Outpatient Clinical Supervisor

POSITION TITLE: Outpatient Clinical Supervisor

REPORTS TO: Clinical Director

SUPERVISES: Licensed Outpatient Clinicians

FLSA STATUS: 1 FTE Exempt

Salary: $35.00-49.82

POSITION SUMMARY: Provides clinical supervision to school counselors and out-patient adult and child clinicians; oversees the WRAP; may oversee various processes including access, intake, and other administrative duties as assigned. May provide minimal direct service as available and assigned. Will also take Counselor of the Day and crisis shifts.

ESSENTIAL DUTIES:

Clinical Supervisor

• Principal Duty: Provide clinical supervision for clinicians utilizing WVCW supervision tools and processes, to include the review of charts and compliance with rules and statues; periodic discussion of ethical issues; case consultation; self-care and burn-out; periodic review of performance and feedback provided; and periodic review of development plan and training needs and training provided as necessary.
  • Deliverable: Each clinician will have a minimum of two hours of supervision a month with at least one of those being individual supervision (the other may be group supervision).
  • Deliverable: Each clinician will have a formal performance appraisal at least annually. This will be a f/f appraisal in addition to written appraisal and will be placed in the personnel file within 30 days of f/f appraisal. 30-60-90 day reviews are encouraged so that feedback is continuous.
  • Deliverable: Performance Improvement Plans, when necessary will be written with consultation of HR, within 14 days of the identified performance issue. This includes but is not limited to, on-going non-compliance of policies, rules, statutes related to documentation; several complaints related to service delivery; poor decision making with possible ethical implications; and other issues related to performance.

• Principal Duty: Assure that assigned therapists are picking up newly assigned clients from the appropriate pool, and scheduling them within metric timeframes.
  • Deliverable: Newly assigned clients will be picked up from the pool within 72 hours.. 90% of consumers requesting routine services will receive an initial therapy appointment after assessment within 30 business days, or sooner as clinically appropriate.
• Principal Duty: Facilitate treatment team meetings as requested by and in conjunction with Clinical Director weekly to confirm assigned new clients, staff clients being seen by psychiatrist, consult on cases, review crisis situations and facilitate chart review presentations for training purposes when appropriate. Will utilize the WVCW case presentation formats, and will provide targeted training on both clinical and business processes as assigned by the Clinical Director.
• Principal Duty: Provide direction and coordination of care for children and adolescents in Wallowa County, to include outreach to other child serving agencies; participation in community meetings where child and adolescent needs are discussed (and/or request that other staff providing direct service to children/adolescents attend these meetings); plan and implement with others, key strategies that enhance services to the 0-5 population; and manage child psychiatry services.
  • Deliverable: Ensure that all children in foster care system receive a mental health assessment within 60 days; CANS (Child & Adolescents Needs & Strengths Assessment) are completed for all children in WRAP; Pre-authorizations are completed within required time-frame when higher levels of care are recommended.
  • Deliverable: Ensures that there is WVCW representation at MDT, Cradle to Career Committee, and other community meetings where children/adolescent needs are discussed.
• Principal Duty: Clinical policies are reviewed annually in conjunction with other key staff to ensure that they have been updated according to CCBHC, OAR and ORS's. Provide revised policies to the Executive Director and other staff as appropriate for review and signature.
  • Deliverable: 2-3 clinical policies are reviewed and updated each month as necessary and the Executive Director's review and signature requested annually for each policy. Up to date policies are kept in the appropriate google folder for review by all staff.

• Principal duty: Investigate clinical complaints made by clients/guardians and ensure that WVCW policy and procedure are followed and complaints resolved.
  • Deliverable: An investigation will begin within 48 hours of the date the complaint is made and resolved within 14 days. If an investigation takes longer than 14 days the client will be contacted and given an estimated time of when an answer will be provided. The Clinical Director will be informed of the complaint within 24 hours of when the complaint is made as well as other staff, when appropriate. Complaints are logged and reviewed per WVCW QA/QI policy and procedure.

• Principal duty: Co-administer the OCHIN EHR which includes providing training for staff, reviewing reporting, collecting input from clinicians, making recommendations for changes, etc.
  • Deliverable: Problems reported will be responded to within 48 hours. Needs, bugs, recommendations for changes, which are reported by staff, will be submitted to the integration team within 7 days and a response provided back to staff within 30 days or sooner. Training needs will be addressed within 72 hours unless the need is immediate and/or dependent on time availability of the staff and trainer.

Management Team

• Principal Duty: Attend management team meetings and participate in the planning and enhancement of our daily operation; and communicate important clinical information to the team.
  • Deliverable: Attend management team weekly.

Therapist: Provide direct service for 5-10 clients, 16 hours per week.

• Principal Duty: If not completed by an intake therapist, conduct a mental health assessment according to EOCCO, OAR's & ORS guidelines and rules and develop an individualized treatment plan with the client.
  • Deliverable: Treatment plan will be developed collaboratively with consumers and be completed before services are started. MHA's & Treatment Plans will be updated at least every 90 days.
• Principal Duty: Provide evidence based counseling which may include cognitive behavioral counseling, motivational interviewing, family of origin counseling, play therapy, solution focused brief counseling, EMDR and psych education. Monitor progress relative to appropriate modality at least every 3 months until treatment is complete.
  • Deliverable: A) Each progress note will reflect what progress has been made; and B) A minimum of 75% of time spent doing the Therapist job role (about 20% of work week) will be billable f/f contact with clients, with the goal of reaching 65% productivity.
• Principal Duty: Terminate with client when treatment is complete and/or when the client determines that counseling services are no longer desired or required.
  • Deliverable: Client will be discharged in Ochin with a summary and recommendations within 90 days of the last contact date unless an exception is documented in a note in the EHR.
• Principal Duty: Progress notes for each F/F contact, case management, environment interventions, etc. will be encountered in Ochin.
  • Deliverable: Progress notes will be completed within 3 business days of the service.
• Misc. duties including:
  • Stay abreast of various diagnoses and treatment modalities;
  • investigate grievances/complaints at the request of Executive Director;
  • conduct investigations as part of civil commitment process (when trained);
  • cover crisis calls occasionally.
  • Other duties as assigned.

QUALIFICATIONS:

• Master's degree and be licensed in social work, psychology, counseling, psychiatric nursing or other related fields. *Required
• Five (5) years of experience in behavioral health counseling, direct alcohol and other drug counseling.*Required
• At least 2 years of experience supervising other clinical professionals; or any satisfactory equivalent combination of experience and training as outlined in OAR 415-041-0055. *Required

OTHER SKILLS and TRAINING:

• Clinical supervision training and ethical concerns and issues training;
• Ability and commitment to follow all CCBHC, GOBHI, SAMHSA, OARs and other applicable regulatory requirements, including ensuring compliance by supervisees

• knowledge and ability to provide supervision to other professionals and the ability to provide guidance and leadership to staff;
• knowledge of employment law and human resources and general business practices;
• working knowledge of comprehensive community mental health services, including the interaction of all mental health as it relates to psychiatry and primary health care;
• must have skill in dealing with mentally ill, developmentally disabled and alcohol or drug affected persons and be able to understand the behavior of people under stress, having knowledge of co-occurring disorders and the treatment of these disorders;
• must be able to develop cooperative relationships with clinicians, other staff and managers, clients and their families, and the community.
• Must be able to maintain excellent working relationships with physicians, law enforcement agencies, the court, public and private administrators;
• must be familiar with ISSR (Integrated Service & Support Rule) and other OAR's and ORS;
• must be computer literate and have the ability to utilize word processing and other software programs;
• must be able to adhere to rules and laws pertaining to client and employee confidentiality;
• must be able to communicate information in both oral and written form and have the ability to present and exchange information internally across teams and co-workers, and externally with clients and the public;
• must maintain licensure.

CONFIDENTIALITY: This position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality.

COMMUNICATION SKILLS: Must be able to communicate information in both oral and written form with the ability to present and exchange information internally across teams and co-workers, and externally with clients and the public, Information communicated ranges from routine/ basic information to complex and confidential information

LEADERSHIP & TEAMWORK:  Must be able to work effectively and constructively with other office staff, clinicians, the administrative team and all other staff. Participates in staff meetings.

PHYSICAL DEMAND: This position requires you to be regularly available for work as scheduled. Position requires professional and personal skills to cope with stress associated with work involving a high degree of mental, emotional and physical demands. This position also requires the ability to bend, stoop, push and pull. While performing the essential duties of this job, the employee is regularly required to sit; talk and hear; use hands and fingers and handle or feel; reach with hands and arms. Reasonable accommodations may be made to enable persons with disabilities to perform the essential functions of this position.

WORK ENVIRONMENT: Work is performed in an office environment and the noise level is usually moderate, but occasionally may be exposed to loud noise such as raised voice levels and alarms. Occasionally the work environment may extend to other community offices, residential houses, and off-site locations.

This position may be exposed to the everyday risks or discomforts which require normal safety precautions typical of such places as an office (i.e., moving mechanical parts, airborne particles, and electrical shock). This person will be serving clients from all demographics within the community.

WVCW is a Trauma informed Organization and this person is expected to be a leader and example of Trauma Informed Care in the workplace.

Reasonable accommodations may be made to enable persons with disabilities to perform the essential function.

Wallowa Valley Center for Wellness is an equal opportunity employer.

Position open until filled