CRISIS RESIDENTIAL SPECIALIST **Litteral House**

** In addition to our competitive salaries, we pay a shift differential for certain shifts in our 24-hour programs as follows: (Only 1 differential -whichever is highest will apply at a time).
• 6.25% additional pay for overnight (NOC) shift from 11 pm to 7 am
• 4.75% additional pay for evening shift from 5:30 pm to 10:59 pm
• 4.75% additional pay for weekend shifts from 12:01 am on Saturday thru 11:59pm on Sunday

We offer a competitive package of employee benefits for 30 to 40-hour week positions. You will receive a defined contribution amount of up to $15,433.08 per year (prorated for part-time employees working less than 40 hours per week) to purchase the benefits of your choice on a cafeteria plan basis. Any amount of this defined contribution not used towards your benefits will be paid to you as taxable earnings. We offer a retirement plan with a generous employer match starting at 4% after one year of employment.  Our paid time off is also more generous than many employers with vacation time accruing up to 25 days per year, 6 days of sick time per year and 12 paid holidays.

The benefits offered in our cafeteria plan are as follows: 

• Medical benefits –Kaiser--ranging from $0 Deductible Plan with $15 Copay to $,3400 Deductible Plan with Health Savings Account. Sutter Health plans are also available from $0 Deductible Plan to $2,500 Deductible Plan.
• Dental benefits –Guardian: 1 dental HMO and 2 PPOs
• Vision benefits – 2 options from Guardian VSP: a standard vision plan and an enhanced vision plan

1. →Provide integrated, recovery-oriented, rehabilitation and case management services to individuals in psychiatric crisis in a community based, residential setting.*
   1. →Implement individual service and treatment plans.
   2. →Facilitate psychiatric (“psych”) consultations and group sessions by attending psych meetings and taking notes and by scheduling clients for psychiatric consultations.
   3. →Provide medical follow-up assistance to clients in obtaining a primary care physician, coordinating care with medical doctors, and assisting with medical issues, schedules, and transportation.
   4. →Facilitate client insurance benefits to expedite treatment and payment to the Agency.
      1. →Determine client coverage status and, if needed, eligibility for benefits; assist with the benefits application process or liaise with the appropriate existing insurance carrier, including government agencies and private carriers, to obtain the proper paperwork for re-determination; help clients keep track of and maintain eligibility for outpatient services;
      2. →Provide benefits training to clients; help them choose prescription plans; provide benefits assistance to enable them to return to work;
      3. →Field questions from other staff members on benefits.
   5. →Develop and run groups aimed at strengthening individual’s behavioral health, i.e., symptom management and relapse prevention.
   6. →Provide service to clients and clients’ families in linkage with professional and community resources.
      1. →Coordinate care with other programs and contact case managers if clients show changes in behavior; refer clients to non-Momentum therapists, if appropriate;
      2. →Inform clients’ probation agents, conservators, and case managers of their admission;
      3. →Liaise/advocate for clients with outside agencies; help and educate clients with researching outside, independent living and making the most of community resources; liaise with representatives of those resources, such as property managers, on behalf of clients;
      4. →Facilitate clients’ live and telephone interviews for housing placement;
      5. →Work with clients’ families and educate them on behavioral health issues, facilitating the process toward successful transitions.
   7. →Interface directly with clients and provide counseling, particularly during times of conflict and crisis intervention.
      1. →Monitor clients’ independent living skills; assess their stability; approve their daily and weekend passes; help clients with learning problem-solving, socialization, and coping skills.
      2. →Identify, assess and respond to crisis situations. Set clear limits and ensure that both residents and facility are safe. Notify appropriate case manager.
      3. →Assist in budgeting and financial planning; address health and safety issues, how to respond to common emergencies, and provide information about medication;
      4. →Encourage clients’ creativity, self-empowerment, and understanding of their diagnosis and/or illness.
   8. →Provide client-centered counseling focusing on the present. Listen, respond empathically, and engage in problem solving. Identify symptoms and assist residents in self-management skills for behavioral illness and substance abuse.
   9. →Participate in management of team/program discretionary resources available to meet client needs.
2. →Complete the clinical records and other documentation, processes, and procedures that enable clients to receive these services in accordance with agency, payor and regulatory requirements, utilizing paper or computer technology.*
   1. →Perform administrative admissions and/or discharge paperwork and procedures
      1. →Assess clients for admission, benefit status, and clinical appropriateness for admittance; coordinate admittance details; communicate with referral sources to complete admittance papers; complete the Admission Summary;
      2. →Work with clients to assess discharge options; arrange case conference for discharge; schedule appointments and interviews for discharge programs; complete the Discharge Summary.
   2. →Enter and maintain up-to-date clinical documentation for each client.
      1. →Update client files with case notes and treatment plans.
   3. →Work with clients to assess discharge options; arrange case conference for discharge; schedule appointments and interviews for discharge programs
   4. →Oversee the documentation and issuance of medications to clients.
      1. →Check medications inventory on a regularly scheduled basis
      2. →Fax prescriptions and follow up with the appropriate pharmacy
      3. →Transcribe psychiatrist medication orders onto daily medication sheets
      4. →Complete monthly medication sheets
      5. →Assist with and/or monitor medication issuances.
   5. →Perform general office work, including electronic and telephonic communications and processing of timecards.
3. →Provide transportation in personal or agency vehicles, including, but not limited to, the transport of clients and or program supplies, for agency business.
4. →Provide on-call and floor coverage; participate in after-hours rotation and shift exchange debriefings; provide appropriate consultation and back-up to support other staff in responding to client crises.*
5. →Perform First Aid in emergency situations.*
6. →Assist clients in complying with the directions in their Restricted Health Condition plan.*
7. →Assist with housekeeping activities including, but not limited to: cleaning, cooking meals, and doing laundry.*
8. →Complete hourly tracking.*
9. →Any other tasks that may be assigned by program managers.

1. →Collect reports and data; send out the daily census report to Central Intake.
2. →Audit and review documents and complete monthly medical record reviews.
3. →Attend and participate in staff, program, agency and community meetings and training; conduct trainings, as needed.
4. →Ensure compliance with applicable health and safety or other regulatory requirements.*
5. →Ensure program facilities are clean and well kept.
6. →Shifts may be in the evening, over-night, and/or on holidays

KNOWLEDGE, SKILL, AND ABILITIES REQUIRED: (E = Essential; D = Desired)

1. →High School diploma, GED, or equivalent education plus five years’ related experience; OR Associate’s degree plus three years’ related experience; OR a psych tech/LVN plus three years’ related experience; OR Bachelor’s degree/Master’s degree/PhD degree plus two years’ related experience. (E)
2. →Additional full time work experience may include:
   1. →Experience working in a behavioral health setting; (E)
   2. →One year previous experience in a residential behavioral health setting for positions in Crisis Residential Programs; (E)
   3. →Experience in a behavioral health setting or with high symptom acuity; (D)
   4. →Bachelor’s degree, MHRS qualifications, and/or a greater number of years of experience, in some cases (noted on all postings); (E)
   5. →Eligibility for MHRS certificate; (D)
   6. →Appropriate volunteer and internship experience and personal experience in the behavioral health system. (D)
   7. →Previous experience working with people who have abused substances. (D)
3. →First Aid Certification or successful completion of First Aid Certification within 30 days of hire. (E)
4. →Certification in writing 5150 holds or can obtain certification within six months of hire. (D)
5. →Meet government and/or regulatory standards for continuing education credits and recertification, including a minimum of 20 hours of directly related professional training. (E)
6. →Proven typing speed of 30 net wpm (E); 40 net wpm (D); computer literacy; ability to use MS Office applications—Word; Excel; Outlook—and Windows-based databases at a basic level; (E) familiarity with UNIX-based databases. (D)
7. →Demonstrated ability to:
   1. →Work independently and in a small team environment; (E)
   2. →Engage and communicate effectively with others in both verbal and written English; (E)
   3. →Use second language skills for interpretation and translation verbally and in written form; (D) in some cases, bilingual ability in English and a targeted language may be required and will be noted as such on all postings; (E)
   4. →Monitor and support developmental growth and the recovery process; (E)
   5. →Manage multiple tasks and demands; (E)
   6. →Employ tact and diplomacy, exercise good judgment, and act calmly in emergency situations; (E)
   7. →Work from a strengths-based, harm-reduction, social rehabilitation model; (E)
   8. →Work effectively with persons differing in value systems, ethnicity, cultural backgrounds, language capabilities and disabilities; (E)
   9. →Work collaboratively with individuals identified as those with serious mental illness who meet the following criteria: histories of hospitalization, institutionalization, including with the criminal justice system, substance abuse, low engagement in medication treatment, and difficulty in participating in structured activities and living independently; (E)
   10. →Work with populations identified as high risk and/or considered under-represented in the County Behavioral Health system with multiple barriers; (E)
   11. →Exhibit exemplary customer service, compassion, and care in the execution of all duties and interactions. (E)
8. →Demonstrated ability to work with participants who:
   1. →May also have histories of assaultive behavior; (E)
   2. →May have resided in long term care facilities for extended periods; (E)
   3. →May have patterns of service that relied almost exclusively on emergency and institutional care; (E)
   4. →May have cognitive difficulties and medical co-morbidities, are considered medically fragile; may also be developmentally disabled; (E)
   5. →May have long-term patterns of homelessness and criminal justice involvement. (E)
   6. →May have a history abusing substances, history of being dependent on substances, or currently using substances (D)
9. →Knowledge of:
   1. →Clinical techniques for assessment, treatment, and rehabilitation of people with mental illness; problem resolution and conflict resolution techniques; (E)
   2. →Clinical techniques for working with individuals with a history of addiction and/or are currently using substances, motivational interviewing, and the stages of change; (D)
   3. →Community resources, including those required to meet the non-behavioral health needs of the target population; (E)
   4. →Mental Health Services Act (MHSA) and Wellness Recovery Action Plan (WRAP). (D)
   5. →Psychiatric medications and how to assist clients with them (i.e., the ability to read and interpret doctor’s orders, read a Medication Administration Record, know how to assist with appropriate medication, at the appropriate dose, at the appropriate time, through the appropriate route, for the appropriate person.) (E)
10. →Special Requirements: Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations and Momentum practices. (E)
11. →A valid California Driver License, with access to a reliable vehicle or for driving a company vehicle, current proof of auto liability insurance, and a clean DMV record. (E)
12. →Physical requirements needed to perform the essential functions of this job, with or without accommodation:
    1. →Standing, walking, grasping, finger flexion, moving/lifting/carrying objects up to 40 lbs., bending, stooping, crouching, kneeling, withstanding repetitive motion, and reaching repeatedly are required constantly (over 2/3 of the workday); (E)
    2. →Hearing and talking on telephone and in person is required occasionally (under 1/3 of workday); (E)
    3. →Balancing, climbing and crawling may be required occasionally; (E)
    4. →Physically able to assist clients and/or staff in the evacuation of program facilities in emergency situations. (E)