The CSU Crisis Clinician (LMHP) is supervised by the Manager, Outpatient Nursing Services Psychiatry and CSU and provides care to patients in crisis utilizing the Robert Young Center principles of Trauma Informed Care. The LMHP provides acute care to individuals who are experiencing a psychiatric crisis, and uses expertise to serve patients with complex behavioral health presentations that cannot be served in a behavioral health outpatient care setting. They perform crisis assessment, formulate a diagnosis, and implement acute care counseling interventions with patients. They often triage and prioritize care for multiple patients being referred for evaluation. They act as a patient advocate to coordinate required services or to resolve emergency problems in crisis situations. The LMHP assesses patients for risk of suicide attempts, plans treatment modalities, and coordinates treatment plans. In the crisis role, the LMHP consults with a medical provider to recommend the least restrictive plan of care. They also gather information about community mental health needs or resources and make referrals that could be used in conjunction with outpatient therapy. The LMHP often interacts with child protective services and works closely with county social workers and parents, collaborating on the plan of care. Patients are seen by the LMHP in person, via telehealth within multiple local Emergency Departments (ED), and may be assessed on inpatient units.
The LMHP is recognized as a Licensed Practitioner of the Healing Arts under Medicaid Community Mental Health Services Rule 132 and may provide clinical supervision to Mental Health Professionals (MHP) and may train students assigned in the department. The LMHP delivers customer service and works cooperatively with other departments, maintains accurate clinical documentation, and demonstrates Trinity’s principles and values when interacting with clients, families, visitors, physicians and coworkers.
COVID-19 and Flu Vaccination Requirement: It is required to be vaccinated for COVID-19 and Influenza. Exemption requests based on medical or religious reasons may be submitted, but must be approved for active employment.
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% of Time
The LMHP conducts face-to-face and telemedicine crisis assessments with patients to determine their specific needs. Patients in crisis may require immediate referral to medical services, assistance with concrete needs, such as food and clothing, or they may be in a state of psychological shock and require psychiatric intervention through inpatient admission.
Patients in crisis often enter a state of psychological shock and withdrawal as a way of handling the aftermath of the disaster or crisis situation. They may be momentarily unable to arrange for their immediate needs. The LMHP provides temporary forms of advocacy to help clients meet these needs and may include explaining the patient’s needs to multiple service providers. The goal of the LMHP is to help patients regain sufficient levels of functioning so that they are able to resume advocating for themselves.
Providing accurate and timely referrals is another important responsibility of the LMHP. They must know the state of Illinois and Iowa’s admission criteria for inpatient psychiatric services, and often mentor clinicians within the agency about the patient’s mental health rights according to the state’s mental health codes. They must be well-informed about community resources and different types of governmental assistance available to survivors of certain crisis situations. After assessing a client's needs and providing brief counseling, a crisis counselor refers the patient to the appropriate resource for continued assistance and treatment.
Clinical Supervision (non-managerial)
· The Crisis Clinician (LMHP) may provide clinical supervision to their team members in order to meet the State of Illinois, Department of Human Services (DHS) Rule 132 requirement for providing Medicaid services. Each non independently licensed clinician who provides outpatient billable activities are required to receive 60 minutes of supervision per month.
Basic UPH Performance Criteria
· Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
· Demonstrates ability to meet business needs of department with regular, reliable attendance.
· Employee maintains current licenses and/or certifications required for the position.
· Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
· Completes all annual education and competency requirements within the calendar year.
· Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.
Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.
Demonstration of UPH Values and Standards of Behaviors
Consistently demonstrates UnityPoint Health’s values in the performance of job duties and responsibilities
· Leverage the skills and abilities of each person to enable great teams.
· Collaborate across departments, facilities, business units and regions.
· Seek to understand and are open to diverse thoughts and perspectives.
Own The Moment:
· Connect with each person treating them with courtesy, compassion, empathy and respect
· Enthusiastically engage in our work.
· Accountable for our individual actions and our team performance.
· Responsible for solving problems regardless of the origin.
· Commit to the best outcomes and highest quality.
· Have a relentless focus on exceeding expectations.
· Believe in sharing our results, learning from our mistakes and celebrating our successes.
· Embrace and promote innovation and transformation.
· Create partnerships that improve care delivery in our communities.
· Have the courage to challenge the status quo.
Identify items that are minimally required to perform the essential functions of this position.
Preferred or Specialized
Not required to perform the essential functions of the position.
· Counselors and Social Workers must possess at least a master's degree
2 years of experience in a mental health setting
· Specialized training in mental health or psychiatric services or at least 2 years of experience in these areas
· Valid driver’s license required
· Professional license in the state of Illinois
o A Licensed Clinical Social Worker (LCSW) and licensed under the Clinical Social Work and Social Work Practice Act [225 ILCS 20]
o A Licensed Clinical Professional Counselor (LCPC) licensed under the Professional Counselor and Clinical Professional Counselor Licensing Act [225 ILCS 107]
· Preferred dual state (Illinois and Iowa) licensure prior to hire
· Exceptional critical thinking skills
· Ability to perform an accurate crisis assessment and determine a mental health diagnosis
· Able to separate therapy and counseling to create a safe disposition related to the patient’s crisis presentation
· Works independently at times
· Able to problem solve in emergent situations
· Ability to collaborate with a variety of personnel and personalities
· Great interpersonal skills
· Positive and professional attitude
· Able to plan and organize the work
· Able to work in multiple computer applications (i.e. Visionworks, EPIC)
· Efficient keyboarding skills
· Ability to be flexible and change course of work assignment
· Able to support a team work environment
· Good written and oral communication
· Reads/writes, comprehends, and speaks fluent English
· Required to be licensed in the second state Iowa or Illinois (process started within 3 months) within 6 months of hire
· CPI (Crisis Prevention Intervention) De-escalation Training within 6 months of hire then, annually
· Other certification as required for role
· Preferred dual licensure prior to hire
· Basic CPR is required and if not completed prior to hire will complete during your orientation period (required to have within first 6 weeks).