Senior Emergency Services Manager

General Statement of Duties:

To plan, implement, and supervise the day-to-day delivery of Emergency Services for the Harrisonburg-Rockingham Community Services Board. Under the supervision of the Director of Crisis Services the Senior Emergency Services Manager is responsible for the supervision of the CSB’s Emergency Services programs that provide 24/7 mental health and substance abuse emergency services including the Crisis Intervention Team Assessment Center (CITAC), oversees the coordination of Local Inpatient Purchase of Services (LIPOS) and Mandatory Outpatient Treatment (MOT). The Senior Emergency Services Manager acts as a community liaison with our local hospital and law enforcement. The position requires the highest level of confidentiality, strong diagnostic and assessment skills, outstanding skills in problem solving and conflict resolution, and the ability to work effectively with other CSB service supervisors/coordinators and community providers in planning and implementing the emergency services system.

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

Major Duties and Responsibilities:

  • Assures the immediate and effective 24-hour delivery of emergency/crisis intervention services to all those requesting or requiring such services, by overseeing the scheduling and supervision of staff to provide that service;
  • Ensures coverage of clinical consultation 24/7 to Emergency services clinicians and appropriate back up is available as needed.
  • Ensures that each Certified Preadmission Screening Clinician has a minimum of 5% of the cases where an emergency evaluation was conducted is reviewed annually.
  • Oversees and coordinates the use of Local Inpatient Purchase of Services (LIPOS) funds.
  • Provides oversight to the Mandatory Outpatient Treatment (MOT) process.
  • Maintains and informs staff of up to date information and procedures related to initiatives and guidelines from DBHDS.
  • Collaborates with Coordinator of Crisis Services to ensure least restrictive interventions in the delivery of all services.
  • Maintains current expertise regarding legal and clinical issues related to commitment, pre-screening, and involuntary certification, and imparts that knowledge with other CSB staff who provide emergency services;
  • Meets, as needed, with other CSB coordinators/supervisors and Directors to plan for the effective utilization of staff in Emergency Services;
  • Provides training in emergency intervention/pre-screening-crisis intervention as needed;
  • Ensures appropriate training and clinical consultation to both day and after-hours staff as needed/indicated;
  • Assures that the quality of clinical services is maintained through individual and group supervision;
  • Provides data as required for performance contract, reimbursement, APR, and program planning/evaluation purposes, by assuring the validity of Emergency Services data;
  • Provides up to date data reports and quarterly narratives for DBHDS Program Manager;
  • Assures maintenance of records/documentation for Emergency Services (including ES After Hours paperwork) to be in compliance with Board policy and standard procedures;
  • Maintains and assures that staff uphold 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;
  • Develop and revise program policies and procedures as indicated;
  • Is responsible for other duties as assigned, consistent with established policy and procedure.

Required Knowledge, Skills and Abilities:

Thorough knowledge of the principles and techniques of emergency intervention, pre-screening, and legal issues related to the commitment process; advanced skills in delivering emergency services and in crisis management; advanced knowledge and skills in administering intake/diagnostic mental health and substance abuse services to adults; thorough knowledge of the principles and methods of administration and supervision; advanced skills in providing administrative and clinical supervision; ability to plan, organize, develop, implement and evaluate a program of direct client services; excellent diagnostic and evaluative skills; knowledge of and adherence to basic ethics appropriate for a helping relationship; ability to work cooperatively and effectively with others; ability to speak and write concisely and effectively; demonstrated good judgment and conflict resolution skills; computer literacy and word processing skills preferred.

Minimum Education and Experience:

Graduation from an accredited college or university with a master’s degree in Human Services plus four years’ experience in a mental health, developmental disabilities, or substance use setting, or any equivalent combination of education and experience which provides the required knowledge, skills, and abilities. Two years of supervision and emergency intervention experience are required. Professional licensure and Virginia Prescreen Certification required.  Staff member is responsible for submitting proof of license and certification renewal to the Human Resources office.

Other Information:

Work Equipment: Telephone, PC, word processing software, TDD.

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

Work Location: 1241 N. Main St. Work requires regular travel to hospitals, jails, etc.

Work Hazards: Standard hazards associated with a mental health treatment environment.

Work Schedule: Monday through Friday, regular office hours; additional hours as needed to perform job requirements.  Supervision of 24/7 services will require after hours contacts. Regular 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.

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. Applicants who require accommodation to participate in the job application process may contact Human Resources at recruitment@hrcsb.org.

Early Intervention Clinician I/II

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.

 

Infant Toddler Early Interventionist

General Statement of Duties:

To provide direct client services through the Infant & Toddler Connection, Part C program, an early intervention program for children with developmental delays or disabilities, a service of the Harrisonburg-Rockingham Community Services Board. The Infant Toddler Early Interventionist is directly responsible to either the ITC Coordinator or Local System Manager depending on licensure level. He/she is expected to exercise considerable independence and autonomy in day-to-day decision-making about service delivery and to participate with other ITC staff in assessments, planning, and service delivery.  Regularly scheduled supervision is provided as well as consultation and assistance necessary to accomplish the work. He/she is expected to exhibit expertise in the area of special education, early childhood development, and intellectual 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:

  • Screen and/or assess children in a variety of developmental domains using the tool and assessment procedures approved by the direct supervisor;
  • Participates in multidisciplinary assessments and team meetings for individual children;
  • May provide developmental services as certified by the Early Intervention state program;
  • May provide service coordination (case management) to assigned ITC families, coordinating multiple resources to accomplish family goals as certified by the Early Intervention state program;
  • 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 direct supervisor;
  • 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 and regulations, 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, payor 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 knowledge and analytical skills in all areas of development of infants and toddlers. Thorough knowledge of the principles of child development and intellectual 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 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/Special Education Certification or licensure recommended; 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 recommended license renewal to the Human Resources department. 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.

Client Engagement Specialist II

HRCSB is seeking a highly motivated individual to join our clinical team as a Client Engagement Specialist. This full-time, salaried position will work closely with agency treatment providers to assist clients in accessing services, provide outreach following missed appointments, and crisis outreach as appropriate. Requires the ability to work independently, as well as collaboratively, within a treatment team skilled in providing brief supportive interventions to clients. Successful candidates will also have the ability to communicate effectively both verbally and in writing. This position requires a Bachelor’s Degree in a Human Services Related field, and at least 1 year of experience working with individuals with mental health and/or substance use related issues is strongly preferred.

Residential Relief Staff

General Statement of Duties:

Residential Relief Staff provide direct client services to the residents of Community Services Board operated residential services. Residents are individuals with serious mental illness who are residing in supervised residential setting. Residential Relief Staff work assigned hours in order to ensure staffing coverage to meet the needs of the residents.

Services include training and support in daily living skills, household management skills, supportive and/or educational counseling, client goal-setting and progress evaluation, activities to promote community integration, on-site support and emergency intervention. The Residential Site Coordinator supervises the work of the Residential Relief Staff. The work requires that confidentiality be maintained in accordance with Board policy. Discretion and independent judgment in providing services are required.

Persons in this class are classified as non-exempt under the Fair Standards Labor Act.

Major Essential Functions:

Develops knowledge of residents’ strengths and needs, including background information about social, psychological, medical, independent living characteristics.

Works assigned hours and/or stays overnight to provide oversight for residents, including some scheduled hours when other agencies are closed.

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

Provides direct training and support to residents based on their needs and interests in order to maintain or improve their community living skills.

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.

Provides crisis intervention as needed, accessing emergency services as appropriate.

Plans and conducts activities with residents to promote community integration.

Summarizes clients’ activities and makes written reports.

Handles any physical plant emergencies.

Maintains effective relationships with co-workers and clients based on courtesy, compassion, and respect.

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 verbally and in writing.

 

Additional Requirement:

Possession of a 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 human services or a related specialty; OR graduation from an accredited college or university with a bachelor’s degree in another field with a minimum of 16 credit hours in a human services or related specialty.

 

Other Information:

Equipment: Telephone, vehicle, breathalyzer

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

Work Location: CSB operated residential settings; community settings.

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; occasional hazards associated with community activities; occasional hazards associated with being the sole staff member on the house premises.

Work Schedule: Hours are scheduled to provide support to residents based on their needs and include evening and weekend responsibilities. Flexibility is required in order to meet and respond to residents’ needs. 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.

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.

Assertive Community Treatment Supervisor

General Statement of Duties:

To ensure the ongoing operation of Assertive Community Treatment (ACT) services, supporting individuals with serious and persistent mental illness in a recovery-oriented environment. The position provides clinical and administrative supervision for professional staff positions and ensures that services are in conformity with State Licensure and Medicaid regulations.  The incumbent in this position is responsible for the coordination, implementation, and maintenance of ACT services. This position oversees all operations for ACT, including coordination of coverage of direct services. As part of the operational duties of ACT, this position may require occasional evening/weekend or holiday duties as needed.

The position is supervised by the Director of Community Mental Health Services. Regularly scheduled supervision is both provided and received, as well as ongoing consultation and assistance necessary to accomplish the goals of ACT. Incumbents in this position should have demonstrated capabilities and initiative in serving individual clients and program design and implementation.  Job duties require the ability to act independently, make decisions, interpret policies and procedures, consult and collaborate with other staff members, maintain client and personnel confidentiality, and provide leadership in the delivery of services to clients of the Board.

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

Major Duties and Responsibilities:

  • Ensures ACT services follow all regulations as identified by DBHDS and DMAS. Establishes and maintains fidelity to the ACT model as identified in the Tool for the Measurement of Assertive Community Treatment (TMACT);
  • Provides consultation and oversight to the development of new programs utilizing the ACT model at HRCSB;
  • Represents HRCSB in all ACT related meetings with other agencies or state entities;
  • Provides direct supervision to ACT staff, including the provision of clinical and procedural guidance.  This includes the establishment and monitoring of performance objectives and performance appraisals;
  • In coordination with other agency staff, develops and maintains protocols or admission policies regarding the admission and referral of individuals requesting services from the agency. Will participate as a team member in screening and triaging services requests;
  • Monitors the provision of services, utilization, revenue and disbursements, and adherence to agency policy in consultation with Director;
  • Provides direct clinical services to clients with severe and persistent mental illness;
  • Oversees staff scheduling to ensure that sufficient resources are in place to meet program or department demands, including ACT Team and coordination with Crisis Services. This would include monitoring attendance and punctuality of program staff;
  • Conducts daily team meetings in accordance with regulations to include the effective communication of protocols and changes, agency expectations, staffing issues;
  • Participates in the recruitment and selection process of staff directly supervised by this position, including screening and interviewing of applicants and making hiring recommendations in consultation with Director;
  • Monitors clinical documentation to ensure quality documentation standards and to assign clinical follow-up as appropriate;
  • Implements continuity of care procedures and coordinates the provision of ongoing services in observance with applicable agency initiatives;
  • Participates in statewide ACT and CSB training conferences to maintain the most updated knowledge related to the ACT functions and agency/community services;
  • Assists in data collection and program research projects as necessary;
  • Maintains relationships with community partners including law enforcement and hospitals to ensure continuity of care for clients;
  • Collaborates closely with other agency staff for the purpose of services facilitation and developing efficient procedures for getting new clients into services;
  • Participates in regular meetings with agency personnel as indicated to coordinate cases, services, and outcomes as a means of enhancing the provision of services;
  • Produces client related service records and maintains accurate and up-to-date documentation consistent with agency policies and procedures;
  • Performs other duties as assigned by supervisor which are consistent with the position and in compliance with agency policies and procedures.
  • Conducts meetings for the purpose of coordinating services to individuals discharged from state psychiatric facilities to this community;
  • Establishes and maintains relationships with other community agencies, advocacy groups and service providers;
  • Maintains and assures that staff of the program maintain effective working relationships with coworkers and customers based on courtesy, compassion and respect; insures that staff protect carefully the confidentiality of clients;
  • Demonstrates a desire and willingness to continue growing and learning professionally, as evidenced by participation in appropriate workshops, seminars, and conferences;
  • Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service;
  • Performs other related duties as assigned that are consistent with the mission of the Harrisonburg Rockingham Community Services Board;

Required Knowledge, Skills and Abilities:

Considerable knowledge of adult and geriatric psychology in mental health and substance use disorder areas; of primary models for treatment of individuals having these problems; of appropriate methodologies for assessing psychopathology; and, of crisis intervention theory and techniques, and their application to individuals in crisis.  Working knowledge of community systems and resources and, inter-agency collaborating.  Knowledge of or experience with ACT model of treatment. Supervision experience preferred.

Minimum Education and Experience:

Graduation from an accredited college or university with a masters degree in human services or related field plus three years of clinical experience providing treatment to persons with severe and persistent illnesses and/or co-occurring disorders. Professional licensure or Licensed Eligible in good standing with the state of Virginia is required (LPC, LPC-resident or LCSW, LCSW-supervisee). Staff member is responsible for submitting documentation of license or status of residency/supervisee at time of hire (if applicable) and annual proof of license renewal to the compliance office.

 

Other Information:

Equipment: Telephone, copy machine, agency and/or personal vehicle, agency laptop, word processing, agency cellular phone, EHR software.

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. Vehicle.

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

Work Hazards: Minimal hazards associated with community-based treatment and rehabilitation services. Hazards associated with working alone in community settings.

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, as well as consult. 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.

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.

General Advocate – Summit House

Summit House, a psychiatric rehabilitation program informed by the Fountain House Model, is seeking to hire a full-time general advocate to encourage recovery and community engagement for adults with severe and persistent mental illness. Summit House gives members a place to learn skills, try new things and to increase social supports in a supportive environment. Staff and members (called clients in other settings) work side by side to prepare meals and snacks, complete clean up, environmental and maintenance tasks, gardening, landscaping, clerical support, social recreation activities and community integration opportunities for members of Summit House. Interventions used include skills training, staff demonstration, practice/role-plays, and feedback, as well as ongoing prompting and cueing. Role modeling of appropriate social and coping behaviors is an important aspect of the position.

The general advocate’s position primary responsibilities may include menu planning, ordering food, cooking, cleaning, gardening, clerical support, community integration activities, and social recreation activities and leading groups.

Group topics are at the discretion of the general advocate and the needs and wants of the members. Group focus may be psychoeducation, recreational, social or other areas focused on wellbeing and community integration. Some groups are member led.

Each general advocate will have primary responsibility for a specific caseload of members and documentation required by Virginia Medicaid regulations and DBHDS requirements. Documentation will include daily notes, treatment plans, quarterlies and discharges.

The right candidate will be passionate about working with individuals with severe and persistent mental illness to enhance their recovery and growth towards independence in the community. The ability to work both independently and as a team member is essential, as well as being able to offer person-centered and trauma-informed treatment approaches in the therapeutic milieu.

At a minimum, qualified candidates must be able to register as a QMHP-T (Qualified Mental Health Professional-Trainee). QMHP status preferred. Basic computer literacy and word processing skills required.
This position requires some physical work including pushing/pulling an wheelchair with occupant, walking, standing, kneeling, crouching, and lifting to execute job duties, as well as using kitchen and cleaning equipment.

CSU Clinician – Hourly

General Statement of Duties:

This crisis stabilization program is a short term, 7-bed intensive residential program staffed 24 hours a day to provide crisis services to individual with mental health and co-occurring disorders. Services provided include individual and group therapy.  This position assists in coordinating services and/or resources needed by the resident during their stay and upon discharge from the facility. This position exercises independence in day-to-day decision-making, and it requires expertise in mental health treatment, diagnoses, intervention and assessment with adults whose needs may be difficult to meet. This position works with other crisis stabilization team members, family members, other caregivers, and community resources.

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

Major Essential Functions:

  1. Provides intake assessments, individual, group, and family sessions to residents of the crisis stabilization program.
  2. Is the lead group facilitator during their assigned shift and provides one-on-one therapy to clients as appropriate.
  3. Provides recommendations/suggestions in the development of treatment plans that address the needs of the resident’s treatment during enrollment and needed referrals and services upon discharge.
  4. Accurately completes administrative and other paperwork as required.
  5. Along with the CSU Supervisor and the Case Coordinator, develops individual treatment plans that address the needs of the consumer.
  6. Provides in put to CSU Supervisor and Case Coordinator in developing treatment resources pertinent to planning content for group and individual treatment.
  7. Works with CSU Supervisor and Case Coordinator to develop discharging planning and the linkage of the consumer to resources in the community.
  8. In conjunction with other program staff, provides general supervision of the CSU, and ensures that policies and procedures are followed.
  9. Provide positive behavior supports to residents. Responds to emergency situations that occur and appropriately involves other providers, including other program staff, agency emergency services staff, emergency medical services, and law enforcement, as needed.
  10. Assists consumers, when necessary, with daily living tasks as needed, including general facility maintenance tasks, laundry, meal preparation, and transportation.
  11. Attends interdisciplinary, inter-agency and community-based meetings related to consumer treatment when appropriate.
  12. Assures compliance with agency policy, client rights, confidentiality, licensure regulations and Medicaid regulations as applicable.
  13. Completes other tasks and duties as assigned by supervisor and/or other management staff.

Required Knowledge, Skills, and Abilities:

  • Thorough knowledge of the principles, practices and techniques involved in the diagnosis and treatment of individuals with mental health, substance abuse and co-occurring disorders individually and in a group setting.
  • Knowledge of mental health, substance abuse and co-occurring treatment interventions both individually and in a group setting.
  • Good diagnostic, evaluative, and crisis intervention skills.
  • Clinical competence in managing suicidal consumers.
  • Ability to function calmly in stressful situations.
  • Ability to communicate effectively verbally and in writing.
  • Ability to establish and maintain effective working relationships with other employees and with private and public agency personnel.
  • The ability to work as part of a clinical treatment team is essential.

Minimum Education Experience:

  • Master’s level in Human Services, licensed eligible in the State of Virginia

Additional Requirements:

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

Other Information:

Work Equipment: Telephone, PC, pager, TDD, AED, misc. household appliances (i.e. washer/dryer, stove, dishwasher)

Work Environment: Residential setting with normal lighting levels, temperature, air quality, ventilation and noise levels.

Work Location: 1353 N. Main St., Harrisonburg, VA 22802

Work Hazards: Minimal hazards associated with a mental health treatment environment. Minimal 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: Hours are scheduled to provide support to residents based on their needs. Flexibility is required in order to meet and respond to coverage needs and individual residents’ needs.

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.

Client Financial Services Specialist

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.
  1. 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.
  1. Billing and Claims Management
  • Review and process insurance claims, ensuring accurate coding and documentation of services rendered.
  • 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.
  1. 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.
  • Assists 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.
  1. 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.
  1. 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.
  1. Problem Resolution
  • Work proactively to resolve billing issues, payment discrepancies, and other financial concerns for clients in a timely and empathetic manner.
  1. 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 healthcare 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.

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

General Statement of Duties:

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.

3. Fulfills agency requirement for documentation.

  • Follows agency procedures for accurate record keeping.
  • Follows agency procedures for accurate emergency services record keeping.

4. 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.

5. 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.

6. 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.
  2. 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 Bachelor or  Master’s Degree in Human Services preferred, or a related specialty, plus two years of experience in a mental health, intellectual disability, or substance abuse setting.  Will consider any equivalent combination of education and experience that provides the required knowledge, skills and abilities. Licensed or license eligible preferred.  Will consider QMHP with appropriate and related experience.

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.

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. Applicants who require accommodation to participate in the job application process may contact Human Resources at recruitment@hrcsb.org.