Supervisor.

Provides on-site oversight for resident

Develops and maintains supportive relationships with residents which promote maximum functioning of each individual; provides supportive and/or educational counseling, in keeping with each resident’s individual services plan;

Plans and conducts activities with resident to promote community integration;

Assists in correcting physical plant problems and obtaining maintenance services as needed;

Performs and documents health and safety checks of the premises monthly, rectifying deficiencies as needed. Coordinates with supervisor to ensure that the house operates in compliance with licensure and human rights regulations;

Provides supervision and guidance to residents, helping establish and maintain daily living routines;

Evaluates progress of residents at regular intervals and maintains appropriate documentation in client records;

Delivers medications to HRCSB clients in the community enrolled in mobile meds program.

Maintains effective relationship with co-workers and clients based on courtesy, compassion, and respect;

Makes effective use of available technology, including computers, e-mail, electronic health record and voice mail in order to enhance customer service;

Attends meetings a necessary for administrative or programmatic purposes;

Demonstrates desire and willingness to continue professional growth and learning, as evidenced by participation in workshops, seminars, or conferences;

Is responsible for other duties as assigned, consistent with established policy and procedures.

Required Knowledge, Skills, and Abilities:

Working knowledge of mental illness and substance abuse; some knowledge of principles, practices, and methods of mental health education and counseling; principles of record keeping and documentation; basic ethics appropriate to a helping relationship including confidentiality issues; demonstrated ability to work with targeted populations; ability to instruct and support clients; ability to work effectively with clients and service providers in the community; good interpersonal skills including the ability to empathize, demonstrate respect, communicate warmly and honestly, and allow a client to assume responsibility for himself-herself; show good judgment and ability to communicate effectively, both orally and in writing; competent computer literacy and word processing skills required; demonstrated ability to complete a variety of administrative and program tasks; demonstrated ability to be timely and accurate with reports and related documentation.

Additional Requirement:

Possession of a valid driver’s license and acceptable driving record. Mandt training, Medication Administration Training, CPR Certification, First Aid Certification.

Minimum Education and Experience:

Graduation from an accredited college or university with a bachelors degree in human services or a related specialty plus one year of experience in a mental health, mental retardation, or substance abuse setting; OR any equivalent combination of experience and training which provides the required knowledge, skills, and abilities.

And Past experience with office administration duties

Other Information:

Equipment: Telephone, fax machine, vehicle, breathalyzer, computer

Work Environment: Market Street House Apartment, community settings, and offices with lighting levels, temperature ranges, air quality, ventilation and noise levels as provided each setting.

Work Location: Market Street House, community settings.

Work Hazards: Standard hazards associated with human service residential environment including hazards associated with problem behaviors; occasional hazards associated with community activities; occasional hazards associated with being the sole staff member on premises.

Work Schedule: Schedule is primarily daytime Monday- Friday, but is willing to work flexible schedules as needed for the program.

 

Infant-Toddler Developmental Professional

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General Statement of Duties:
To provide direct client services through the Infant & Toddler Connection of Harrisonburg-Rockingham, an early intervention program for children with developmental delays or disabilities, a service of Harrisonburg-Rockingham Community Services Board. The Infant Development Professional is directly responsible to the Local Systems Manager. He/she is expected to exercise considerable independence and autonomy in day-to-day decision-making about service delivery and to participate with other Early Intervention staff in assessments, planning, and service delivery. He/she is expected to exhibit expertise in the area of special education, early childhood development, and/or intellectual and developmental disabilities. The position requires the ability to work effectively with parents and infants, work cooperatively with staff from other agencies, and work as part of a team.

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

Major Duties and Responsibilities:
Assesses children in a variety of developmental domains (as determined by the Local System Manager), using the tools and test procedures approved by the Local System Manager;
Participates in multidisciplinary assessments and team meetings for individual children;
Provides developmental services to assigned Infant & Toddler clients;
Consults with a wide array of other professionals to provide and receive information regarding medical, developmental, and/or human services issues;
Participates in staff development activities required by the Local System Manager;
Participates in staff meetings and team development;
Adheres to regulations and standards established by or for compliance with human rights regulations, agency licensure requirements, confidentiality statutes, third party payer rules, professional code of ethics, etc.;
Exhibits excellent customer service, including promptly returning phone calls, expected usage
of scheduling procedures and voice mail system, accommodating client needs in scheduling, etc.;
Completes clinical and/or administrative documentation as specified by or within CSB standards, payer requirements, Medicaid regulations, professional standards, etc.;
Maintains effective relationships with co-workers and customers based on courtesy, compassion, and respect;
Responsible for other duties as assigned, consistent with established policy and procedure.

Required Knowledge, Skills and Abilities:
Excellent diagnostic and evaluative skills in all areas of development in infants and toddlers. Thorough knowledge of the principles of child development and intellectual and developmental disabilities. Good interpersonal skills with the ability to teach and to communicate clearly and effectively, both verbally and in writing. Ability to work and relate effectively to persons from a wide variety of educational and socioeconomic backgrounds who may vary markedly in their level of sophistication regarding infant and toddler development. Exhibits consistently good judgment and a high level of independence and initiative. Ability to work effectively as a team member and with a variety of community agencies. Basic computer literacy and word processing skills preferred.

Additional requirement:
Possession of a current, valid driver’s license and acceptable driving record.

Minimum Education and Experience:
Graduation from an accredited college or university with a Bachelor’s Degree in child development, special education, early childhood education or related discipline; Early Childhood Education or Special Education licensure; OR any equivalent combination of experience and training which provides the required knowledge, skills, and abilities to meet highest standards for employment as required by the Infant & Toddler Connection of Virginia. Staff member is responsible for submitting proof of license renewal to the Human Resources office. Experience with infants and toddlers, particularly those who have disabilities, is very desirable.

Other Information:
Equipment: Telephone, vehicle, PC, word processing program

Work Environment: Individual’s homes, facilities, and office with lighting levels, temperature ranges, air quality, ventilation and noise levels as provided in each setting.

Work Location: Individuals’ homes, facilities, and community settings.

Work Hazards: Standard hazards associated with general day-to-day community activities.

Work Schedule: Monday through Friday, regular office hours; some evening and weekend hours required as scheduled. Additional hours as needed to perform job requirements. Regular attendance is required.

Receptionist

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Full-time, salaried position to perform a variety of moderately complex clerical and receptionist tasks. Position requires exceptional customer service and interpersonal skills, ability to operate multi-line telephone system, and excellent computer/EHR skills. Applicant must be able to interact positively with consumers and staff and be a team member, as well as be detailed-oriented, organized, and dependable. Two years progressively responsible experience in relevant administrative/clerical support work, including multi-line phone system experience. General knowledge of behavioral health field and electronic health records is preferred.

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Developmental Disabilites Case Manager

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Full-time, salaried position, to provide case management and coordination for individuals with developmental disabilities, including intellectual disabilities, many of whom receive Medicaid-funded waiver services. Activities include planning, linking, and service coordination as well as monitoring of service provision. Position requires ability to organize, manage, and document complex services involving consumers, families, and private providers. Candidates need the ability to work effectively with a varied range of ages and disability levels. Requires knowledge of developmental disabilities and documentation procedures; and a working knowledge of client rights and local service systems. Bachelor’s degree in human services plus one year of experience working directly with persons with intellectual disabilities or other developmental disabilities is required.

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Lead Registered Nurse

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HRCSB is seeking a Registered Nurse to facilitate, monitor and report data for a StepVA initiative to ensure compliance with primary care screenings for children with serious emotional disturbance and adults with serious mental illness. The incumbent will work as a member of the medical team with psychiatrists, nurse practitioners and other nurses and in collaboration with other agency personnel in an outpatient behavioral health setting with clients who have a mental health, substance use, or intellectual disability diagnosis. Major duties include direct client care including administration of injectable medications and venipunctures, coordinating nursing services and provides supervision of assigned staff, ensures operations and compliance for the alternative delivery site, and documentation according to agency standards. Requires graduation from an accredited nursing program and licensed as a registered nurse in the State of Virginia with experience in psychiatric nursing. Supervisor experience preferred.

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Supervisor of Community Outreach

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HRCSB is seeking an experienced licensed clinician to serve as our Supervisor of Community Outreach. Candidates should have experience working with individuals with mental health and substance use related issues and have strong supervisory skills. This position provides leadership to our substance abuse case management program, including drug court case management and peer services. Seeking a candidate that has a passion for working with individuals involved in the criminal justice system. Qualified applicants must have four years of direct clinical experience. Professional license required.

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Behavioral Health Benefits and Compliance Technical Specialist

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Full time salaried position. Position’s primary role is to support the Behavioral Health Benefits Coordinator Position with the authorization process for behavioral health services. Duties include obtaining insurance eligibility; conducting pre-audit documentation reviews for medical necessity and minimum documentation compliance; submitting authorization and registration requests; entering authorization information into an electronic health record; maintaining relevant reports, tracking data and sending authorization expiration notices to clinical staff. Knowledge and experience with excel spreadsheets and electronic data systems required. Experience in human services, behavioral healthcare and/or managed care is preferred. Experience with electronic health records is beneficial. Position open until filled.

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Mobile Meds Pharmacy Technician

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General Statement of Duties:
Delivers medications and/or provides phone call reminders to individuals in the community enrolled in the Mobile Meds program. Coordinates services with other Mobile Meds staff to insure that clients are receiving the lowest level of care necessary for appropriate and safe medication compliance. Persons in this position work closely with the Senior Manager of Community Recovery Services for program planning and monitoring purposes. Administrative supervision and support is provided by the Community Recovery Services Senior Manager.

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

Major Responsibilities:
Delivers medications per Mobile Meds protocol to individuals in the community as scheduled;
Provides phone call reminders to clients who are more independent in their medication compliance;
Provides education about medications, what symptoms the medication treats, possible side effects and make recommendations for alleviating side effects;
Submits documentation of medication deliveries and phone calls daily;
Assist Mobile Meds Nurse with packaging medications for delivery, if needed;
Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service;
Maintains effective relationships with co-workers and customers based on courtesy, compassion, and respect;
Performs duties as assigned consistent with established operational policies and procedures.

Required Knowledge, Skills, and Abilities:
Knowledge of medications used to treat mental illness, purpose of medications, potential side effects and treatment of these side effects. Knowledge of safe practices for medication delivery. Knowledge of various mental illness and substance abuse diagnoses; symptoms of mental illness and substance abuse; related needs for support; principles of record keeping and documentation; basic ethics appropriate to a helping relationship; confidentiality requirements. Good interpersonal communication skills. Ability to demonstrate respect, communicate warmly and honestly, respond quickly and effectively to crisis situations, show good judgment; allow an individual with mental illness to assume appropriate degree of responsibility for herself/himself with regards to medication compliance.

Minimum Education and Experience:
Completion of an Associate degree in Pharmacy Practice from an accredited program; or completion of high school/accredited pharmacy technician certification program and two years of experience working with individuals with mental illness; or any equivalent combination of experience and training which provides the required knowledge, skills and abilities.

Additional Requirement:
Current Virginia Department of Health Professionals (DHP) certification as a Pharmacy Technician, valid Virginia driver’s license and certifications in CPR, First Aid and Mandt.

Other Information:
Equipment: Telephone, vehicle, computer.

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

Work Location: Clients’ homes, community settings, and/or CSB facilities.

Work Hazards: Minimal hazards associated with general day-to-day community activities and entering and exiting clients’ homes (some with stairs). Variable hazards unique to each client, including but not limited to size, weight, activity level, behaviors, symptoms, or characteristics.

Work Schedule: Evenings, Weekends and Holidays; varies according to the needs of the client and program.