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

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.

Management: Maintains effective systems of internal controls for all Intensive In-Home services activities. Manage Intensive In-Home services activities to minimize error in service provisions and maximize revenue while adhering to federal, state, and local regulations. Demonstrating the core values of IFS in maintaining effective Intensive In-Home service operations.

Job Knowledge: Understands the technical aspects of managing an Intensive In-Home program; provides advice to staff directly and/or 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 the mental health sector, the Intensive In-Home service leader recognizes and brings to the attention of the Clinical Director 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 the departmental supervisors and the Administrative Director.

Communication: Communicate effectively with multiple audiences using a variety of formats. Examples include: electronic and/or written communications that clearly outline the situation and action items; verbal presentations and briefings to the departmental managers, the management team and other parties; advocating on behalf of IFS at local meetings and to outside groups 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 or an 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 accommodate the agency and client's needs, attend conferences, training and other events as required to 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. Acknowledgement 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 that 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 manager 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).