Mental Health Specialist 2 (Underfill) - Residential Services

Marion County Health and Human Services is seeking a compassionate, energetic and flexible Program Therapist to work at Horizon House Residential Treatment Facility. The Program Therapist will work collaboratively within an interdisciplinary team to provide Person-Centered mental health treatment services in a 24-hour residential clinical setting. This individual will be serving a caseload of up to 9 adult residents with serious mental illness. Ideal candidates will have direct or related experience working in a therapeutic milieu environment, facilitating therapeutic groups, implementing/writing treatment plans, and managing doctor’s orders. 

The candidate will collaborate with internal and external resources to assure the best possible treatment for residents. We actively engage our residents in treatment related activities by promoting community integration, and a recovery model approach that emphasizes independent skill development (e.g. cooking, budgeting, shopping, cleaning, nutrition, medications, social skills, communication). Schedule is standard M-F, 0800-1700 with some flexibility based on department need. The program therapist will also maintain clinical documentation, and transport clients as needed - Driver's License is required.

Wages:
Mental Health Specialist 1: $29.54 - $39.58 hr.
Mental Health Specialist 2: $35.83 - $48.00 hr.

GENERAL STATEMENT OF DUTIES 
Mental Health Specialist 2:
Provide assessments and treatment of individuals and families, including groups; provides crisis assessment and intervention services and related duties as required. Primary responsibility of this class is to provide assessment and treatment services; crisis intervention, and treatment services, including intensive services, to individuals and their families with complex needs and diagnoses and/or to develop and implement specific services in the community.

Mental Health Specialist 1:
Plans and carries out recreational, social and skills training activities; performs case management and counseling functions with Adults in Custody (AIC); facilitates counseling and/or skills training groups; performs related duties as required.  Primary responsibility of this class is case management and counseling, without responsibility for developing and implementing specific programs in the community.

SUPERVISION RECEIVED 
Mental Health Specialist 2 and 1:
Works under the supervision of a supervisor who assigns work, establishes goals, and reviews the results obtained for overall effectiveness.

SUPERVISION EXERCISED
Mental Health Specialist 2 and 1:
Supervision of others is not a responsibility of positions in this classification.  Crisis Clinician 2 may act as Clinical Supervisor designee when needed.  May assist in the supervision of practicum students and/or volunteers

Therapy:

• Will meet with each resident at least once per week, with additional sessions provided as clinically indicated, utilizing both traditional clinical settings and flexible approaches to meet individual needs.  Provide independent, in-person individual and group therapy to individuals in residential treatment services using a variety of evidence-based practices as clinically indicated, which may include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Solution-Focused Brief Therapy (SFBT), Collaborative Assessment and Management of Suicidality (CAMS), Collaborative Problem-Solving (CPI), and Motivational Interviewing. 
• Meet with individuals annually at minimum to update comprehensive mental health assessments, multi-disciplinary treatment plans, residential service plans, and other related required paperwork per Oregon Administrative Rules (OARs). Provide crisis assessment and specific intervention services, including development of safety/crisis plans.  
• Provide and model interventions necessary for residents to achieve their highest level of functioning.  Work on development of residents’ natural supports.   
• Be present in the milieu engaging individuals in milieu therapy.  Work collaboratively with staff to provide clinical services, skills training, skills groups, and milieu management.   
• Adheres to and support residents’ rights as outlined in OARs surrounding Home Community Based (HCBS) services.  

Case Management & Consultation:

• Consult with Community Mental Health Provider (CMHP) liaison and Oregon Health Authority (OHA) IQA/Comagine to provide/obtain essential OHA requirements such as assessments for individuals residing in the home as well as the Person-Centered Service Plan (PCSP).
• Determine individual service needs and appropriateness of services. Make referrals and coordinate with other agencies to obtain services, resources, benefits and entitlements-also providing follow-up work as needed, to make certain that residents’ needs are being met. Provide case specific consultation to other providers and community partners. 
• Work with a team of clinicians for treatment planning, team meetings, and trainings. 
• Coordinates with supervisor and centralized scheduler to manage new referrals, screenings, and intakes.  Responsible for completing all aspects of the referral screening, and intake process, including required documentation, coordination with ENCCs, community providers, and facilities, and completion of OHA and IQA/Comagine paperwork.
• Work with and supervisor for clinical supervision. 

Documentation:

• Maintains resident’s records and documents services provided to reflect progress in services as well as service needs. 
• Complete clinical record documentation in a timely fashion.  Meets performance expectations for time and billing standards

Medication:

• Assist Horizon House team with the medication administration record (MAR) by being a backup for the weekly and monthly MAR audit, maintaining doctors’ orders, coordinating with medical facilities, and communicating any medical changes with Horizon House staff/supervisors.

Misc.:

• Must be able to drive county vehicles to provide services to individuals including driving residents to appointments/outings, attend meetings, or run small errands for facility purposes such as grocery shopping.  
• Maintains Qualified Mental Health Professional (QMHP) certification or license of similar measure.
• Other duties as assigned by your supervisor.

1. Possession of a Master's degree in Psychology, Social Work, Recreational Therapy, Music Therapy, Art Therapy or a behavioral science field, or possession of a bachelor's degree in Nursing and licensed by the State of Oregon, or possession of a bachelor's degree in Occupational Therapy and licensed by the State of Oregon; OR second year graduate students waivered as QMHP's by the Oregon Health Authority.
2. Mental Health Therapist 2 Only:  In addition to the educational requirements above, the Mental Health Therapist 2 must have at least one year of full-time, post-Master's degree experience in the behavioral health field. 

SPECIAL REQUIREMENTS

• Must be either1) licensed by the Oregon Board of Licensed Professional Counselors, 2) licensed by the Oregon Board of Licensed Social Workers or 3) credentialed or registered through the Mental Health and Addiction Counseling Board of Oregon (MHACBO) as a Qualified Mental Health Professional (QMHP) within the first 30 days of employment. Applicants may be required to pass a practical knowledge and skills assessment as part of the interview process.
• This position may be subject to the following:  Must not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal procurement (Federal Acquisition Regulation) and non-procurement activities (Executive Order No. 12549).
• Must possess a current driver's license in the applicant's state of residence and an acceptable driving history.  Marion County will obtain a copy of the driving record for all qualified applicants from Driver and Motor Vehicle Services and review the driving record according to the Marion County policy and procedure for Driving on County Business.  The policy can be found at:  http://apps.co.marion.or.us/APAP/.
• The finalist for this position will be required to pass a criminal history background check; however, conviction of a crime may not necessarily disqualify an individual for this position.
• This is a safety sensitive/special needs position. Final candidates selected for this position will be required to pass a pre-employment drug screen, including testing for marijuana. The Marion County Drug and Alcohol Use and Testing Policy can be found at: http://apps.co.marion.or.us/APAP/policy.aspx?p=policy&pid=518.
• This assignment is represented by a union.
• This is a full-time position, which is eligible for overtime.
• Typical Work Schedule: Monday through Friday, 8:00 a.m. - 5:00 p.m. with flexibility depending upon the needs of the department and program

KNOWLEDGE, SKILLS, AND ABILITIES 

Working knowledge of community mental health concepts or chemical dependency case management and treatment services; individual assessment, treatment planning and treatment protocols; mental health disorders and diagnostic classifications.

Ability to establish positive working relationships with other employees, individuals and their families, other agencies, and the public; prepare concise and complete clinical documentation related to individual treatment and progress in services in a timely and professional manner; work within a team and collaborate with team members; knowledge of and ability to act professionally with regard to a code of ethics and confidentiality.