NO PHONE CALLS PLEASE.
GENERAL DESCRIPTION
The intensive in-home (IIH) service is a time limited, intensive child and family intervention-based on the clinical needs of the youth (through age of 20 for Medicaid funded service and through the age of 17 for state funded services). The service is intended to:
Reduce presenting psychiatric or substance abuse symptoms
Provide first responder intervention to diffuse current crisis
Ensure linkage to community services and resources, and
Prevent out of home placement for the child
IIH services are authorized for one individual child in the family, the parent/caregiver must be an active participant in the treatment. The team provides individualized services that are developed in full partnership with the family. Effective engagement, including cultural sensitivity, is essential in providing services in the family's living environment. Services are generally more intensive in the beginning of treatment and decrease over time as the youth's skills develop.
The team service includes a variety of interventions that are available 24 hours a day, 7 days a week, 365 days a year and are delivered by the IIH staff, who maintain contact and intervene as one organizational unit. IIH services are provided through a team approach; however, discrete interventions may be delivered by any one or more team members as clinically indicated. Not all team members are required to provide direct interventions with each child. The team approach involves structured, face to face, scheduled therapeutic interventions to provide support and guidance across multiple functional domains including emotional, medical and health. This service is not delivered in a group setting. IIH services are delivered to children and adolescents, primarily in their living environments, with a family focus, and include but are not limited to the following interventions as clinically indicated:
Individual and family therapy
Substance abuse treatment interventions
Developing and implementing a home-based behavioral support plan with the youth and his or her caregivers
Psychoeducation, which imparts information to the recipients, families, caregivers, and/or other individuals involved with the recipient's care about the recipient's diagnosis, condition, and treatment
Intensive case management
Assessment
Planning
Linkage and referral to paid and natural supports
Monitoring and follow up
Arranges for psychological and psychiatric evaluations
Crisis management
All treatment shall be focused on, and for the benefit of, the eligible recipient of IIH services. The service model requires that IIH staff provide 24 hour a day coverage, 7 days a week, 365 days a year. This service model is delivered by an IIH team comprised of one full time equivalent (FTE) team leader and at least two additional full-time equivalent positions as follows:
One FTE team leader who is a licensed professional who has the knowledge, skills, and abilities required by the population and age to be served (may be filled by no more than two individuals). A provisionally licensed or board-eligible Qualified Professional actively seeking licensure may serve as the team leader conditional upon being fully licensed within 30 months from the effective date of this policy. For provisionally licensed team leaders hired after the effective date of this policy the 30-month timeline begins at date of hire. AND
One FTE Qualified Professional who has the knowledge, skills, and abilities required by the population and age to be served (may be filled by no more than two individuals) AND
One FTE Qualified Professional or Associate Professional who has the knowledge, skills, and abilities required by the population and age to be served (may be filled by no more than two individuals).
For IIH services focused on substance abuse interventions, the team shall include at least one Certified Clinical Supervisor, Licensed or Provisionally Licensed Clinical Addiction Specialist (LCAS), or Certified Substance Abuse Counselor as a member of the IIH team.
All staff providing IIH services to children and families must have a minimum of one (1) year documented experience with this population.
No IIH Team member who is actively fulfilling an IIH Team role may contribute to the staffing ratio required for another service during that time. When fulfilling the responsibilities of IIH services, the staff member shall be fully available to respond in the community. The team to family ratio shall not exceed 1:8 for each IIH team.
The Intensive In-Home Qualified Professional must have the following Knowledge/Skills: Strong psycho-educational and individual and group counseling skills; Strong assessment skills; Strong community integration skills; Strong family/caregivers training and consultation skills; Strong adaptive skill training in all functional domains including vocational, educational, personal care, domestic, social, communication, leisure, problem-solving, etc.; Strong behavioral crisis and modeling intervention skills; Strong motivational interviewing, mentoring and mediation skills; Competency in Wellness Education and Symptom management issues; Cognitive Behavioral Therapy Interventions; Cultural Competence; Energy and enthusiasm for service provision.
WORK DUTIES AND TASKS
Administrative Duties: Essential Function, 10% of time
To enter notes daily once service is provided into the electronic health record (EHR) system.
To attend scheduled meetings and trainings pertaining to the service.
Other Duties as assigned.
Clinical Work: Essential Function, 80% of time
Coordinates and oversees the initial and ongoing assessment activities
Convening the Child and Family Team for person centered planning
Completing the initial development and ongoing revision of the Person-Centered Plan and ensuring its implementation
Consulting with identified medical (for example, primary care and psychiatric) and non-medical (for example, DSS, school, DJJDP) providers, engaging community and natural supports, and including their input in the person-centered planning process
Ensuring linkage to the most clinically appropriate and effective services including arranging for psychological and psychiatric evaluations
Providing and coordinating behavioral health services and other interventions for the youth or other family members with other licensed professionals and child and family team members
Monitoring and documenting the status of the recipient's progress and the effectiveness of the strategies and interventions outlined in the Person-Centered Plan
To act as an advocate on the behalf of the client and organization
To ensure that the person-centered planning model is being incorporate in care
To ensure that clients are receiving good quality continuity of care
Provide first response to client's concerns, problems, and grievances
Provide direct intervention and also arrange, coordinate, and monitor services on behalf of the recipient
Provide face to face support and guidance in all areas of functional domains: adaptive, communication, psychosocial, problem solving, behavior management, etc.
Provide therapeutic interventions to the client and their caregivers in an effort to teach various skills and prevent out of home placement
Provide preventive, developmental and therapeutic interventions designed to direct client activities
Provide psychoeducation and assist with client skill enhancement or acquisition
Support client ongoing treatment and functional gains
Provide crisis intervention counseling
Enhance client communication, problem solving, and anger management skills
Focus on assisting clients in becoming connected to naturally occurring support systems and relationships in the community including developing and providing support for health and safety factors
Provide ?first responder? crisis response on a 24/7/365 basis to consumers who are receiving this service. Telephone consultation must be provided within 15 minutes of receiving call and face to face must occur within 2 hours of receiving the call
Monitor implementation of service
Under the direction of the IIH Team leader the following responsibilities are expected:
Participating in the person-centered planning process
Assisting with implementing a home-based behavioral support plan with the youth and his or her caregivers as indicated in the Person-Centered Plan
Providing psychoeducation as indicated in the Person-Centered Plan
Assisting the team leader in monitoring and evaluating the effectiveness of interventions, as evidenced by symptom reduction and progress toward goals identified in the Person-Centered Plan
Assisting with crisis interventions
Assisting the team leader in consulting with identified providers, engaging community and natural supports, and including their input in the person-centered planning process
Professional Activities: Essential Function, 10% if time
Attends a minimum of 2 hours of cultural competency continuing education per year.
Completes annual adult CPR and First Aid certification courses.
Completes annual TB tests and any other required competencies as outlined by the Human Resource Department for all staff.
Completes a performance evaluation in a complete and timely manner, annually.
Other duties as assigned.
All members of the IIH services team shall be supervised by the team leader. Clinical supervision of IIH staff must reflect continued staff development of competencies in the selected practices and models. Persons who meet the requirements specified for Qualified Professional or Associate Professional status according to 10A NCAC 27G. 0104 and who have the knowledge, skills, and abilities required by the population and age to be served may deliver IIH services.
See attachment for staff training requirements
QUALIFICATIONS, EDUCATION AND EXPERIENCE REQUIREMENTS
An individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of full-time accumulated experience in mh/dd/sa with the population served; or
A graduate of a college or university with a Master's degree in a human service field and has one year of full time, post graduate degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has one year of full time, post graduate degree accumulated supervised experience in alcoholism and drug abuse counseling; or
A graduate of a college or university with a bachelor's degree in a human service-related field and has two years of full time, post bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has two years of full time, post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; or
A graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full time, post bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has four years of full time, post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.
A minimum of one year's documented experience with this population.
No criminal convictions of child abuse or violent crimes.
Must possess a valid driver's license.
Must be able to pass a criminal background, MVR, and Healthcare Registry Check
Must be able to keep strict confidentiality and work with diverse populations
Must complete intensive in-home services training within the first 90 days of employment
CORE COMPETENCIES
To perform effectively in this position, the individual should demonstrate the following competencies. These core competencies represent effective administration of Integrated Family Services, PLLC and its programs fulfilling the IFS mission.
Job Knowledge: Understands the technical aspects of an effective Intensive In-Home program and solicits guidance from experts. Understands the duties and responsibilities of the position and keeps job knowledge up to date. Clearly understands the mission of the organization and continuously works to promote IFS and achieve its goals.
Initiative in fulfilling the goals of the organization: Form interactions with staff and mental health sector, the Intensive In-Home Qualified Professional recognizes and brings to the attention of the Intensive In-Home team leader issues that affect the organization and implements plans to reach organizational goals as determined by the management team. Displays initiative in developing action plans and resolving problems as they occur, in consultation with management.
Communication: Communicate effectively with multiple audiences using a variety of format. Examples include: electronic and/or written communications that clearly outline the situation and action items; verbal presentations and briefings to the departmental mangers, the management team and other parties; advocating on behalf of IFS at local meetings and to outside group regarding a variety of issues affecting IFS.
Dependability: Seeks increased responsibility while remaining conscientious, thorough, accurate, and reliable with respect to achieving the organization's goals, and the needs of the IFS consumers and fellow staff. This includes being available and responsive to issues and concerns as they arise.
PHYSICAL DEMANDS, WORK ENVIRONMENT, TRAVEL AND MISCELLANEOUS
Physical Demands:
While performing the duties of this job, the employee is regularly required to sit, stand, walk, speak and hear. The position requires extensive computer use so the employee must have sufficient hand dexterity to use a computer keyboard and be capable of reading a computer screen. The employee must rarely lift and/or move up to 20 pounds. Reasonable accommodations may be made to enable otherwise qualified individuals with disabilities to perform the essential functions.
Work Environment:
The work environment is a small, busy office and/or area of location may vary or may be remote work. The noise level in the work environment is usually low to moderate. Reasonable accommodations in the work environment may be made to enable individuals with disabilities to perform the essential functions.
Travel:
The employee must be able to travel to individuals served homes, the local office, when necessary/required, attend conferences, training and other events as required for acquire and maintain proficiency in fulfilling the responsibilities of the position.
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This job description is not intended to be all-inclusive. Employee may perform other related duties as determined to meet the on-going needs of the organization. Acknowledgment of this document is in receipt of this job description and does not create a contract of, or specify terms, conditions or a specific period of employment.
All employment relationships with Integrated Family Services, PLLC are at-will and may be terminated at any time, with or without cause, with or without notice by either the employee or employer.
I acknowledge I have received a copy of this job description and it has been reviewed with me and I understand the duties and requirements of the job. I also acknowledge and understand that if I have any questions pertaining to the duties and requirements of my job that I may ask my immediate supervisor, departmental management or Human Resources.
In addition to competitive salaries and opportunities for advancement, full-time employees are offered a wide range of benefits to meet their individual needs, which includes:
Medical, Vision, Dental Insurance.
Life Insurance (Paid by Company).
PTO (Paid Time Off).
Paid Holidays.
Longevity Pay.
401K Retirement Plan.
Funeral Leave.
FMLA.
Supplemental Insurance offering through Aflac with Payroll Deduction.
Direct Deposit.
Training Opportunities.
Continuing Education Leave for Licensed Professionals (opportunity to gain free CEU's).
Free Clinical Supervision in Greenville (LCSWA/LCASA/CSAC).