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.
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 1:12 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
To provide day-to-day supervision of Intensive In-Home workers and to be available to provide consultation, guidance, direction, resource identification, problem resolution, seeking input and approval from Clinical Director when necessary.
To ensure that employees follow the organization's policies and procedures. e.g., sick time, personal leave, overtime, confidentiality, incident reporting, intake, discharge, etc.
To provide clinical supervision for staff providing intensive in-home services.
To regularly review the needs of the employees and identify strategies to meet the client's needs.
To ensure that new employees providing direct care are oriented and trained to the organization as well as the company's policies and procedures pertaining to the service. This training should include all the things outlined in the supervision manual and other items as needed.
To set performance standards for tasks, jobs, and roles for employees and ensure that their job goals are realistic and appropriate.
To conduct performance evaluations on a regular basis in a timely and efficient manner, including assessing how the employee has performed and what they can do to improve their jobs.
To identify problems with direct staff performance and implement resolutions to address the issue (plan training, discussion during staffing, etc.).
To conduct weekly staff meetings to monitor direct care of service provided to clients. Constructive criticism and feedback should be given to make sure that the service is provided in a good quality manner. This supervision should be documented appropriately by using supervision logs.
Supervise the procedures used for all new clients related to direct care to make sure that the process is completed appropriately.
To monitor the coordination of Intensive In-Home services along with other services that may be necessary (psychiatric care, etc.)
To ensure that Person Centered Plans are reviewed at a minimum of once a month.
To ensure that authorizations for Intensive In-Home Services are obtained by the insurance provider in a timely manner to ensure that there is not a lapse in service.
To make sure there is a minimum of 12 contacts within the first month and an average of 6 contacts for the second and third month.
Address issues related to personnel and staffing problems.
Completes all administrative requirements in a timely and efficient manner.
Completes performance evaluations in a complete and timely manner.
Contribute to the review and revision of departmental policies and procedures.
Create on call schedule.
Enter notes as appropriate in electronic health record
Provide individual and family therapy for each youth served by the team
Designate the appropriate team staff such that specialized clinical expertise is applied as clinically indicated for each child
Provide and coordinate the assessment and reassessment of the recipient's clinical needs
Provide clinical expertise and guidance to the IIH team members in the team's interventions with the recipient
Providing clinical supervision of all members of the team for the provision of this service.
An individual supervision plan is required for all Associate Professionals the IIH team lead supervises
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 behalf of the client and organization.
To ensure that the person-centered planning model is being incorporated 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 arrange, coordinate, and monitor services on behalf of the recipient.
Provide face to face support and guidance in all areas of functional domain: adaptive, communication, psychosocial, problem solving, behavior management, etc.
Provide therapeutic interventions to the client and their caregivers to teach various skills and prevent out of home placement.
Provide preventative, 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 a call and face to face must occur within 2 hours of receiving the call
Monitor implementation of service
Participating in the person-centered planning process
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
Attends a minimum of 10 ongoing Evidenced Based Practice training per year
Completes bi-annual CPR/First Aid training
Completes annual CPR training
Completes a performance evaluation in a complete and timely manner, annually
Other duties as assigned
See attachment for staff training requirements
QUALIFICATIONS, EDUCATION AND EXPERIENCE REQUIREMENTS
At least a Master's Degree in Social Work, Counseling, Criminal Justice, Psychology or a related field
An individual who holds an unrestricted license, certificate, registration, issued by the board regulating the professional in question, in the following discipline: Licensed Clinical Social Worker or Provisionally Licensed Social Worker
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 keep strict confidentiality and work with diverse populations
Must complete intensive in-home services training within the first 90 days of employment
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).