As a member of the Assertive Community Treatment (ACT) clinical team, will function as the housing specialist on the ACT Team. ACT team members provide the highest level of care in the Maricopa County behavioral health system. Provides direct housing and housing related services to assist in obtaining and maintaining permanent housing. Coordinates, monitors, and provides direct services in a community setting for recipients. Participates in the development of individualized service plan (ISP) and provides/coordinates services related to the ISP’s. Acts as a recipient advocate, coordinates services and discharges plans, and assists in crisis intervention. Provides after hours care, on-call coverage, and support to all recipients being served on the team.
Able to be organized, have clear and understandable written and oral communication, demonstrate empathy and build positive rapport with the client population served, be knowledgeable about community resources, and adapt well to a crisis and high needs environment.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Bachelor’s degree in a behavioral health related field, or has a bachelor’s degree and at least one year of full-time behavioral health work experience; or has an associate’s degree and at least two years of full time behavioral health work experience; or Has a high school diploma or high school equivalency diploma and 18 credit hours of post-high school education in a field related to behavioral health completed no more than four years before the date the individual begins providing behavioral health services and two years of full-time behavioral health work experience; or four years of full time behavioral health work experience.
- Preferred generalist knowledge in general mental health, substance abuse, co-occurring disorders, and serious mental illness.
- Training and or experience in permanent supportive housing model required.
- Possess a valid driver’s license and ability to be insured under automobile insurance policy.
- Able to work a flexible schedule as needed per program requirements.
- Have basic typing/computer skills.
- Have excellent verbal and written communication skills.
- Have good organization and time management skills.
- Ability to obtain fingerprint clearance card, CPR and First Aid.
- Bilingual language skills in English/Spanish and as appropriate to population served preferred.
- Must be 21 years of age.
- Experience in Community-based mental health programs a plus.
JOB RESPONSIBILITIES AND COMPETENCIES:
- Provides direct housing and housing related services to the recipients assigned to the ACT team.
- Serves as expert in housing for other ACT clinical staff.
- Works collaboratively with the ACT clinical team to engage, educate, communicate, and coordinate care with recipient, their family, behavioral and general medical and dental health care providers, community resources and others to ensure that all services prescribed in the individualized service plan (ISP) are implemented.
- Identifies, plans, and directly provides all needed services for each recipient.
- Works with recipients to develop a role for themselves outside of their mental illness, while focusing on expected outcomes of increased employment, Meaningful Community Activity (MCA), independent living status, and social network, as well as decreased substance use/abuse.
- Provides supportive services including, but not limited to, the following:
- Assistance in maintaining, monitoring, and modifying covered behavioral health services. Brief telephone or face-to-face interactions with a recipient, a recipient’s family, or other involved party for the purpose of maintaining or enhancing recipient functionality;
- Serves as a point of contact and to ensure ongoing collaboration including the communication of appropriate clinical information with other involved parties as appropriate and coordination of care with a recipient’s family, behavioral and general medical and dental health care providers, community resources, and other involved supports including educational, social, judicial, community and other State agencies;
- Ensure each recipient has a current and complete ISP and that all covered services identified on the service plan are evaluated and updated monthly.
- Provides outreach and follow-up of services including, but not limited to, crisis and missed appointments to ensure adequate resources are available and in place;
- Participates in staffing, case conferences or other meetings with or without the recipient or recipient’s family participating;
- Ensures that transfers to out-of-area, out-of-state or to an Arizona Long Term Care System (ALTCS) contractor, are coordinated as applicable;
- Ensures the development and implementation of transition, discharge, and aftercare plans prior to discontinuation of behavioral health services.
- Teaches skill building activities to recipient.
- Performs all case management functions associated with caseload including participating in the assessment and service planning processes; including identifying the need for further or specialty evaluations.
- Collaborates with the recipient and recipient’s family or significant others to implement an effective service plan, explaining available clinical options to the team, including advantages and disadvantages of each option.
- Maintains the recipient’s comprehensive clinical record, including documentation of activities performed as part of the service delivery process (e.g., assessments, provision of services, coordination of care, discharge planning).
- Provides continuous evaluation of the effectiveness of treatment through the ongoing assessment of the recipient and input from the recipient and relevant others resulting in modification to the service plan as necessary.
- Works in collaboration with team members to assure compliance with ACT fidelity measures.
- Pursues best practice outcomes for recipient with mental illness including continuing education, employment, independent housing, and community tenure.
- Provides transportation to recipient as appropriate and determined by the clinical team utilizing employee’s personal vehicle. Conducts frequent community visits, including but not limited to, private homes, jail facilities, office/clinic locations, hospitals, and group homes. (See Working Conditions: Driving and other requirements).
- Adheres to minimum productivity and documentation requirements.