IIH Team Lead

Purpose of Position:

Oversee the development and implementation of strategies and structures to assist persons served so they may achieve their personal goals. The team leader provides clinical and administrative supervision of the team and practices as a clinician on the team.Functions:

Clinical

• Providing and coordinating the assessment and reassessment of the recipient’s clinical needs
• Convening the Child and Family Team for person\-centered planning
• Completing theinitialdevelopment and ongoing revision of thePerson CenteredPlan and ensuring its implementation
• Monitoring and documenting the status of the recipient’s progress and the effectiveness of the strategies and interventions outlined in thePerson CenteredPlan
• Consulting withidentifiedmedical (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
• Providing and coordinating treatment for the youth or other family members with other licensed professionals and Child and Family Team members
• Ensuring linkage to the most clinicallyappropriateand effective services
• Planningandfacilitatingconsumer transitions to other services and/or local agencies in an efficient manner
• Completingandsubmittingallappropriate ITRand other required discharge documentation to theappropriate state, LME, or state contractor
• Submittingcompleted discharge date to the Medical Records Specialist for processing and filing
• First Responder responsibilities

Support Services

• Assiststhe youth and family served by providing support and guidance in all areas of functional domains including adaptive, communication, psychosocial, problem solving, and behavior management.
• Provides a time\-limited intensive family preservation intervention to persons servedin order tostabilize the living arrangement, promotereunificationor prevent theutilizationof out\-of\-home therapeutic resources for youth
• Participates in a team approach to address the identified needs of children and adolescents who are transitioning from out of home placements or who are at risk of out\-of\-home placementin order toremain stable in their community
• Assistsyouth served in defusing any current crisis by evaluating its nature and providing intervention to reduce the likelihood of a recurrence
• Ensures linkage to needed community services and resources byidentifyingthe need of the youth served and researching any available programs in their community
• Providesself helpand living skills training to youth served as well as providing parenting skills training to help the family build skills for coping with the youth’s disorder
• Monitors and manages the presenting psychiatric and/or addiction symptoms of the individual served including referrals when needed andassistsindividual in recognizing early warning signs that a crisis may be near
• Works with caregivers in the implementation of home\-based behavioral supports including but not limited to:
• crisis management
• intensive case management
• individual and/or family therapy
• substance abuse intervention
• skills training
• other rehabilitative supports
• Provides a person\-centered focus on the youth servedin order tofacilitatea nurturing environment which will prevent the need for an out\-of\-home or more restrictive service
• Assiststhe family of the youth served in maximizing independence for the family and ensures a full partnership in treatment with minimal intrusion.
• Provides intensive services in the beginning of treatment that can successfully decrease over time as the youth and family’s coping skills develop
• Participating in the person\-centered planning process
• Providing direct home\-based behavioral health services and supports, including therapy for the family, asindicatedin thePerson CenteredPlan
• Providing indirect services for the family asindicatedin thePerson CenteredPlan
• Monitoring and evaluating the effectiveness of interventions, asevidencedby symptom reduction and progress toward goalsidentifiedin thePerson CenteredPlan
• Consultingidentifiednon\-medical (for example, DSS, school, DJJDP) providers, engaging community and natural supports, and including their input in the person\-centered planning process
• Support the persons served in understanding and exercising their rights.
• Provide support services in a manner that is safe, therapeutic, and free from abuse, neglect, and exploitation.
• Ensure that all information resulting fromhealth relatedappointments is documented and communicatedappropriately
• Attend andparticipatein treatment team meetings, audits, and committees as requested.
• Case Management functions as assigned.

Administrative

• Ensure that servicesrenderedto persons served are billable via management of cases and/or providing direct services
• Assemble a team of appropriately trained and qualified staff to ensure continuity of care to individuals served
• Train support team staff onAgencyphilosophy of service delivery, as related to applicable service definitions,statuesand rules
• Provide supervision of support team staff
• Conduct performance evaluations for support staff team and consult with theClinicalDirector regardingresults and recommendations
• In concert withtheClinicalDirector, takeappropriate disciplinaryactions consistent withAgencypolicies and procedures
• RepresentAgencyat local management entity and other necessary meetings, as related to the care of persons’ being served
• Submit all completed documentation to the Medical Records Specialist for filing, billing, and payroll purposes

Quality Assurance and Improvement

• Assure consistent provision of quality services to consumers
• Assure the completeness of the medical record.
• Monitor the implementation of the PCP to assure that services are being provided in a manner that is professional, effective, and consistent with governing rules, statutes, service definitions, and the PCP
• Assure that case management, supervision, and service notes are being completed in a manner consistent with Federal, State, andAgencys, statutes, rules, and policies and procedures, respectively
• Provide quality review and sign\-off of service notes, checking them against goals as delineated in PCP’s
• Provide training to support team for remediation of documentation issues, as needed
• Provide quality review and sign\-off on mileage and timesheets of support staff team
• Review,sign, andsubmitsupervised staff’s service documentationto the Medical RecordsCoordinatorfor billing verification, filing, and submission to the Home Office, as applicable
• Conduct routine follow\-up with service recipients, family members, and guardiansregardingtheir satisfaction with service delivery
• Participate in peer review activities ofAgencyoffices as requested
• Communicate ideas on improving services to Local Administrator
• Assure that staff’s vehicle(s) aresafe and in good working order

Communication

• Maintain consistent communication withtheClinicalDirector regardingdocumentation, authorizations, team and individual support staff performance, consumer progress toward goals, and consumer satisfaction
• Maintain regular contact with personsserved,their treatment teams,guardianand significant others in persons’ lives

Documentation

• Service notes
• Complete all service documentation including butnot limited to the following: service notes, incident reports, medication administration, etc. on the appropriate form and in a thorough and timely manner, as required by State, Federal, andAgencyrules, statutes, policy and procedure, andAgencyservice operation manuals.
• Submit service notes to theappropriatesupervisoron a weekly basis
• Time sheets
• Accuratelyand legiblycomplete timesheets, reflecting the amount of time spent in service provision
• Submit timesheets to theappropriate Team Leaderon a weekly basis

NOTE: Personal timesheets, including supporting service notes must be submitted by 10:00am each Monday*. \[Failure to submit this information will result in a decrease in the hourly rate to minimum wage.]*Quality Assurance and Improvement

• Assure that service documentation is clearly written, reflects the specific goals and symptoms to be addressed,pursuant tothePCP, andissigned
• Assure that timesheets and mileage reimbursement forms areaccurate, clearly written, and turned in at the designated times
• Assure that staff vehicle is safe and in good working order, as applicable
• Provide direct supervisor and support team with ideas/suggestions of how service provision can be improved

Qualifications:

Education/Experience

The minimum requirement for this position is:

Master’s level licensed professional in one of the following licensed discipline categories:

• NC Licensed Clinical Social Worker
• NC Licensed Psychologist (Doctorate Level)
• NC Licensed Psychological Associate
• NC Licensed Professional Counselor
• NC Licensed Marriage and Family Therapist
• Mastered Degree NC Licensed Nurse – advanced practice only (NP, PNPs)
• NC Licensed Clinical Addiction Specialist
• Certified Clinical Supervisor
• Board Eligible staff may serve asTeam Leader. However, full licensure must beattainedwithin30 monthsof hire.
• Must have knowledge andone year’sdocumentedexperience with the age and population served

Preferred Experience

• Oneor more years ofsupervisoryorcase management experience

Training

• Must successfully complete all staterequiredtrainingspursuant tothe support service delivered
• Must successfully complete all requiredAgencytrainings and in\-services

Additional Requirements

• Valid Driver’s License, reliable automobile with proof of current liability insurance, acceptable driving record, current vehicle registration and inspection, current TB test, and a clean criminal record.
• Basic mathematical skills
• Ability to read, write and understand the language of the person served and read and write in English.
• Ability to work as a team member
• Reliable transportation

Productivity Expectation:

• Provide support services as scheduled by supervisor,maintaininga 50% productivity rate
• This position requires a minimum number of units expected to be performed of 20 units/week, 10 being face\-to facesessionsand 10 coordination of care (COC).
• This may vary on a week\-to\-week basis due to client need (a client mayrequiremore than 1 face\-to\-face or COC session on top of theminimumrequirements).
• + NCTOPPS submissions will be part of this role

Performance Expectations:

• Maintain a professional demeanor and image in all situations, including but not limited to person served and staff relationships, verbal communications, and attire (please see Employee Handbook)
• Serveas a role modelby consistently conducting him/herself in a professional and ethical manner in all situations, including but not limited to promptness of completing assignments, verbal/non\-verbal communications, maintaining professional boundaries, representingthe Agencywith a professional image, complying with Federal Anti\-Kickback Laws, and not engaging in or coercing others to engage in any fraudulent behavior.
• Maintain therapeutic boundaries with consumers, families, and guardians
• Be familiar with HIPPA as related to confidentiality of information specific to persons served
• Have an understanding ofClient Rights
• Have an understanding ofperson served abuse, neglect, and exploitation rules
• Develop and consistentlydemonstratean understanding to the persons served, their likes, dislikes, behaviors, desired life outcomes, visions for the future, and their PCPs
• Have a basic understanding of mental health and related symptomology
• Have or develop an understanding of the medications that the persons served may be taking, their purpose and side effects
• Have or develop a working knowledge of therapeutic interventions toassistpersons served in effectivelymonitoringand dealing with their emotions and behaviors
• Consistently practiceappropriate medicationadministration and documentation
• Consistently practiceappropriate servicerecords documentation,pursuant toState, Federal, andAgencyPolicies and Procedures
• Provide support services as scheduled, showing up on\-time and working on person centered goals for the duration of the time allotted
• Serve as a valued member of a person focused team to support the individuals we serve
• Establish andmaintaineffective working relationships with colleagues and persons served
• Express ideas clearly, both verbally and written
• Ability to plan and execute work effectively
• Be aware ofexpirationdates andmaintaincurrent training and recertification requirements
• Attend andparticipatein all team meetings, committees, and audits as requested

Accuracy Required In Work And Consequence Of Error: The Intensive In\-Home Team Leader is responsible for insuring systems are in place to address the on\-going facilitation of services to each consumer, as well as oversees the collective services of his/her caseload , which has the potential to severely affect the health and safety of consumers and staff. This position has a fiduciary responsibility to the Agency including but not limited to billing, in which errors could result in significant funding infractions for the agencySupervision and Training Provided To Employee: The local office will provide initial training. On\-going training and supervision is provided on an on\-going basis by the supervisor.Physical Effort: A variety of physical activities are necessary for this position and depending upon the needs of the consumers of the agency. Travel is required within the community. From time to time out\-of\-town travel may be required. There will also be interaction with consumers served at each local office.

Work Environment and Conditions: The Intensive In\-Home Team Leader works primarily in environmentally controlled offices where conditions are pleasant, although visits to the sites where services are being provided is necessary in order to ensure the quality and provision of services to the consumers.