Clinical Supervisor

ACT Clinical Supervisor

Position Description

Under the supervision of the Clinical Director, the ACT Clinical Supervisor provides supervision and oversight while directing the Assertive Community Treatment (ACT) Program - a team-based, client-centered, assertive mental health service that adheres to evidence-based practice designed to serve individuals with severe mental illness. Assertive Community Treatment provides long term needed treatment, rehabilitation, and support services to identified individuals with severe and persistent mental illness especially those who have severe symptoms that are not effectively remedied by available treatments or who because of reasons related to their mental illness resist or avoid involvement with mental health services in the community. ACT services are offered outside of clinic, hospital, or program office settings for individuals who are best served in the community. ACT services include psychiatric assessment, counseling, medication management, and care coordination activities through a designated multidisciplinary team of mental health professionals.

The ACT Clinical Supervisor ensures licensure and training is in accordance with Life’s Journey policy, ACT fidelity, and associated MCOs.  Works collaboratively with team in carrying out treatment plans developed with recovery and graduation from program considered across continuum of care.  The ACT Clinical Supervisor functions as a practicing clinician on the team, maintaining a minimal caseload balanced against supervisory responsibilities. 

Requirements

ACT Clinical Supervisor must meet the following qualifications:

·      LMHP or LMHP-R with three years of experience in the provision of mental health services to adults with serious mental illness .

·      Exceptional clinical and organizational skills.

·      Experience working with adults with severe and persistent mental illness.

·      Supervisory and program management experience.

·      A valid driver’s license and motor vehicle insurance are required. 

Position Responsibilities

1.     Direct the day-to-day clinical operations of the ACT team including scheduling staff work hours to ensure appropriate coverage for day, evening, weekend, and holiday shifts, and on-call hours.  Lead the daily organizational staff meetings and treatment planning meetings.  Continuously evaluate the status of clients and do appropriate planning and coordination of treatment activities to ensure immediate attention to their changing needs.

2.     Direct and coordinate the client admission process and treatment, rehabilitation, and support services of the program in coordination with the psychiatric provider.  Coordinate scheduling the admission interview; develop and coordinate the initial assessment and initial treatment plan; assign the most appropriate staff to the individual treatment team (ITT); and provide clinical supervision of the development of the comprehensive assessment and the treatment plan for each client.

3.     Direct and coordinate, for each client, the comprehensive assessment of psychiatric history (e.g. onset, course and effect of illness, past treatment and responses, and risk behaviors), mental status and diagnosis; physical health and dental health; use of drugs or alcohol; education and employment; social development and functioning; activities of daily living (e.g. self-care, living situation, nutrition, money management); and family structure and relationships.

4.     Provide and coordinate outreach and crisis intervention services to clients in the community, and routinely identify and evaluate physical risk factors for self and others while in potentially unsafe neighborhoods, homes, while around people with unknown potential for aggression, and while in proximity of potentially unsafe and/or unclean structures and equipment. Consult with CSBs and law enforcement officials when appropriate.

5.     Participate in staff recruitment, interviewing, hiring, work assignments, and orientation and performance supervision according to work rules, regulations, policies, and collective bargaining agreements.  Develop and implement staff orientation and training.

6.     Supervise chart management for clients served by the team assuring maintenance of the medical record in compliance with agency policies, Medicaid, all applicable MCOs, and other regulatory and contractual requirements; train staff on client record requirements; regularly review client assessments, treatment plans, and progress notes written by the staff; and supervise individual staff for client records mastery.

7.     Carry out and document quality-assurance activities and reviews of the use of program services. 

8.     Maintain program policies and procedures; Review all policies yearly, document review, and submit reviewed policies to Life’s Journey’s Administration. 

9.     Initiate and maintain relationships, in coordination with other staff, with other human services organizations, law-enforcement, and other community resources (e.g. landlords, employers), and with other agency departments and programs including the Crisis Stabilization Team, the Adult MHSS Program, Outpatient Services, and Residential Services.  Work closely with clients’ families, advocacy groups, and ombuds services to ensure an open and receptive communication process.

10.  Conduct clinical assessments and provide direct clinical treatment, rehabilitation, and support services to clients.

11.  Perform on-call duty for crisis intervention and for staff supervision and consultation.

12.  Prepare Prior Authorization requests, prepares extensions as needed; maintain prior authorization dates.

13.  Ensure nursing protocols and documentation are in compliance.

14.  Provide clinical supervision to staff.

15.  Review monthly ISP reviews for completion and accuracy.

16.  Monitor status of Service Request Authorizations and call to follow up on statuses weekly. 

17.  Conduct Quality Assurance with current clients.

18.  Conduct Follow-Up with discharged clients.

19.  Verify billing insurance eligibility

20.  Track incoming staff documentation, and address noncompliance accordingly.

21.  Submit CHRIS reports in accordance with state regulations

22.  Monitor serious incident reports and ensure proper protocols are followed

23.  Participate in treatment team meetings and complete related documentation to include preparing templates prior to meetings

24.  Assist with managing daily, weekly, and monthly client schedules

25.  Monitor units of services and the fulfillment of units

26.  Adhere to the TMACT model

27.  Adhere to DBHDS, Magellan, DMAS, and Human Rights regulations and guidelines. 

28.  Reports directly to Clinical Director daily with any updates, concerns, or suggestions for program implementation

29.  Display commitment to the goals of ACT, the ACT philosophy and the team’s response to the needs of the consumer.

30.  Participates in the development of individualized treatment/recovery/rehabilitation/wellness plans, overseeing the identification of resource development and delivery of appropriate clinical specialty services.

31.  Coordinate and provide ACT Team training and development in areas of clinical and/or management specialty.

32.  Provide direct and emergency back-up service support to members of the ACT team.

In addition to the above, any other responsibilities appropriate to the position and not specifically listed in the job description as indicated by the Clinical Director or the Officers of Life’s Journey.