Job Abstract

The Program Therapist is responsible for facilitating the clinical/patient interface, milieu management, and care coordination. Therapist conducts ongoing assessments and fulfills direct service, including individual, conjoint, family, group therapy, crisis management, and clinical supervision and/or professional consultation.

Responsibilities

• Establishes rapport and builds therapeutic alliance with patients
• Responsible for the case management of the patient record, including, assessments, individual treatment plan based on patient's needs, session notes, discharge plan and clinical discharge summary.
• Must be knowledgeable in relevant state regulations, Joint Commission Standards, and payer clinical guidelines and adhere to documentation policies.
• Ensures client records for assigned case load are comprehensive, completed within timeframes outlined in policy, and meet DBH documentation standards, including licensing, Joint Commission, and payer guidelines.
• Responsible for ongoing assessment of patients mental health status and adherence to psychiatric emergency and suicide protocols outlined in company policy. 
• Must have an understanding of the required documentation, the ability to document properly, and in a timely manner
• Facilitation of process and psychoeducation groups
• Responsible for family and social support involvement and documenting in patient record.
• Attends weekly Treatment Team and/or clinical meetings
• Knowledge of substance use disorder / mental health, family systems, and recovery resources in the community. 
• Knowledge of current legal standards pertaining to professional practice, reporting requirements, professional boundaries and ethics and
• Follows reporting requirements and state mandates, as outlined by State and/or company policy.
• Conducts biopsychosocial assessments of patient at the time of admission, re-assessments as required, diagnostic assessments, mental status examinations, suicide risk assessments, suicide reassessments, nutrition screens, treatment plans(s), treatment plan reviews, concurrent reviews, and discharge summaries.
• Responsible for assisting with discharge planning and ensuring patient is provided with a continuing care plan upon discharge. Ensures patients patients are discharged with sufficient refills to bridge the gap from discharge to their next physician appointment.
• Maintains case load and is responsible for maintenance and oversight of the patient record.
• Coordinates care with patient’s families, outside providers, and referents; and documents communication in patients record.
• Facilitates family/conjoint therapy clinically indicated and per policy
• Serves as a liaison with assigned patient’s physician and multidisciplinary treatment team, ensures appropriate medical is being provided to patient.
• Assumes responsibility of knowing when patients are in need of extensions or referrals, and actively participates in obtaining appropriate extensions/referral. 
• Participates in company trainings, webinars, individual and group supervision, and related meetings.
• Develop and present trainings on current evidence-based practices and relevant topics.
• Knowledge and adherence to HIPAA privacy rules.
• Discloses qualification to patients, as required by state regulatory body.
• Any other job-related responsibilities as assigned by Program or Clinical Director.

This is a full-time position that will work Tuesday-Saturday 9am-5pm. 

For a virtual tour of the facility, please visit our website at https://casapalmera.com/.