Exceptional Needs Care Coordinator (Mental Health Specialist 2)

This recruitment has been reopened for additional applicants and will remain open until filled. If you have already applied for recruitment #554-2024-17, you do not need to reapply. New applicants are encouraged to submit applications as soon as possible as this recruitment may close at any time without further notice.

Marion County Adult Behavioral Health is hiring an Exceptional Needs Care Coordinator. This position provides services to individuals with serious and persistent mental illnesses and complex needs, many of whom also have co-occurring substance use disorders and medical conditions. You would have the opportunity to build strong relationships while liaising with community and state partners, work as a member of a highly skilled multidisciplinary treatment team, and support individuals to achieve their highest level of health. You will not only collaborate with a wide range of individuals from diverse backgrounds but also have numerous opportunities to engage with and address systems-level challenges. An ideal candidate would be compassionate, highly collaborative, have strong clinical skills, and excellent written and verbal communication. We provide great benefits, superb training, and LPC and LCSW licensure supervision.

We offer the following recruitment bonus, prorated based on FTE:

• $2,000 bonus for employees new to Marion County starting on January 1, 2024, through June 30, 2025. Bonus will be included in employee's first paycheck.

For those relocating from outside of Oregon, we provide the following relocation package:

• Up to $3,000 reimbursement of moving expenses
• Relocation bonus in the amount of $3,000 (prorated based on FTE) as a one-time payment upon proof of Oregon residency.

A wage enhancement of $3.00 will be added to the hourly wage as compensation for hours worked between 6:00 p.m. and 6:00 a.m.

GENERAL STATEMENT OF DUTIES
Provide assessments and treatment of individuals and families, including groups; provide crisis assessment and intervention services and related duties as required. The primary responsibility of this class is to provide assessment and treatment services, crisis intervention, and treatment services, including intensive services, to individuals and their families with complex needs and diagnoses or to develop and implement specific services in the community.

SUPERVISION RECEIVED
Work under a supervisor who assigns work establishes goals and reviews the results for overall effectiveness.

SUPERVISION EXERCISED
Primary supervision of employees is not a responsibility of this classification; however, positions may act as lead workers as defined in the Marion County Personnel Rules.

Typical Duties - Duties include, but are not limited to the following

The Choice Model Exceptional Needs Care Coordinator (ENCC) provides services to individuals with serious and persistent mental illnesses and complex needs, many of whom also have co-occurring substance use disorders and medical conditions. This position is an outward facing position, operates on a systems level and involves coordination with entities on the state and local levels, and involves making sound clinical decisions with complex cases.

Exceptional Needs Care Coordination

• Act as a liaison (with supervisory oversight) between ABH and various stakeholders involved in mental health care, including Oregon State Hospital (OSH), acute care hospitals, coordinated care organizations (CCO), Aging and People with Disabilities (APD), Intellectual and Developmental Disabilities Services (IDD), other programs within Marion County Health & Human Services, etc.
• Collaborate with individuals in the mental health system, partners, and stakeholders to assess individuals' needs, determine eligibility for services, appropriateness of services, authorize enrollment for Choice Model services, etc.
• Attend OSH Interdisciplinary Treatment Team (IDT) meetings for individuals.
• Participate in Ready to Transition determination with OSH.
• Facilitate community transition for individuals who fall under Choice criteria.
• Provide case specific consultation to providers and community partners, including clinical recommendations for treatment, services, and risk reduction.
• Collaborate with acute care staff regarding care recommendations, diversion opportunities, and Long-Term Psychiatric Care needs. With clinical supervisor acting as CMHP delegate, initiate authorization process for requests for Long-Term Psychiatric Care.
• Ensure accuracy of utilization data of those admitted to the Oregon State Hospital and acute care hospitals, provide routine reports to Marion County Management.
• May require overnight travel to participate in coordination meetings for individuals deemed Marion County of Responsibility placed in other counties.

Licensed Care/Residential Coordination

• Assess individuals' needs, determine eligibility for services, appropriateness of services, and authorize licensed care/residential placements.
• Identify and coordinate placements in appropriate licensed care settings, within and outside of the mental health system, for individuals discharging from OSH, acute care hospitals, and/or residing in the community. With supervisory support and oversight, negotiate with Oregon Health Authority (OHA) to advocate for Rate Reviews for complex cases.
• Consult on LOCUS/LSI/PCSP assessments utilized in rate setting for licensed providers as needed.
• Organize, facilitate, and/or attend treatment planning meetings for individuals enrolled in Choice Model services and collaborate with providers and agencies involved in individuals' care. Delegate such tasks to ENCC QMHA as needed.
• Make recommendations to ABH leadership for funding for Choice Model services for licensed care placements, Supportive Housing, and other needs as identified that interfere with placement.
• Assess individuals' readiness to step down to lower levels of care/placement when identified.
• Ensure residential capacity, track referrals, placements, placement/discharge dates, and utilization data is being tracked by Choice team.
• Provide clinical consultation in response to complex cases, critical and/or unusual incidents, grievances, and complaints within the residential system; this includes bi-annual training to providers on topics related to mental health.

Assessment & Treatment Planning

• Complete intake and annual comprehensive mental health assessments, develop individualized treatment plans, develop crisis prevention plans, and direct provision of treatment services.
• Provide therapeutic intervention and services to individuals, including crisis assessment and intervention.

Documentation

• Maintain accurate and timely clinical documentation in accordance with federal, state, county, and treatment program requirements under the direction of the clinical supervisor.
• Meet performance expectations for time and billing standards.
• Compile and submit Choice Model reports to the Oregon Health Authority.

Other Duties

• Participate in request for proposal process.
• Participate fully as a member of the Marion County Adult Behavioral Health team as a supportive, reliable, positive, collaborative, and professional team member.
• Work with a team of clinicians and supervisor for clinical supervision, treatment planning, staff, and departmental meetings, and trainings.

Response Level 2: In the event of an emergency, employee makes a reasonable effort to report to work. Employee may be required to perform duties outside of their regularly assigned duties. Employee may be requested to work an extended or flexible schedule. Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training.

Requirements for the Position

EXPERIENCE AND TRAINING

Master's degree in psychology, social work, recreational therapy, music therapy, art therapy or a behavioral science field; OR

Bachelor's degree in nursing, or occupational therapy and licensed by the State of Oregon; AND

One year of postgraduate degree experience in the behavioral health field.

PREFERENCES

• Preference will be awarded to candidates who are LCSW, CSWA or eligible for LCSW. Qualified candidates will be eligible for licensure supervision if hired.

SPECIAL REQUIREMENTS

• Must be either 1) licensed by the Oregon Board of Licensed Professional Counselors, 2) licensed by the Oregon Board of Licensed Social Workers or 3) credentialed or registered through the Mental Health and Addiction Counseling Board of Oregon (MHACBO) as a Qualified Mental Health Professional (QMHP) within the first 30 days of employment. Applicants may be required to pass a practical knowledge and skills assessment as part of the interview process.
• This position may be subject to the following: Must not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal procurement (Federal Acquisition Regulation) and non-procurement activities (Executive Order No. 12549).
• Must possess a current driver's license in the applicant's state of residence and an acceptable driving history. Marion County will obtain a copy of the driving record for all qualified applicants from Driver and Motor Vehicle Services and review the driving record according to the Marion County policy and procedure for Driving on County Business. The policy can be found at: http://apps.co.marion.or.us/APAP/.
• The finalist for this position will be required to pass a criminal history background check, including finger printing; however, conviction of a crime may not necessarily disqualify an individual for this position.
• This is a safety sensitive/special needs position. Final candidates selected for this position will be required to pass a pre-employment drug screen, including testing for marijuana. The Marion County Drug and Alcohol Use and Testing Policy can be found at: http://apps.co.marion.or.us/APAP/policy.aspx?p=policy&pid=518.
• This assignment is represented by a union.
• This is a full-time position, which is eligible for overtime.
• Typical Work Schedule: Monday through Friday, 8:00 am - 5:00 pm, with flexibility depending upon the needs of the department and program.

KNOWLEDGE, SKILLS, AND ABILITIES
Working knowledge of community mental health concepts or chemical dependency case management and treatment services; individual assessment, treatment planning and treatment protocols; mental health disorders and diagnostic classifications.

Ability to establish positive working relationships with other employees, individuals and their families, other agencies, and the public; prepare concise and complete clinical documentation related to individual treatment and progress in services in a timely and professional manner; work within a team and collaborate with team members; knowledge of and ability to act professionally with regard to a code of ethics and confidentiality.

PHYSICAL REQUIREMENTS
Operates a motor vehicle; sees using depth perception; stands; sits; moves about the work area; climbs 1 floor of stairs; lifts, pushes, pulls and carries items weighing up to 15 lbs.; moves carts weighing up to 15 lbs.; operates a keyboard; speaks clearly and audibly; reads a 12-pt. font; hears a normal level of speech; works in areas that may be exposed to heat, cold, humidity, dust, smoke, and noise; works in areas that may be wet or uneven.

Additional Information and/or Attachments

Additional Information and/or Attachments
We offer the following retention bonus, prorated based on FTE:

• $3,000 bonus after six months of continuous employment
• $3,000 bonus after twelve months of continuous employment

We offer tuition assistance for employees interested in professional development towards a profession in behavioral health.

• Up to $20,000 to reimburse for tuition, licensure and/or other educational expenditures. According to the Marion County Administrative policies regarding tuition payments. The policy can be found at: Marion County Tuition Payment Policy 303 (Download PDF reader)

Marion County offers a generous benefits package to regular employees working 50% or more of the regularly scheduled work week and their eligible dependents. Temporary employees and part-time regular employees working less than 50% of the regularly scheduled work week are not eligible for benefits.

Most regular positions in this classification are represented by Marion County Employees Association (MCEA). For a summary of benefits, click here. For a complete and detailed overview of the MCEA benefits package, click here, and select MCEA Benefits from the left menu or Marion County Employees Association (MCEA) from the page links. Regular and temporary employees are represented by MCEA.

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