Mobile Crisis Management Licensed Clinician

Summary:

The Mobile Crisis Management Licensed Clinician serves as a key member of the MCM team, providing in-person crisis assessment, intervention, and stabilization for individuals experiencing mental health or substance use crises in community-based settings. This role involves clinical decision-making, supervision of non-licensed staff, and coordination with community resources to prevent hospitalization or institutionalization. The clinician ensures compliance with NC Medicaid Clinical Coverage Policy 8A and delivers services in alignment with the beneficiary’s Person-Centered Plan (PCP).

Essential Duties and Responsibilities:

• Conduct in-person crisis assessments using NC-SNAP or ASAM Criteria to determine eligibility and medical necessity for MCM services.
• Provide therapeutic interventions, including de-escalation, counseling, and crisis planning, to stabilize beneficiaries in community settings.
• Develop and update Person-Centered Plans (PCPs) in collaboration with beneficiaries, families, and other stakeholders, ensuring goals address crisis needs (Subsection 5.7.1, page 7 of NC Medicaid Clinical Coverage Policy 8A).
• Supervise Qualified Professionals (QPs), Associate Professionals (APs), and Paraprofessionals, providing clinical oversight and ensuring interventions align with the PCP (Subsection 5.6, page 6 of NC Medicaid Clinical Coverage Policy 8A).
• Coordinate with Local Management Entity/Managed Care Organizations (LME/MCOs), emergency departments, law enforcement, and other providers to link beneficiaries to follow-up services.
• Document all interventions in service notes, including date, purpose, intervention details, duration, effectiveness, and beneficiary progress, per Subsection 5.8.2 (page 8 of NC Medicaid Clinical Coverage Policy 8A).
• Participate in telehealth consultations (per Policy 1-H) for follow-up assessments or psychiatric evaluations, using the GT modifier for billing (Attachment A, page 30 of NC Medicaid Clinical Coverage Policy 8A).
• Ensure 24/7 availability as part of the MCM first-responder team, responding promptly to crisis calls (page 35 of NC Medicaid Clinical Coverage Policy 8A).
• Maintain compliance with HIPAA, client rights rules, and NC Medicaid policies (Subsection 7.1, page 11 of NC Medicaid Clinical Coverage Policy 8A).
• Participates in all required training and education as mandated by the specific service line and clinical coverage policy.
• Available for on-call shifts.
• Ability to travel to various community settings, including homes, schools, or emergency rooms, and respond to crises in potentially high-risk environments.
• Performs all other duties as reasonably required and assigned.

Supervisory Responsibilities:

This position can oversee staff.

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 psychology, social work, counseling, or a related field, or a medical degree (MD/DO).
• Minimum of one year’s experience in providing crisis management services in the following settings: assertive outreach, assertive community treatment, emergency department or other service providing 24-hours-a-day, 7-days-a-week, response in emergent or urgent situations; and 20 hours of training in appropriate crisis intervention strategies within the first 90 days of employment.

• Must hold one of the following licenses per North Carolina General Statutes (Subsection 6.3.1.1, page 10 of NC Medicaid Clinical Coverage Policy 8A):
• Licensed Clinical Mental Health Counselor (LCMHC) or Associate (LCMHCA)
• Licensed Clinical Addiction Specialist (LCAS) or Associate (LCAS-A)
• Certified Clinical Supervisor (CCS)
• Licensed Marriage and Family Therapist (LMFT) or Associate (LMFTA)
• Licensed Clinical Social Worker (LCSW) or Associate (LCSWA)
• Licensed Psychologist or Licensed Psychological Associate
• Nurse Practitioner (NP), Physician Assistant (PA), or Certified Clinical Nurse Specialist (psychiatric focus).
• Registered Nurse (RN)

• Minimum of 2 years of experience in mental health or substance use crisis intervention.
• Bilingual (English/Spanish) to serve diverse populations. preferred.
• Training in trauma-informed care or co-occurring disorder interventions, preferred.

Required Skills/Abilities

• Expertise in crisis de-escalation, diagnostic assessment, and treatment planning; familiarity with NC-SNAP and ASAM Criteria; ability to work in high-pressure community settings; proficiency in telehealth platforms.
• Must maintain strict confidentiality
• Must possess effective communication/documentation skills
• Must have a positive attitude and view the person receiving services as a priority
• High level of professionalism
• Excellent written and oral communication skills
• Excellent customer service and phone skills required
• Use of basic office equipment and computer; keyboarding skills
• Ability to work independently and as part of a team
• Flexibility in responding and adjusting to change
• Ability to prioritize and manage time
• Advocacy and negotiation skills
• Ability to demonstrate commitment, competence, people skills, and adaptability
• Must meet 10A NCAC 27G.0104

Certificates, Licenses, Registrations

• Valid driver’s license, ability to travel to community locations, and availability for on-call shifts.
• Current license or certification must be maintained if applicable.

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 performed primarily in the client’s home and in the community and may involve exposure to cigarette smoke, domestic animals/pets, household pests, uncomfortable heating/cooling, and other issues related to the domestic location in which service is delivered.

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.

While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; talk and hear; and taste and smell. The employee frequently is required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee is occasionally required to sit and climb or balance. The employee must be able to lift and/or move up to 20 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Must be able to drive and operate a personal vehicle safely and adhere to all applicable state and traffic laws.

*Competitive salary based on experience and licensure, plus on-call stipends.*