The Per Diem Clinician - PRD functions in a professional role in order to fulfill programmatic needs. Promotes the full integration and functioning of Persons Served (PS) needed to live successfully in the community. Performs clinical duties including intake, assessment, treatment planning and clinical interventions for assigned Persons Served (PS), whether living independently in the community or in a Group Living Environment or Supported Independent Environment. Responsible for determining PS needs for rehabilitative services as required by Medicaid Rehab Option for outreach and GLE/SIE PS. Directs the delivery of Treatment Plan interventions by Team Outreach Workers (OW) for PS. Oversees treatment interventions of PS in assigned GLEs/SIEs. Mentors and models for OWs appropriate interventions. Trains and supports staff in delivering clinical evidence-based practices and best practices to all PS, including Group Living Environment/Supported Independent Environments (GLE/SIE) Program Directors and staff.

The essential job duties/responsibilities of the position include but are not limited to the information listed below:

• Initiate and conduct required intake and engagement process with Lead Peer Specialist for assigned referred PS within 72 hours, to begin building the therapeutic relationship and assessing service needs of PS.

• Engage and assess treatment and support needs of PS, initially and in a sustained manner.

• Determine PS need for rehabilitative services as required by Rehab Option for GLE/SIE and outreach PS. Oversee the collection of information needed for assessments. Select treatment and support interventions to address the needs of PS. Develop Medicaid Rehab Option billable treatment plan in collaboration with the PS, Peer Specialist(s) and other assigned staff. Complete, date and sign both the Mental Status Exam and the Clinical Formulation-Interpretive Summary and prioritize PS Assessed Needs. Sign and date the Treatment Plan and all subsequent Reviews and Revisions.

• Conduct Treatment Plan meetings with PS; invite and involve other involved parties (Legally Authorized Representative, family, friends, advocates, as applicable), assigned Peer Specialist and other staff when plan is developed or changed. Include discussion of discharge criteria at first treatment plan meeting; update and plan for discharge in all subsequent Treatment Plan meetings.

• Lead intervention team for each PS, comprised of a combination of Outreach Worker(s), Nurse, Housing Coordinator, Addictions Recovery Counselor, Peer Specialist, Community Connector, Employment Coordinator (FY 19) and/or Family Connector based on specific needs of PS.

• Oversee service delivery to all assigned PS, including participation in services, treatment and support skills planning and implementation of recovery goals, peer and family support, readiness for Per Diem Clinician - PRD 2 discharge, and support through service and life transitions, including acute care and housing transitions.

• Develop and deliver individualized, life stage appropriate services and supports to PS, including young adults and seniors.

• Collaborate with Team members to deliver specific recovery, community, addictions, health, family or other treatment or support services needed for Treatment Plan success for PS; whether living in an independent setting or a GLE/SIE.

• Promote healthcare and employment services access for PS.

• Promote engagement, safe housing, community tenure, achievement of greater self-sufficiency and successful completion of service for all PS.

• Assign and direct Outreach Workers to deliver specific skills training and supports needed for Treatment Plan success for PS living in independent settings.

• Train and direct the Program Director, Residential Counselors, and Awake Overnight Counselors of each assigned GLE/SIE to deliver interventions needed for Treatment Plan success, for PS residing in GLEs/SIEs.

• Perform, train, supervise, mentor and model the use of best practices and evidenced-based clinical and recovery oriented interventions for PS, including Motivational Interviewing; Harm Reduction and Addiction Treatment support; Screening; Brief Intervention, Referral and Treatment (SBIRT); Housing First; Stages of Change; Wellness Recovery Action Plans (WRAP); Seeking Safety and Cognitive Behavioral interventions.

• Ensure the seamless integration of Team and GLE/SIE staff effort in performing interventions for each PS Treatment Plan.

• Ensure Intervention Teams provide thorough and thoughtful documentation of PS needs and services.

• Support competency-based training for all staff to achieve successful treatment outcomes for PS. Support staffs’ use of trauma informed, recovery-oriented, person-centered, culturally competent and strengths-based approaches and skills training techniques in their work.

• Provide outreach services, as necessary to PS when they appear to disengage from ACCS service.

• Oversee and actively assist PS during care transitions and life stage transitions.

• Collaborate with Assistant Team Leader to obtain and maintain guardianships for PS in the community who have determined to lack the capacity to give informed consent to treatment.

• Work with PS and assigned Team members to develop Safety Plans and/or Crisis Prevention and Response Plans. Review and update Safety Plans and/or Crisis Prevention and Response Plans when there are changes in protective factors or a PS strengths and preferences, after care transitions, and at the annual treatment plan review, at a minimum. • Interface with Emergency Services as needed, in conjunction with BH CP, One Care or DMH Case Management.

• Interface with ACCS Employment Coordinator and Care Coordination entities as needed. • Conduct Face-to-Face visit within 48 hours of a PS return to the community after Emergency Department visit, arrest, incarceration, homelessness, hospitalization, etc.

• Visit each assigned GLE/SIE twice each week, and as the needs of assigned PS dictate, to supervise staff in the delivery of the Treatment Plans and check on progress if assigned.

• Provide regular field supervision to Outreach Workers, directly observing them performing interventions related to PS Treatment Plans.

• Receive regularly scheduled role-based clinical supervision from ACCS Assistant Team Leader.

• Participate in other activities and perform other related duties, as assigned

Established in 1977, Vinfen is a nonprofit, health and human services organization and a leading provider of community-based services to individuals with mental health conditions, intellectual and developmental disabilities, brain injuries, and behavioral health challenges. Our services and advocacy promote the recovery, resiliency, habilitation, and self-determination of the people we serve. Vinfen's 3,500 dedicated employees are experienced, highly-trained professionals who provide a full range of supportive living, health, educational, and clinical services in over 550 sites throughout Massachusetts and Connecticut. For more information about Vinfen, please visit www.vinfen.org/careers.

My Job. My Community. My Vinfen.

Vinfen is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Typical Requirements:
• Master’s degree required in Social Work, Psychology, Counseling.
• LCSW, LICSW, LMHC, LCRC, OTR, or Licensed Psychologist in state of service required.
• Clinical experience working with people with psychiatric disability and/or co-occurring disorders preferred. 
• Must have access to an operational and insured vehicle and be willing to use it to transport PS. 
• Preference given to bilingual/bicultural applicants and applicants with lived experience of psychiatric conditions.

Driving Requirements:
Driving is a requirement for this position using either a Vinfen van or a personal vehicle. If using a personal vehicle, you must possess and maintain adequate insurance as well as maintain a safe driving record which is subject to annual checks. A valid driver's license must be presented at the time of employment. Incumbents must be at least 21 years of age, have maintained a valid US driver's license for at least one year, and must be able to pass a driver's screening background check.

Physical Effort:
Ability to stand, walk, bend, kneel, stoop, crouch, crawl, climb as this is a very physically active position. 
Must be able to lift at least 25 pounds using proper lifting techniques or the use of a two-person lift. 
Ability to operate a computer and other office equipment such as a calculator, copier, and printer. 
Ability to sit, reach, climb stairs, and maneuver through narrow spaces or hallways.

Ability to assist PS with tasks of daily living.

Ability to remain in a stationary position 50% of the time as needed.

Ability to bend, reach, file, sit, stand, and move around the facility.

Ability to speak, hear, and communicate with PS, staff, and external representatives.

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Additional Certifications Required:
CPR required within first two weeks of hire
First Aid required within two weeks of hir