Adult Residential Licensed Clinician (LCAS / LCAS-A / CADC) na None

Summary: 

The Licensed Residential Clinical Addiction Specialist (LCAS) or Licensed Clinical Addiction Specialist-Associate (LCAS-A) will work within an integration system of care with a multidisciplinary team of health care professionals. This employee has direct client contact and performs activities related to the initiation, development, implementation, and ongoing direction of client care for behavioral health care services provided within the SEIC residential facilities. The Licensed Clinical Counselor is competent with family, individual and group behavioral health counseling modalities. Medical records maintenance, clinical consultation to other health center staff and process evaluation are also job responsibilities. The Licensed Clinical Counselor will spend the majority of his/her time in the provision of direct patient care. This shall primarily be in the form of assessments, screening and treatment in group, family, and individual treatment, and maintain the therapeutic milieu in the residential setting.

SPECIFIC DUTIES AND RESPONSIBILITIES:

The Licensed Clinical Addiction Specialist (LCAS) or Licensed Clinical Addiction Specialist-Associate (LCAS-A) is responsible for providing substance use focused and co-occurring assessment services, development of an ASAM Level of Care determination, provide substance use disorder treatment services or referral and coordination to appropriate substance use disorder treatment and recovery resources. 

In addition to the above, the LCAS or LCAS-A is responsible for the following: 

• Supporting program by being in ratio at facility.
• Discharge planning must begin upon admission. 
• Lead in the development of an individualized PCP and ongoing revisions. 
• Provide ongoing assessment and reassessment of the beneficiary based on their PCP goals. 
• Facilitate individual, group and family therapy sessions. 
• Provide clinical supervision to Certified Alcohol and Drug Counselor (CADC). 
• Facilitate service coordination to address the needs of the beneficiary. 
• Monitor signs and symptoms of substance use, intoxication, and withdrawal, as well as the appropriate treatment and monitoring of those conditions. 
• Provide crisis interventions, when clinically appropriate. 
• Engage with family members or significant others and provide education regarding SUD treatment and the recovery process and support, as appropriate. 
• Provide coordination and consultation with medical, clinical, familial, and ancillary relevant parties with beneficiary consent. 
• Assess and determine clinically appropriate services that support recovery. 
• Maintain accurate service notes and documentation for all interventions provided. 
• Ensure quality client care per DNV, NC DHHS Clinical coverage Policies, and SEIC standards.
• Perform other necessary duties as required by Southeastern Integrated Care to meet the goal of providing primary health care services.
• Provide at least 32 hours per week of direct client services in the form of screening, assessment, and treatment.
• Work in collaboration with other members of the treatment team and community agencies in order to coordinate and provide integrated treatment services to the client.
• Maintain a thorough knowledge of medical records standards, regulations, and diagnostic instruments.

• Comply with all state, federal, division, and agency requirements related to medical records and documentation. 
• Provide a comprehensive assessment of the client's rehabilitation needs and determine an appropriate treatment plan.
• Implement and monitor the PCP, including evaluation outcomes.
• Coordinate and oversee the following activities:  assessment, development, and ongoing revisions to PCP; monitoring/implementation of PCP.
• Offer support services that involve the process of linking and coordinating components of the service system to ensure that the client's treatment/rehabilitation needs are met.
• Plan for need/problem resolution through the identification of an appropriate service network inclusive of all available resources.
• Function as an advocate for the client.
• Provide discharge planning and aftercare follow-up.
• Maintain medical records per State and Medicaid billing standards and PCS protocol.
• Participate in regular meetings with direct supervisor to discuss relevant program issues.
• Be credentialed to perform screening, assessment, and treatment.
• Coordinate and oversee initial and ongoing activities.
• Behavioral interventions such as modeling, behavior modification, and behavior rehearsal.
• Designates the appropriate team staff so that specialized clinical expertise is applied as clinically indicated for each recipient.
• Implementation and monitoring of ASAM levels of care, Matrix Model, Illness Management and Recovery, MAT, Dimensions of Wellness and Cognitive Behavioral Therapy
• Provides, coordinates, and oversees initial assessment and ongoing assessment of the recipient’s clinical needs.
• Develops and implements individualized supervision plans for team members.
• Provides clinical supervision of all members of the team for the provision of this service.
• Determines team caseload by the level of acuity and the needs of the individual served.
• Facilitates weekly team meetings.
• Monitors and evaluates the services, interventions, and activities provided by the team.
• Provide clinical expertise and guidance to the members in the team’s interventions with the recipient.
• Development of relapse prevention and disease management strategies to support recovery.
• Psychoeducation for the recipient, families, caregivers, and/or other individuals involved with the recipient about the recipient’s diagnosis, symptoms, and treatment.
• Performs Intensive Case Management functions of linking and arranging for services and referrals.
• Participates in the initial PCP and revision of the Person-Centered Plan (PCP) as needed.
• Ensure and monitor the implementation of the PCP.
• Spends time at the location where services are being performed as specified in the service definition for that service.
• Participates in a first responder on-call system available to consumers and/or his/her natural support network on a 24/7/365 basis; coordinates “first response” resources according to consumer needs and the PCP.
• Other duties as assigned.
• In addition, the employee must participate in all required training and education as mandated by the specific service line and clinical coverage policy.

Supervisory Responsibilities:

The LCAS will supervise the Substance Abuse Counselor of the Residential Facility and other members of the team as requested by the program manager.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience

• Master’s degree in human services-related field required.
• Must have a minimum of one (1) year of documented supervisory experience working with the population served with MH/SA diagnosis. OR
• Three years of clinical experience with Substance Use Disorder Treatment, 

Required Skills/Abilities

• Must maintain strict confidentiality.
• Must possess effective communication/documentation skills.
• Ability to learn and use personal computers. Work with a computer is common and the ability to understand word processing and certain spreadsheet programs is important. 
• Successfully complete other training as may be required or amended by company policy. 
• Develop organizational and communication skills that foster TEAMWORK.
• Requires flexibility in scheduling and availability to adequately meet the service needs of the consumer/family and other team members. 
• Must have reliable transportation and be willing to travel locally.
• Must meet 10A NCAC 27G.0104

Certificates, Licenses, Registrations

• LCAS or CCS
• Valid NC driver’s license including personal vehicle insurance coverage.
• Current license must be maintained.
• NCI within 30 days of hire
• CPR certification
• Trauma Informed Training

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The work is typically performed in an office environment, with a moderate noise level. 

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Movements including but not limited to prolonged periods of sitting at a desk and working on a computer, occasional standing, walking, bending, and reaching are required. 
• Regularly required to use hands to manage or feel; talk; see; and/or hear. Specific vision abilities required by this job include close vision and color vision.
• Must be able to lift up to 15 pounds at all times.