1. Conducts person-centered, culturally sensitive and trauma informed clinical evaluation. Gathers relevant current and historical clinical information including lethality and propensity for violence. Evaluates the client’s mental status. Reviews client’s strengths, needs, abilities, and preferences. Assesses the functioning level including risk and protective factors. Determines the most appropriate level and intensity of service(s)/treatment that is medically necessary and/or the need for referral and further assessment. Formulates a diagnostic impression using the Diagnostic & Statistical Manual of Mental Disorders.

1. Develops a treatment plan with the client and as appropriate with significant others. Collaborates with the FS treatment team, external care providers and other serving agencies.

1. Conducts case management, crisis intervention, therapy, CS services, treatment planning services and other duties as assigned.

1. Responds to client’s clinical needs in a timely, responsive way.

1. Maintains appropriate documentation of services delivered and all other documentations as required by FS in order to comply with applicable rules and regulations. Submits all paperwork on a timely basis. Documentations are complete and meet the applicable standards.

2. Maintains confidentiality of PHI (Protected Health Information) in accordance with all legal mandates and FS Policies and Procedures.

3. Conducts oneself in a professional manner. Practices within the scope of professional licensure and code of ethics.

4. Complies with accreditation/certification standards, and FSpolicies & procedures.

5. Meets the productivity standards for job assigned. 

6. Performs other duties as may be assigned.

DOCUMENTATION:

1. Completes all official records and documents to ensure compliance with all regulatory and accreditation bodies.

2. All required paperwork must be turned-in to the Clinical Supervisor or Program Director designee (Office Manager by 8 a.m. every Monday from the previous week. Examples: properly completed consent forms, signed treatment plans, quarterly reviews, communication logs, discharge summaries, release/exchange of information forms, etc. Also, daily individual billing and weekly timesheet. All input to the EHR must be up-to-date.

3. Maintains and records daily client progress notes as soon as possible but not exceed 24 HOURS of seeing the client.

4. Documents non-billable contacts with the clients to show history of follow-up and/or non-compliance.

5. Updates necessary client demographics information in EHR system by the 20th of each month

GENERAL RESPONSIBILITIES

1. Demonstrates positive clinical outcomes and overall client satisfaction.

2. Provides services that meet the productivity and quality service standards of FS

3. Cooperates and supports FS’s quality and performance improvement activities and initiatives.

4. Works toward developing, fostering, and maintaining positive, proactive relations with other community service providers.

5. Support FS’s culture that honors individuality while promoting collaborative effort and teamwork.

6. Participate in employee surveys to promote cooperative, interactive, supportive, collective entrepreneurship.

MINIMUM QUALIFICATIONS:

1. Education: Bachelors or Master’s Degree Preferred or Demonstrated Experience in Clinical Care 

Experience in Outpatient Behavioral Health Setting preferred.

1. Certification:Able to participate in First Aid, CPR, Verbal/Physical De-escalation; and FS required

professional development training.

1. Other:Valid Illinois Driver’s License. Must pass BCI check, all Corporate Compliance checks and employment drug screen.

2. Bilingual Candidates (Fluent in English and Spanish)

This position description does not list all of the duties of the job and is subject to change as the position and FS needs evolve. The supervisor or senior management may require this employee to perform other duties and responsibilities, within reason, and as appropriate to one’s qualifications. 

FS reserves the right to revise this job description at any time. The job performance is evaluated, although not exclusively, but largely upon the tasks listed in this position description.

Reasonable accommodation for individuals with disabilities are made in accordance with the Americans with Disabilities Act (ADA) as needed.

This position description is not a contract for guaranteed continuous employment. FS or the employee may terminate employment at any time, for any reason consistent with the law.