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Momentum for Health

CRISIS RESIDENTIAL SPECIALIST **Litteral House**

69K-76KCAFull-time

8mo

  • Work Schedule is Tuesday - Saturday 2:45pm – 11:15pm **

Pay rates for Union positions are set in the Collective Bargaining Agreement with SEIU Local 521. Each position has a total of six steps, Step 1 (entry level) through Step 6 (15 years of employment with the organization). Union staff are promoted from Step 1 to Step 2 upon their one-year anniversary. The current Step 1 rate for this position is $33.21/hr, and the current Step 6 rate for this position is $36.67/hr.

  • 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% additional pay for overnight (NOC) shift from 11 pm to 7 am
  • 4.5% additional pay for evening shift from 5:30 pm to 10:59 pm
  • 4.5% 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 $13,787.80 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 $,3200 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

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Provide integrated, recovery-oriented, rehabilitation and case management services to individuals in psychiatric crisis in a community based, residential setting.*
    • Implement individual service and treatment plans.
    • Facilitate psychiatric (“psych”) consultations and group sessions by attending psych meetings and taking notes and by scheduling clients for psychiatric consultations.
    • 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.
    • Facilitate client insurance benefits to expedite treatment and payment to the Agency.
      • 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;
      • Provide benefits training to clients; help them choose prescription plans; provide benefits assistance to enable them to return to work;
      • Field questions from other staff members on benefits.
    • Develop and run groups aimed at strengthening individual’s behavioral health, i.e., symptom management and relapse prevention.
    • Provide service to clients and clients’ families in linkage with professional and community resources.
      • Coordinate care with other programs and contact case managers if clients show changes in behavior; refer clients to non-Momentum therapists, if appropriate;
      • Inform clients’ probation agents, conservators, and case managers of their admission;
      • 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;
      • Facilitate clients’ live and telephone interviews for housing placement;
      • Work with clients’ families and educate them on behavioral health issues, facilitating the process toward successful transitions.
    • Interface directly with clients and provide counseling, particularly during times of conflict and crisis intervention.
      • Monitor clients’ independent living skills; assess their stability; approve their daily and weekend passes; help clients with learning problem-solving, socialization, and coping skills.
      • Identify, assess and respond to crisis situations. Set clear limits and ensure that both residents and facility are safe. Notify appropriate case manager.
      • Assist in budgeting and financial planning; address health and safety issues, how to respond to common emergencies, and provide information about medication;
      • Encourage clients’ creativity, self-empowerment, and understanding of their diagnosis and/or illness.
    • 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.
    • Participate in management of team/program discretionary resources available to meet client needs.
  • 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.*
    • Perform administrative admissions and/or discharge paperwork and procedures
      • 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;
      • Work with clients to assess discharge options; arrange case conference for discharge; schedule appointments and interviews for discharge programs; complete the Discharge Summary.
    • Enter and maintain up-to-date clinical documentation for each client.
      • Update client files with case notes and treatment plans.
    • Work with clients to assess discharge options; arrange case conference for discharge; schedule appointments and interviews for discharge programs
    • Oversee the documentation and issuance of medications to clients.
      • Check medications inventory on a regularly scheduled basis
      • Fax prescriptions and follow up with the appropriate pharmacy
      • Transcribe psychiatrist medication orders onto daily medication sheets
      • Complete monthly medication sheets
      • Assist with and/or monitor medication issuances.
    • Perform general office work, including electronic and telephonic communications and processing of timecards.
  • Provide transportation in personal or agency vehicles, including, but not limited to, the transport of clients and or program supplies, for agency business.
  • 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.*
  • Perform First Aid in emergency situations.*
  • Assist clients in complying with the directions in their Restricted Health Condition plan.*
  • Assist with housekeeping activities including, but not limited to: cleaning, cooking meals, and doing laundry.*
  • Complete hourly tracking.*
  • Any other tasks that may be assigned by program managers.

OTHER DUTIES AND RESPONSIBILITIES:

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

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

  • 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)
  • Additional full time work experience may include:
    • Experience working in a behavioral health setting; (E)
    • One year previous experience in a residential behavioral health setting for positions in Crisis Residential Programs; (E)
    • Experience in a behavioral health setting or with high symptom acuity; (D)
    • Bachelor’s degree, MHRS qualifications, and/or a greater number of years of experience, in some cases (noted on all postings); (E)
    • Eligibility for MHRS certificate; (D)
    • Appropriate volunteer and internship experience and personal experience in the behavioral health system. (D)
    • Previous experience working with people who have abused substances. (D)
  • First Aid Certification or successful completion of First Aid Certification within 30 days of hire. (E)
  • Certification in writing 5150 holds or can obtain certification within six months of hire. (D)
  • Meet government and/or regulatory standards for continuing education credits and recertification, including a minimum of 20 hours of directly related professional training. (E)
  • 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)
  • Demonstrated ability to:
    • Work independently and in a small team environment; (E)
    • Engage and communicate effectively with others in both verbal and written English; (E)
    • 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)
    • Monitor and support developmental growth and the recovery process; (E)
    • Manage multiple tasks and demands; (E)
    • Employ tact and diplomacy, exercise good judgment, and act calmly in emergency situations; (E)
    • Work from a strengths-based, harm-reduction, social rehabilitation model; (E)
    • Work effectively with persons differing in value systems, ethnicity, cultural backgrounds, language capabilities and disabilities; (E)
    • 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)
    • Work with populations identified as high risk and/or considered under-represented in the County Behavioral Health system with multiple barriers; (E)
    • Exhibit exemplary customer service, compassion, and care in the execution of all duties and interactions. (E)
  • Demonstrated ability to work with participants who:
    • May also have histories of assaultive behavior; (E)
    • May have resided in long term care facilities for extended periods; (E)
    • May have patterns of service that relied almost exclusively on emergency and institutional care; (E)
    • May have cognitive difficulties and medical co-morbidities, are considered medically fragile; may also be developmentally disabled; (E)
    • May have long-term patterns of homelessness and criminal justice involvement. (E)
    • May have a history abusing substances, history of being dependent on substances, or currently using substances (D)
  • Knowledge of:
    • Clinical techniques for assessment, treatment, and rehabilitation of people with mental illness; problem resolution and conflict resolution techniques; (E)
    • 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)
    • Community resources, including those required to meet the non-behavioral health needs of the target population; (E)
    • Mental Health Services Act (MHSA) and Wellness Recovery Action Plan (WRAP). (D)
    • 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)
  • 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)
  • 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)
  • Physical requirements needed to perform the essential functions of this job, with or without accommodation:
    • 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)
    • Hearing and talking on telephone and in person is required occasionally (under 1/3 of workday); (E)
    • Balancing, climbing and crawling may be required occasionally; (E)
    • Physically able to assist clients and/or staff in the evacuation of program facilities in emergency situations. (E)