Intake & Assessment Therapist

General Description      

Intake Clinicians play a vital role within the company as they are the initial clinical contact. The are responsible for assessing and diagnosing both adolescents and adults with mental health concerns. Intake Clinicians conduct thorough evaluations, gather histories, and formulate DSM diagnoses. A crucial aspect of the role involves assessing the client's level of care needs and any risk factors. Based on this assessment, the intake clinician links clients to the most appropriate services, either within the facility or through external referrals. This role requires strong clinical, diagnostic, and communication skills to ensure clients receive timely and appropriate mental health support. 

 Tasks & Responsibilities 

• A. Essential Duties 
  • Obtaining Informed Consent 
    • Facilitate acceptance of client Informed Consent documents from patient portal. 
    • Ensure all documentation is properly completed prior to the start of the Intake Assessment.  
    • Outreach and provide rescheduling opportunities for clients unable to complete paperwork. 
  • Assessment and Diagnosis 
    • Ensure each client completes a PHQ and Columbia-Suicide Severity Rating Scale during Intake Assessment.  
    • Gather all relevant clinical data to make an informed preliminary diagnosis.  
    • Justify all diagnoses given using DSMV criteria.  
    • Assess client’s level of care, and facilitation to higher levels of care when needed. 
  • Clinical Documentation 
    • Completion of Biopsychosocial, Missed Appointment Notes, Phone Call notes, etc. within 48 hours of service. 
    • Maintain accurate and concise documentation of client interactions. 
  • Clinical Recommendations and Scheduling 
    • Make clinically justified recommendations for the client’s treatment plan.  
    • Educate clients on recommended treatment services.  
    • Facilitate the linkage of clients to recommended services (therapy, medication management, specialty services). 
  • Crisis Intervention 
    • Identification of client’s current risk level.  
    • Maintain client safety through crisis intervention.  
• B. Additional Duties 
  • Responsible for review and acceptance of client Informed Consent documents. 
  • Ensuring all Informed Consent has been appropriately given via electronic signature. 
  • Provide direct service by assessing client’s biopsychosocial needs, within the allotted 1-hour session.  
  • Attend monthly supervision with Intake and Assessment Supervisor.  
  • Attend weekly Intake Clinical Meeting. 
  • Facilitate referral of clients to higher levels of care, when needed.  
  • Maintain Key Performance Indicator expectations. 
  • Assists and covers other staff when necessary to maintain high productivity and efficiency in the department.  
  • As the company continues to grow, additional responsibilities that are essential for the department to be successful will be assigned accordingly.   
• C. Interpersonal Relations 
  • Create Meaningful Connections: Demonstrates ability to function effectively as a part of team. Uses outstanding oral and written communication with employees at all levels of the business for support and sharing of information.   
  • Take Accountability: Take constructive feedback and prevent discourse among our peers. 
  • Live in the Solution: Critically thinking should be the solution when problems arise. Having the ability to accepts constructive criticism well in an open and non-defensive manner.  
  • Be Professional: Wear business casual attire (please see dress code policy). 

Competencies 

•  Adaptability 
• Customer Service 
• Decision Making 
• Dependability 
• Ethics 
• Interpersonal Skills 
• Job Knowledge 
• Conflict Management 
• Organization Skills 
• Productivity 
• Self-Development 
• Teamwork 

Clinical Competencies 

• Clinical Charting 
• Crisis Management and Suicide Intervention 
• Understanding of evidenced-based practices in mental health treatment. 
• Basic knowledge of TMS and Spravato 
• Familiarity with telehealth services and virtual, HIPAA-compliant meeting platforms 

Key Performance Indicators 

• Intake and Assessment Clinicians’ performance will be evaluated on several competencies including but not limited to:  
• 70% of admitted clients linked to therapeutic services.  
• 10% of admitted clients linked to specialty services.  
• Average rating of 4.3 of 5 or higher on client satisfaction surveys.  
• Documentation completed within 48 hours of service.  
• Chart audit scores at or above 80% each quarter.  
• Appropriate documentation of and adherence to processes related to higher level of care recommendations and high-risk reporting. 
• Clinician demonstrates sufficient understanding of all ABHN services, and 50% linkage of eligible clients to said services. 

Performance Standards & Measurement 

• Compliance with essential and incidental duties; compliance with company policies and procedures.   
• Compliance with state and federal laws and regulations applicable to the business.  

Equipment, Tools & Machines 

• Use of computer, telephone, and other office equipment such as a printer and fax.  
• Use of company network and email domain.  

Working Conditions 

• Air conditioned and well-illuminated office environment and outdoor environment.  
• May have several responsibilities at once.  Interaction with other is constant and can be interruptive.   
• Work may be stressful at times due to high level workflow. 
• Availability to work flexible hours including weekends, holidays, and evenings as is required to comply with the purpose of the job and accommodate client needs.  
• Participates in educational training, orientations, or compliance programs as needed to maintain competency.  
• If you must leave your employment with our company, we request employee’s to give us at least 30 days resignation notice in writing. 

Demands  

• Enthusiastic self-starter operating with sustained energy and showing great initiative. 
• Comfort working with a diverse base of support, including members, employers, providers, colleagues, community leaders, volunteers, non-profit organizations, vendors, etc.  
• Excellent interpersonal and communication skills, including ability to read, write, spell in English legibly and without excessive grammatical or communication errors.  
• Talk and hear both by person and by telephone; ability to speak clearly and effectively using proper grammar before patients, employees and business partners, among others.  
• Excellent organizational skills.  
• Accepts constructive criticism well in an open and non-defensive manner.  
• Ability to manage conflicting priorities.  Ability to maintain a positive work ethic and a congenial attitude in the face of a high-pressure environment.   
• Ability to function independently and with flexibility.  
• Ability to work under pressure, handle multiple tasks and interruptions.   
• Occasional lifting of moderately heavy office supplies; ability to lift supplies for community events, trade shows, conferences, and other marketing opportunities applicable to the organization; ability to lift, push or pull up to 25lbs.  
• Ability to sit, stand, or walk for extended periods of time. 
• Must have strong computer skills to meet Microsoft Office and Electronic Health Record software requirements.  
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Qualifications  

• Education:  
  • A master's degree in the Human Services field and Full or Associate Licensure in state of practice. Licensure in state of practice; full licensure preferred. 
• Experience:  
  • 2+ years’ experience at a working in a Mental Health Treatment Facility  
  • Computer literate: Microsoft Office (Excel, Word, and PowerPoint) required.