Primary Therapist

Position Title:

PRIMARY THERAPIST

Reports to:

SUD PROGRAM MANAGER

Department:

CLINICAL

Date:

1/1/2024

Category:

Exempt / Salary

Revised:

General Description

Responsibilities include providing clinical services to the clients of Victory Bay Recovery Center struggling with development of coping skills and emotional regulation. Therapist will be responsible for a caseload of minimum of 14 clients and facilitation of 4 groups on a weekly basis. Therapist is expected to meet with clients on caseload on a weekly basis. Therapists expected to make biweekly contact with family or support member.

Tasks & Responsibilities

A. Essential Duties

• Assess the counseling needs of the client.
• Assessing client for substance abuse and mental health diagnosis using DSM, PHQ-9 and Columbia Scale criteria in determining appropriate level of care based on ASAM and DSM criteria.
• Review previous records that are relevant to the current treatment episode.
• Preparing and providing the substance abuse counseling and co-occurring portions of the client treatment plan
• Development of the client discharge/continuum of care plan to ensure movement to the appropriate levels of care.
• Documenting all client records, counseling and education services, assessments, reassessments, referrals and follow-up in the client's clinical record.
• Provide coordination of support services for the client/family and record the services provided in the client's clinical record.
• Contact and coordination with referral sources, (i. e. legal, school, employer, etc. )
• Facilitate needed interventions for crisis-orientated issues utilizing a multi-disciplinary team approach for assigned clients.
• Facilitate group sessions.
• Documenting: Discharge, Individual Sessions, Weekly Calls, Level of care changes, group sessions and treatment plans.

1. Assists and covers other staff when necessary to maintain high productivity and efficiency in the department.
2. As the company continues to grow, additional responsibilities that are essential for the department to be successful will be assigned accordingly.

1. Create Meaningful Connections: Demonstrates ability to function effectively as a part of team. Uses outstanding oral and written communication with employees at all levels of the business for support and sharing of information.
2. Take Accountability: Take constructive feedback and prevent discourse among our peers.
3. Live in the Solution: Critically thinking should be the solution when problems arise. Having the ability to accepts constructive criticism well in an open and non-defensive manner.

1. Be Professional: Wear business casual attire (please see dress code policy).

1. Adaptability
2. Customer Service
3. Decision Making
4. Dependability
5. Ethics
6. Interpersonal Skills
7. Job Knowledge
8. Conflict Management
9. Organization Skills
10. Productivity
11. Self Development
12. Teamwork

1. Screening
2. Intake/Orientation
3. Assessment
4. Treatment/Discharge Planning
5. Crisis Intervention
6. Counseling
7. Consultation
8. Case Management
9. Client Education
10. Referral
11. Report and Recordkeeping

1. Compliance with essential and incidental duties; compliance with company policies and procedures.
2. Compliance with state and federal laws and regulations applicable to the business.

1. Documentation of Individual and Group Therapy Notation Interface within 24 hours. Level of Service Report is reviewed on a weekly basis to indicate therapist efficiency at documentation.
2. Group Auditing Procedure conducted semi-annually to ensure efficiency of following group curriculum and ensuring client skill building for substance use and mental health needs. Group Audit score meets minimum of 3. 3 requirement.
3. Completion of Client Treatment Planning within 30 days of initial evaluation/assessment.
4. Ensuring quality of care is met with use of evidence-based treatment and utilization of outcome-based data to reduce symptomatic response of client co-occurring conditions.
5. Chart Auditing conducted quarterly to ensure efficiency of following clinical notation standards. Chart Audit score meets minimum of 3. 3 requirement.

• Use of computer, telephone, and other office equipment such as a printer and fax.
• Use of company network and email domain.

• Air conditioned and well-illuminated office environment and outdoor environment.
• May have several responsibilities at once. Interaction with other is constant and can be interruptive.
• Work may be stressful at times due to high level workflow.
• Availability to work flexible hours including weekends, holidays, and evenings as is required to comply with the purpose of the job and accommodate client needs.
• Participates in educational training, orientations, or compliance programs as needed to maintain competency.
• If you must leave your employment with our company, we request employee's to give us at least 30 days resignation notice in writing.

• Enthusiastic self-starter operating with sustained energy and showing great initiative.
• Comfort working with a diverse base of support, including members, employers, providers, colleagues, community leaders, volunteers, non-profit organizations, vendors, etc.
• Excellent interpersonal and communication skills, including ability to read, write, spell in English legibly and without excessive grammatical or communication errors.
• Talk and hear both by person and by telephone; ability to speak clearly and effectively using proper grammar before patients, employees and business partners, among others.
• Excellent organizational skills.
• Accepts constructive criticism well in an open and non-defensive manner.
• Ability to manage conflicting priorities. Ability to maintain a positive work ethic and a congenial attitude in the face of a high-pressure environment.
• Ability to function independently and with flexibility.
• Ability to work under pressure, handle multiple tasks and interruptions.
• Occasional lifting of moderately heavy office supplies; ability to lift supplies for community events, trade shows, conferences, and other marketing opportunities applicable to the organization; ability to lift, push or pull up to 25lbs.
• Ability to sit, stand, or walk for extended periods of time.
• Must have strong computer skills to meet Microsoft Office and Electronic Health Record software requirements.