Children’s Mental Health Case Manager

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The Harrisonburg-Rockingham Community Services Board is looking for a new Children’s Mental Health Case Manager! The Children’s Mental Health Case Manager will provide case management and service coordination for children with significant mental health struggles as well as their families. This position requires the ability to organize your schedule, manage a caseload of clients, and document complex services involving consumers, families, and private providers. Ideal candidates will have experiences working with children, adolescents and families, or any kind of related experience and education which would prepare you for working well with this population. This is a full-time, salaried, position with benefits and requires at least a Bachelor’s Degree in a human services related field.
Job Details
• Provides face-to-face in-home, intake, diagnostic and treatment services to children, adolescents and their families who are referred by the CBS staff, the Director, or through the Family Assessment & Planning Team (FAPT).
• Provides intensive case management through linking the individual directly to services, advocating on behalf of the client, coordinating services, enhancing community integration, and making collateral contacts as appropriate;
• Provides emergency intervention and crisis stabilization for assigned families;
• Provides educational or training activities as appropriate to parents of assigned cases;
Benefits
• Group coverage with the City of Harrisonburg
• Dental and vision insurance coverage
• Optional life insurance
• Annual leave and sick leave accrual
• 32 hours of personal leave granted after completion of 6 month probationary period
• Twelve paid holidays throughout the year
• Participation in the Virginia Retirement System
Minimum Qualifications
• Bachelor’s degree in human services or related field
• Prior experience serving children, adolescents, and families
• Any equivalent combination of education and experience

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Developmental Disabilities Case Manager

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General Statement of Duties:

Provides direct services to individuals with developmental disabilities. Activities include linking and service coordination as well as monitoring of service provision. The position requires maximum responsiveness to client and family concerns, so may require flexible work hours as needed.

General supervision is provided regularly by the Supervisor of Developmental Disability Case Management. Considerable coordination and planning must occur independently, with supervisory consultation; therefore, decision-making skills and the ability to act independently are necessary.

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

Major Essential Functions:

  • Conducts or coordinates assessment to determine eligibility for ID/DD Case Management.
  • Utilizes a person-centered planning approach to identify strengths and goals, including employment goals, with input from the person and her/his network of friends, family and significant others.
  • Develops person centered plans that are based on the person’s strengths and address the person’s desires, needs, and the limitations of the individual and her/his current support system.
  • Assists individual clients directly for the purpose of locating, developing or obtaining needed services and resources. This may include crisis response, transportation assistance, family intervention, Regional Support Teams, and other forms of assistance.
  • Coordinates services with other agencies and providers involved with the individual.
  • Makes collateral contacts with significant others and fosters the development of natural support networks of friends and family.
  • Monitors service delivery to assure implementation of the consumer service plan. Assesses the individual’s receipt of and satisfaction with services. Includes clients and families in monitoring services and, as appropriate, amending consumer service plans; As applicable, monitor service delivery in accordance with Enhanced Case Management guidelines.
  • Maintains client records in conformity with CSB policies and procedures in order to document the provision of support coordination. For Medicaid clients, maintains records in compliance with State Plan Option (SPO) or Waiver regulations and guidelines.
  • Meets agency standards for staff productivity.
  • 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.
  • Participates in training and staff development activities to enhance and maintain skills, in accordance with CSB policy.
  • Performs other duties as assigned consistent with established operational policies and procedures.

Required Knowledge, Skills and Abilities:

Knowledge of intellectual disability; its causes and current forms of service provision; assessment procedures, including person-centered approaches; client rights; local service delivery systems; principles of record-keeping and documentation; consumer service planning processes and formats; basic ethics appropriate to a helping relationship. Skills in working with clients, families, and other service providers; identifying and/or creating supports and services to meet identified needs; coordinating multiple services to meet client needs. Ability to form helping relationships with clients and families; communicate effectively orally and in writing; be assertive in assisting clients; work independently and benefit from supervision. Basic computer literacy and word processing skills preferred.

Additional Requirement:

  • Possession of a current, valid driver’s license and good driving record.
  • Ability to pass a background check.
  • E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States

Minimum Education and Experience:

Graduation from an accredited college or university with a bachelor’s degree in human services, special education or a related specialty, plus developmental disability work experience or relevant education that indicates that at entry level they possess the knowledge, skills, and abilities indicated above.

Other Information:

Equipment:  Telephone, copy machine, vehicle, PC.

Work Environment:  General office environment with normal lighting levels, temperature, air quality, ventilation, and noise levels. Community settings, facilities, individual’s homes with environment as determined by occupant.

Work Location:  1241 N. Main St., Harrisonburg; individuals’ homes, individuals’ workplaces, other human services agencies, facilities, and/or community settings. 

Work Hazards:  Minimal hazards associated with rehabilitation programs.

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. 

Jail Services Clinician

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General Statement of Duties:

Provides behavioral health services to individuals currently incarcerated in the Rockingham-Harrisonburg Regional Jail (RHRJ).  Services include coordinating access to jail based psychiatric services, providing screenings and assessments to identify and evaluate mental health concerns, providing short-term supportive counseling, leading psychoeducational groups and facilitating continued services upon release from RHRJ as appropriate.  This position works closely with RHRJ staff to facilitate appropriate mental health interventions to incarcerated individuals. The position is supervised by the Senior Manager of Adult Outpatient Services and will be provided with regularly scheduled supervision. Additional consultation and assistance are also available from Director of Behavioral Health Services and other relevant program supervisors within the Board as needed. This position requires the ability to work with considerable independence and sound clinical judgment, willingness and ability to utilize supervision, and commitment to working with individuals whose needs may be challenging to meet.

This position is classified Exempt under the Fair Labor Standards Act.

Major Essential Functions:

  • Provides screenings and referrals to CSB Nurse Psychiatric Practitioner within Rockingham-Harrisonburg Regional Jail.
  • Provides safety assessments and recommendations for inmates indicated by jail staff.
  • Provides crisis intervention and makes referrals to emergency services when appropriate.
  • Collaborates with jail staff to provide segregation evaluations on inmates that are placed, or have requested to be placed, in segregation within the jail.
  • Assists inmates in accessing mental health and/or substance abuse services upon release from jail.
  • Provides short-term supportive counseling to persons with serious mental illness within RHRJ.
  • Facilitates a psychoeducational group on the mental health pod in RHRJ.
  • Facilitates weekly behavioral health focused groups offered, as appropriate, to all general population RHRJ inmates.
  • In collaboration with the Senior Manager of Adult Outpatient Services serves as a liaison between HRCSB and RHRJ as appropriate.
  • In collaboration with the Senior Manager of Adult Outpatient Services, will maintain required reporting data elements to be utilized for internal and external outcome measurements.
  • 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;
  • Participates in team meetings and individual supervision;
  • Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service;
  • Performs other related functions as assigned, consistent with organizational objectives, policies, and procedures.

Required Knowledge, Skills and Abilities:

Thorough knowledge of principles, practices, and methods of mental health interventions; thorough knowledge of crisis intervention/emergency techniques; ability to work 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 concisely and effectively; demonstrated good judgment; good interpersonal skills. 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 master’s degree in human services or a related specialty plus two years of experience in a mental health, mental retardation, or substance abuse setting; OR any equivalent combination of education and experience which provides the required knowledge, skills and abilities. Must be professionally licensed (LPC or LCSW) or license eligible.  If licensed, staff member is responsible submitting an active license at time of hire and annual proof of license renewal to the Human Resources office.

Other Information: 

Equipment: Telephone, copy machine, fax machine, vehicle, PC, word processing software, Dictaphone, TDD. 

Work Environment: General office environment with normal lighting levels, temperature, air quality, ventilation and noise levels. Community settings, facilities, individual’s homes with environment as determined by occupant. 

Work Location: Rockingham County Jail, 25 South Liberty St., Harrisonburg, 1241 North Main Street office. 

Work Hazards:  Standard hazards associated with a mental health treatment environment including hazards associated with problem behaviors. Use of universal precautions required.

 Work Schedule: Monday through Friday, regular office hours; some evening and weekend hours may be required; additional hours as needed to perform job requirements.

 

 

Infant Toddler Service Coordinator

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Major Duties and Responsibilities:

  • Screen children of a variety of developmental domains, using screening tools approved by the ITC Coordinator.
  • Participates in multidisciplinary assessments and team meetings for individual children.
  • Provides developmental services to assigned ITC clients.
  • Provides service coordination (case management) to assigned ITC families, coordinating multiple resources to accomplish family goals.
  • Consults with a wide array of professionals to provide and receive information regarding medical, developmental, and/or human services issues.
  • Participates in staff development activities required by the programs coordinator.
  • 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 payor rules, professional code of ethics, Part C policies.
  • Exhibits excellent customer service, including promptly returning phone calls and answering emails.
  • Completes clinical and/or administrative documentation as specified by or within CSB standard, payor regulations, Medicaid regulations, professional standards.
  • 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 knowledge and analytical skills in all areas of development of infants and toddlers.
  • Thorough knowledge on the principles of child development and intellectual disabilities.
  • Good interpersonal skills with the ability to teach and communicate effectively, both verbally and written.
  • Ability to work and relate effectively to persons from a wide variety of educational and socioeconomic backgrounds.
  • Good Judgement 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 is preferred.

Additional requirement:

  • Possession of a current, valid driver’s license and acceptable driving record.
  • Background check with favorable results.

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/Special Education Certification.
  • 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: Minimal 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.

E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.

HRCSB is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact recruitment@hrcsb.org.

Adult Mental Health Case Manager

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General Statement of Duties:

Provides community-based services for individuals with serious mental illness, some of whom have co-occurring disorders or disabilities. An emphasis is on securing and coordinating services to meet multiple needs of clients, providing support to families, and working with the CSB Community Liaison to assist clients with transition from local and state hospitals to community services. The position is supervised by the Adult Mental Health Case Management Supervisor.  Regularly scheduled supervision is provided as well as consultation and assistance necessary to accomplish the work. This position requires the ability to work with considerable independence and sound judgment, willingness and ability to utilize supervision, and commitment to working with individuals whose needs may be challenging to meet.

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

Major Essential Functions:

  • 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.

Required Knowledge, Skills and Abilities:

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.

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 required; additional education in human services or a related specialty and/or experience in a mental health, developmental disabilities, or substance abuse setting preferred; candidates must have a combination of education and experience which provides the required knowledge, skills and abilities.

Other Information:

Equipment: Telephone, copy and fax machine, vehicle, PC, word processing software, electronic health record.

Work Environment: General office environment with normal lighting levels, temperature, air quality, ventilation and noise levels. Community settings, facilities, individual’s homes with environment as determined by occupant.

Work Location: 1241 N. Main St., Harrisonburg; individuals’ homes, facilities, and/or community settings.

Work Hazards:  Standard hazards associated with a mental health treatment environment including hazards associated with problem behaviors. Use of universal precautions required.

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

 

Hospital Discharge Liaison

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General Statement of Duties:

Coordinates discharges from adult state hospitals such that hospital utilization is managed efficiently and community reintegration is pursued aggressively. Primary focus is on individuals at Western State Hospital (WSH), Catawba Hospital, and Central State Hospital, along with SVMHI, NVMHI and Piedmont Geriatric Hospital.  Supports the Discharge Assistance Program (DAP) Coordinator by providing DAP Monitoring to DAP recipients who otherwise receive no CSB services. This position is supervised by the Hospital Liaison Coordinator.

Incumbents in this position should have demonstrated capabilities and initiative in supporting adults with serious mental illness, as well as demonstrated capacity to work proactively with a variety of facility and community staff in a position of considerable responsibility, visibility, and accountability. Job duties require the ability to make sound decisions, represent the agency effectively in interagency settings, interpret and apply protocols and procedures, consult and collaborate regularly with multiple other staff members, maintain confidentiality, and document the delivery of services.

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

Major Duties and Responsibilities:

Serves as primary contact person for facilitating discharge of individuals receiving inpatient services at Department of Behavioral Health and Developmental Disabilities (DBHDS) funded mental health facilities;

Works with individual consumers, as well as their respective inpatient staff and community support teams to achieve timely and effective discharge and effective engagement in community services. Ensures that copies of advance directives, wellness recovery action plans (WRAP), or similar expressions of a consumer’s treatment preferences, if available, are included in the consumer’s service record.

Serves as primary case coordinator for individuals admitted to adult state hospitals who are not already supported by a CSB case manager; develops and documents plans for discharge and initiation of appropriate community services.

Collaborates with the Discharge Assistance Program (DAP) coordinator to create DAP plans, identifying DAP eligible clients, and identifying appropriate Core Services for one-time and ongoing DAP expenditures.

Provides case monitoring and limited coordination for individuals with DAP plans who do not otherwise receive CSB services; monitors benefits and ensures documentation to support DAP-funded services, such as the Universal Assessment Instrument (UAI) and/or DLA-20.

Represents the agency at regularly scheduled treatment planning meetings at state hospitals, providing accountability to the hospital and to the region for aggressive and effective discharge planning for each local individual.

Collaborates with Emergency Services staff to ensure that timely and effective discharge planning is initiated immediately upon admission of individuals to inpatient services.

Assesses, secures, monitors, and coordinates multiple services according to client’s needs;

Provides and documents services in compliance with CSB policy, client rights, confidentiality, licensure regulations, and Medicaid regulations as applicable;

Maintains effective working relationships with coworkers and customers based on courtesy, compassion and respect; ensures that staff protects carefully the confidentiality of clients;

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.

Required Knowledge, Skills and Abilities:

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 intervention;

Ability to plan, organize, develop, and document services in a manner that maximizes accountability;

Knowledge of and adherence to basic ethics appropriate for a helping relationship;

Excellent communication skills and the ability to work cooperatively and effectively with others;

Ability to speak and write concisely and effectively;

Demonstrated good judgment;

Ability to identify and solve problems and overcome barriers.

Minimum Education and Experience:

Graduation from an accredited college or university with a bachelor’s degree in human services plus experience in a mental health, developmental disabilities or substance use setting or a related human services field; or any equivalent combination of education and experience which provides the required knowledge, skills and abilities.

Additional Requirement:

Possession of a valid Virginia driver’s license, acceptable driving record, and current ability and willingness to transport clients.

 Other Information:

Equipment: Telephone, copier, vehicle, computer, word processing software, electronic health record.

Work Environment: General office environment with normal lighting levels, temperature, air quality, ventilation and noise levels. Community settings, facilities, individuals’ homes with environment as determined by occupant.

Work Location: 1241 N. Main St., Harrisonburg, VA; individuals’ homes, facilities and/or community settings including state psychiatric hospitals.

Work Hazards: Minimal hazards associated with inpatient settings and community programs for individuals with serious and persistent mental illness.

Work Schedule: Monday through Friday, regular office hours; some minimal evening and weekend hours may be required; additional hours as needed to perform job requirements. Regular and reliable attendance is required.

 

Behavioral Health Tech Overnight Relief Staff

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Behavioral Health Tech Overnight Hourly Staff provide direct support to the residents of Community Services Board operated supervised living residential service. Clients are adults with mental illness in recovery. Position requires some working knowledge of psychology, mental illness and substance abuse, ability to work effectively with clients and service providers in the community. Services include on-site support and supervision. Behavioral Health Tech Overnight Hourly Staff commit to a regular schedule, and fill in for other regularly scheduled staff in order to ensure staffing coverage to meet the needs of the residents. The typical shifts are overnights 10:00 PM – 7:30 AM at Market Street House. The position is awake.
Must have a valid driver’s license, ability to drive and safe driving record required. High School Diploma or equivalent certificate is the minimum educational requirement. An associate of arts degree or 2 years of undergraduate study in human services, psychology and/or social work is preferred.

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Early Intervention Clinician I/II

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To provide brief and supportive counseling services to students in the local public school system. Clinician works directly and effectively with students, families, school personnel, community partners, and other youth serving organizations. The clinician practices independence and good judgement in decision making related to services to the identified population. Clinician works under the regular supervision of the supervisor of Child and Adolescent Clinical Services. Regularly scheduled supervision is provided as well as consultation and assistance necessary to accomplish work.

Persons in this position are classified as non-exempt under FLSA.

Continuation of this position is contingent upon annual renewal of service contracts between the city of Harrisonburg and/ or Rockingham County local school system.

 

Major Essential Functions

  • Provides education, prevention, and early intervention services to clients referred through either the Rockingham County or Harrisonburg City Public School System.
  • Provide face-to-face individual and group services to at-risk or hard to serve youth.
    Provide crisis intervention and referral services as needed.
    Conducts pre/post-tests with students utilizing rating scales approved by this agency and school personnel.
  • Enter and track data on spreadsheet regarding utilization of services.
  • Meet with an average of 20 students per week that school is in session.
  • Maintains a current level of knowledge regarding causes for adolescent violence, trauma, and adolescent mental health and substance abuse issues.
  • Attend meetings with parents and school personnel as appropriate.
  • Must maintain an active professional license (LPC/LCSW) that is in good standing within the State of Virginia.
  • Assures compliance with agency policy, client rights, confidentiality, and licensure regulations.
  • Maintains effective relationships with co-workers, clients, families, school personnel, community agencies and other youth serving organizations.
  • Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service.
  • Is responsible for other duties as assigned, consistent with established policy and procedures.

Required Knowledge, Skills, and Abilities

  • Thorough knowledge of the principles, practices, and methods of mental health and substance abuse treatment.
  • Good Interpersonal skills, the ability to work effectively with service providers from other disciplines and disabilities, particularly those in the school system and other Child Early
  • Intervention Clinicians serving agencies.
  • The ability to work with persons from many socioeconomic and educational level who are experiencing a wide variety of problems.
  • Knowledge of and adherence to the basic ethics appropriate for helping relationships.
  • The ability to communicate clearly and effectively, both verbally and in writing.
  • Ability to teach and provide education to individuals and groups.

Minimum Education and Experience

  • Graduation from an accredited college or university with a Masters’ Degree in Human Services related field plus two years of experience working with children and youth.
  • Any equivalent combination of education and experience which provides the required knowledge, skills and abilities.
  • Licensed/ License Eligible (LPC/LCSW) in the state of Virginia required. Individual is required to provide a copy of their license.

Equipment: Telephone, copy machine, PC, word processing software

Work Environment: General office and group room environment with normal lighting, temperature, air quality, ventilation and noise levels. Classroom facility with environment as determined by school personnel.

Work Location: 1241 N Main St., Harrisonburg; Rockingham County Public Schools or Harrisonburg City Public Schools.

Work Hazards: Minimal hazards associated with a general office environment and rehabilitation programs; occasional hazards associated with problem behaviors.

Work Schedule: Monday through Friday, regular school and office hours; 10 month position (mid-Aug through mid-June)

HIPAA Access Level 2: Full read/write access to protected health information (PHI), limited to the minimum necessary, for all clients directly served or assigned, as well as all clients indirectly served through case consultation, clinical supervision, program management, or coverage requirements. Staff at Level 2 are allowed to seek out client PHI as necessary to perform their assigned duties, but are expected to exercise due precautions to limit exposure to any PHI which is outside the scope of their need to know. Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI.

E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.

HRCSB is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact recruitment@hrcsb.org.

 

Emergency Services Clinician

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To provide crisis intervention, pre-screening for hospitalization, and other direct emergency services as required. The Emergency Services Clinician is directly responsible to the Supervisor of Emergency Services. S/he is expected to exercise considerable independence and autonomy in day-to-day decision-making related to the delivery of emergency services and to carry out those services on a daily basis. The position requires expertise in the area of emergency interventions and the ability to work effectively with other emergency services providers both in the immediate community and in the state hospitals. Good judgment and the ability to maintain a high level of confidentiality are also required.

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

Major Essential Functions:

  1. Provides crisis intervention either by phone or face-to-face to individuals experiencing emotional distress.
  • Effectively prioritizes crisis situations and triages as necessary.
  • Effectively deals with adults and juveniles in crisis who are MH, SA, ID or dually diagnosed.
  • Effectively deals with suicidal clients.
  1. Involvement in all areas of the civil commitment process.
  • Provides accurate consultation regarding the petitioning process, ECOs and TDOs.
  • Functions as the “qualified evaluator” in assessing juveniles and adults to determine level of risk.
  • Provides thorough preadmission (PAS) screenings for both voluntary and involuntary hospitalizations to private and state hospitals.
  • Maintains up-to-date knowledge of the Statutes of Virginia relating to Behavioral Health and Developmental Services Laws.
  • Actively explores the least restrictive alternative.
  1. Fulfills agency requirement for documentation.
  • Follows agency procedures for accurate record keeping.
  • Follows agency procedures for accurate emergency services record keeping.
  1. Participates in training and supervision as required by the Emergency Services Supervisor.
  • Attend in-service training pertinent to Emergency Services.
  • Attend monthly meetings with Emergency Services Supervisor.
  1. Ability to function as a team member.
  • Works effectively with team members to provide adequate coverage during normal work hours.
  • Conforms to agreed-upon scheduling for requested duties, such as lunch coverage.
  • Works effectively with ES On-Call staff to provide accurate information.
  1. Makes effective use of available technology, including computers, e-mail and voice mail in order to enhance customer service.
  1. Maintains effective relationships with co-workers and customers based on courtesy, compassion and respect.
  1. Completes other duties as assigned consistent with established CSB policies and procedures.
  • Implements projects consistent with established CSB policies and procedures.

Required Knowledge, Skills and Abilities:

Position requires the ability to work effectively with service providers from other agencies as well as with people who are experiencing a high level of stress.  Good diagnostic, evaluative, and emergency intervention skills. Good interpersonal skills including a reassuring telephone demeanor are essential. Knowledge of and adherence to basic ethics appropriate for a helping relationship. Good interpersonal skills with demonstrated good judgment and flexibility in highly stressful and unstructured situations with a wide range of mental health disabilities. The ability to work as a member of a team is essential, as well as, skills in oral and written communication and basic computer literacy.

Minimum Education and Experience:

Graduation from an accredited college or university with a Masters Degree in Human Services or a related specialty, plus two years of experience in a mental health or substance abuse setting; or any equivalent combination of education and experience which provides the required knowledge, skills and abilities. Professional licensure or license eligibility is required.  Staff member is responsible for submitting proof of license renewal to the Human Resources office.

 Other Information:

Equipment:  Telephone, copier, fax, vehicle, laptop

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

Work Location:  1241 N. Main St, Harrisonburg; facilities, and/or community settings.

Work Hazards:  Standard hazards associated with rehabilitation programs.

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

 

ACT Nurse

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General Statement of Duties:

Assertive Community Treatment (ACT) Nurse (Registered Nurse or Licensed Professional Nurse) will provide in-home services to clients with severe and persistent mental illness. Position is responsible for meeting the nursing service needs of agency consumers by providing competent standards of care in direct and indirect care roles. The Nurse will assist clients with medical aspects of their care through administering and delivering medications, assessing for medication side effects, educating about medications taken to ensure patient’s informed consent, and providing education about symptoms management. The Nurse will work in conjunction with others on the ACT Team to provide comprehensive services for clients in their homes and community settings. This position involves a rotation of day, evening and weekend shift coverage including overnight and weekend rotation of on-call coverage. This position includes assessing service needs, developing treatment plans and providing assistance with access to community resources. Incumbent assists in obtaining medication and monitors response to prescribed medications and ensures that the medical staff has accurate information about the consumer’s response and/or difficulties related to the medication. The incumbent is expected to exercise a high level of confidentiality regarding clients and services. Receives regular direct supervision from ACT Supervisor, however, direct oversight of medical duties is performed by ACT Psychiatric Care Provider. Assures compliance with agency policy, client rights, confidentiality, licensure regulations and Medicaid regulations as applicable.

Major Essential Functions:

  • Assist in obtaining, safe storage, handling, and administration of IM and oral medications in compliance with state and federal law, department guidelines, and Community Service Board policy and procedure, as well as safe storage and handling of necessary medical supplies.
  • Prepares medication for regular delivery to client, checking medication orders for accuracy. As well as filling out proper documentation as per written protocol.
  • Practices good venipuncture techniques and administers intramuscular injections under the direction of the medical prescriber.
  • Provides basic medical assessment to consumers, including monitoring vital signs.
  • Monitors clients for development of side effects of medications, reporting this to the prescriber and documenting as such in the client case record.
  • Assists with calling in medications ordered by the prescriber to pharmacies as authorized by psychiatric care provider.
  • Assists psychiatric care provider with managing indigent programs and use of sample medications, as needed for clients.
  • Assists with arranging and coordinating laboratory testing as ordered by the psychiatric care provider.
  • Assists with obtaining prior authorizations from insurance companies for client medications as ordered by the psychiatric care provider.
  • Assists with therapeutic interventions in both individual and group settings to persons who are in crisis due to their mental health status.
  • Assists with admission process for individuals being admitted to the program.
  • Responsible for the cleaning and upkeep of the medication room and other program areas on a routine basis.
  • Provides medication, health, and wellness education on an individual and group basis to clients.
  • Provides training and support with activities of daily living, performs crisis intervention, and facilitates prescreening/hospitalizations when necessary. Assists and participates in all hospital diversion, hospital care coordination, and hospital discharge/re-integration services.
  • Documents client contacts and maintains client records in accordance with established board policy and procedure.
  • Assists with discharge planning and process, which includes ensuring clients are discharged with adequate supply of medications and the resources to obtain continued needed supplies.
  • Makes effective use of technology available to use.
  • Maintains effective relationships with co-workers and clients based on courtesy, compassion, and respect.
  • Participates in team meetings, clinical staffing and supervision.
  • Participates in professional development training, seminars, and conferences.
  • Is responsible for the duties as assigned that are consistent with established Board policy.

Required Knowledge, Skills and Abilities:

  • Thorough knowledge of the principles and practices of nursing;
  • Adherence to the code of ethics of the nursing profession;
  • Knowledge of principles, practices, and techniques involved in the diagnosis and treatment of individuals with mental health, and co-occurring disorders both individually and in a group setting.
  • Knowledge of mental health, substance abuse and co-occurring, treatment interventions both individually and in a group setting.
  • Ability to problem-solve and respond quickly to crisis situations. Ability to function calmly in stressful situations.
  • Basic knowledge about mental illness and the use of psychotropic medication in its treatment.
  • The ability to assess both general health problems and medication side effects.
  • Ability to organize and attend to detail in the delivery of medication.
  • Good interpersonal skills
  • Ability to deal positively and constructively with changes and new challenges.
  • Demonstrated good judgment, and the ability to work with considerable autonomy. The ability to work comfortably with a wide diversity of both professional staff and clients is required.

Physical Requirements:

  • May be exposed to allergenic environments in client’s homes, including extreme heat, humidity, dust, smoke, pet contamination, cleaning supplies, etc.
  • May be exposed to clients with infectious diseases.
  • Must be able to drive for long periods of time to visit clients in and out of the catchment area as needed.
  • Must be able to walk distances, climb and descend stairs, maneuver in and out of agency vehicles.
  • Prolonged periods sitting at a desk and working on a computer.
  • Must be able to lift/push/pull up to 25 pounds at times.

Minimum Education and Experience:

Graduation from an accredited college or nursing school with a degree or diploma in practical nursing, current licensure as a Registered Nurse (RN) or Licensed Professional Nurse (LPN) in the Commonwealth of Virginia, plus three years of nursing experience which includes experience working with mental health and/or substance use disorder clients. Must be eligible to register as a Qualified Mental Health Professional (QMHP) or QMHP-trainee with the State of Virginia. Staff member is responsible for submitting proof of license renewal to the Human Resources office. Possession of a valid driver’s license and acceptable driving record as reported by the Department of Motor Vehicles are required for persons using a personal or agency vehicle in the performance of their duties.

Additional Requirements:

  • Mandt Training
  • CPR Certification and First Aid Certification
  • AED Training

Other Information:

Equipment: Standard nursing equipment, telephone; computer hardware and software as required, misc. household appliances (i.e. washer/dryer, stove, dishwasher)

Work Environment: Office setting with normal lighting levels, temperature, air quality, ventilation, and noise levels. Community settings including medical offices, client homes, stores, outdoor settings, etc.

Work Location: 1241 N. Main St., Harrisonburg, VA 22802

Work Hazards: Standard hazards associated with a mental health treatment environment. Standard hazards associated with human service residential environment including hazards associated with problem behaviors; behaviors and hazards associated with necessary use of medical procedures. Use of universal precautions required. Use of protective equipment recommended.

Work Schedule: ACT is a 24-hour program and flexibility is required in order to meet and respond to coverage needs and individual residents’ needs. Shifts will vary to meet the needs of the program. Full-time employees are required to work 40 Hours each week. Monday through Friday- day and/or evening shifts. Weekends and Holidays- evening shifts on a rotating basis with ACT team members. Overnight and weekend on-call on a rotating basis with ACT team members. Regular and reliable attendance is required.

HIPAA Access Level 2: Full read/write access to protected health information (PHI), limited to the minimum necessary, for all clients directly served or assigned, as well as all clients indirectly served through case consultation, clinical supervision, program management, or coverage requirements. Staff at Level 2 are allowed to seek out client PHI as necessary to perform their assigned duties, but are expected to exercise due precautions to limit exposure to any PHI which is outside the scope of their need to know. Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI.

Job Types: Full-time, Permanent

Benefits:

  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid sick time
  • Paid time off
  • Vision insurance