True North Recovery

Assessor

• Performs comprehensive clinical assessments
• Establishes diagnostic criteria for substance use and mental health disorders
• Coordinates electronic health records and referral services within an outpatient setting
• Completes integrated substance use / mental health assessments
• Ensures all diagnostic assessments are reviewed by the appropriate supervisor
• Recommends placement into substance abuse treatment based upon level of care
• Informs referral source of the outcome of the assessment and treatment recommendations
• Prepares and maintains a confidential, accurate, organized, and updated electronic health record for each assigned client
• Adheres to documentation deadlines as outlined in the Training Manual
• Complies with documentation requirements as outlined in program policies
• Assists with intake documentation as necessary
• Effectively orients the client to the facility/program(s)
• Uses the appropriate forms and instrumentation to assess client's strengths and weaknesses
• Gathers relevant information pertaining to diagnosis, prognosis, and treatment recommendations
• Coordinates the delivery of service provisions
• Acts as an advocate in accessing other needed services
• Maintains familiarity with current and available community resources and their limitations
• Recognizes the need for case consultation with supervisors by participating in case reviews
• Identifies program needs and suggests improvements to the Assessment Supervisor and Executive Leadership
• Manages time and organizes work demands appropriately.

Assessor – Contractor

General

• Conducts clinical interviews and assessments; gathers information for diagnostic and treatment planning purposes.
• Provides interventions using evidence-based techniques and methodologies approved by the department.
• Provides individual, group therapy and collateral interventions; provides an atmosphere of trust and safety.
• Provides crisis intervention to clients who are in apparent emotional distress.
• Provides referrals to community agencies and providers for support or additional services.
• Assures compliance with State Regulations, legal requirements and established Borough policies and procedures related to mental health services.
• Assist patients in locating resources by contacting appropriate agencies over the phone and in person; coordinate with other agencies concerning referrals of mental health cases; arrange for hospitalization for mental patients requiring inpatient care.
• Uses a variety of diagnostic and rating tools to evaluate client progress, effectiveness of intervention and/or to assist treatment planning.
• Participates in the development of treatment plans for clients to alleviate current areas of impairment; assures that treatment plans have problem solving objectives.
• Serves as service coordinator as assigned.
• Documents daily interventions provided for clients; efficiently document all billable interactions into OPUS, utilizing DAP note formatting
• Participates in weekly clinical supervision and follows training guidelines and instructions as provided by the clinical supervisor.
• Attends and participates in team meetings where current cases are reviewed; reviews cases with social and community agencies as appropriate; adheres to applicable confidentiality laws and maintain case records including agency forms, documentation sheets, and related forms concerning cases.
• Performs related duties as assigned.

Mental Health Clinician I / II

• Performs comprehensive clinical assessments, establishes diagnostic criteria for substance use and mental health disorders, and coordinates electronic health records and referral services within an outpatient setting.
• Completes integrated substance use / mental health assessments, and diagnoses substance use and mental health disorders using the DSM-5-TR criteria.
• Ensures all diagnostic assessments are reviewed by the appropriate supervisor if the assessment counselor does not have an independent license and/or experience to diagnose.
• Recommends placement into substance abuse treatment based upon level of care after completion of the integrated substance use / mental health assessment.
• Informs referral source (with required release of information) of the outcome of the assessment and treatment recommendations.
• Prepares and maintains a confidential, accurate, organized, and updated electronic health record for each assigned client under appropriate supervision.
• Adheres to documentation deadlines as outlined in the Training Manual.
• Complies with documentation requirements as outlined in program policies, protocols, and procedures for activities [e.g., assessments, treatment plans, admission level of care (loc), and in the preparation of required reports.
• Assists with intake documentation as necessary (e.g., consent for treatment, consents to release of information, initial assessment, etc.) and maintains same in the electronic health record.
• Effectively orients the client to the facility/program(s) as needed by providing information including, but not limited to: rule infractions that may result in termination, the hours of service.
• Uses the appropriate forms and instrumentation to assess client’s strengths and weaknesses.
• Gathers relevant information pertaining to diagnosis, prognosis, and treatment recommendations.
• Coordinates the delivery of service provisions.
• Acts as an advocate in accessing other needed services.
• Becomes proficient and adheres to True North Recovery’s treatment philosophy.
• Maintains familiarity with current and available community resources and their limitations, the procedures for making referrals, and the confidentiality requirements inherent to the referral process so that community resources are used to benefit clients.
• Recognizes the need for case consultation with supervisors by participating in case reviews, maintaining contact with referring professionals, and seeking assistance in matters that exceed the counselor’s level of expertise and/or scope of practice.
• Identifies program needs and suggests improvements to the Assessment Supervisor and Executive Leadership.
• Manages time and organizes work demands appropriately.