Supervisor SACOT/IOP LCAS Supervisor Residential/Group/SACOT/IOP
Company: Southeastern Integrated Care LLC
Location: Pembroke
Posted on: October 23, 2024
Job Description:
*SIGN ON BONUS*Summary: The Supervisor/ is responsible for the
supervision and management of team operations and staffing for
SACOT/SAIOP/MOUD treatment services. The Supervisor ensures that
services are provided to the members served to meet the clinical
needs of each recipient through direct and indirect interventions
in accordance with DHHS Clinical Coverage Policy 8A. The Supervisor
oversees and assures the program integrity of SACOT/SAIOP/MOUD
services as outlined below. Essential Duties and
Responsibilities:
- The clinical supervisor must provide individual therapy and
group for recipients served by the team.
- 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, MOUD, Dimensions of
Wellness and Cognitive Behavioral Therapy
- Provides, coordinates, and oversees initial assessment and
ongoing assessment of the recipients 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
teams 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 recipients
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.
- Works closely with other clinical/professional staff to
maintain communication and provide feedback, standardize
procedures, and expedite PCP implementation.
- Conducts and supervises formal investigations into
incidents/allegations of abuse, neglect, exploitation, or other
circumstances that may present a risk to the safety and health of
the person supported.
- Ensures that all initial and reauthorizations for services
occur in a timely fashion.
- Provides timely and accurate information when requesting
authorizations from the LME/MCO/Statewide Vendor and follows up on
each request for authorization modified, not approved, and/or not
responded to.
- Notifies appropriate parties upon the denial/modification of
continued services and provides person-supported/guardian
DMA-approved appeal policies and materials.
- Monitors utilization of service to ensure that it is effective,
appropriate, and within the limits set forth in both rules, PCP,
and the service authorization.
- Coordinates transition to another level/type of care for the
person supported.
- Coordinates and oversees the discharge planning process
including the development of a discharge plan initially upon
admission and a discharge summary with follow-up resources at the
conclusion of services.
- Facilitates relationships and serves as a link between the
company, consumer, guardians, local agencies, and the
community.
- Drafts responses to and implements changes required by
Medicaid, the Department of Facility Services, and/or other
regulatory agencies.
- Performs all other duties as reasonably required and
assigned.
- Practices standard medical precautions by understanding and
utilizing personal protective and safety equipment.
- Ensures confidentiality regarding sensitive and protected
information.
- Ensures individual rights to privacy and protected health
information for the person supported.
- Maintaining records, charting each individual, and reporting
unusual and critical incidents in a professional, timely manner
(within 24 hours).
- Familiarization with medications used by the client and
policies. regarding medication administration.
- Represent the company in a positive manner, reflective of the
companys mission, at all times.
- Ensures confidentiality regarding sensitive and protected
information.
- Ensures individual rights to privacy and protected health
information for the person supported.
- Ensures service, agency, LME/MCO, state and/or federal
documentation requirements and timelines such as NCTOPPs,
PCPs/ITRs, and reminders relative to Clinical Monthly Summaries,
Discharge Summaries, and Aggregate Reports.
- Completes Intake Packets for any of the referrals that the
office receives.
- Accurately document all billable encounters into Southeastern
Integrated Cares EMR (electronic medical record) system within 24
hours. Any corrections will be entered within 24 hours of being
notified.
- 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.Program Integrity: SACOT/SAIOP integrated
with MOUD are the most comprehensive, structured, and clinically
intense ambulatory services for the treatment of substance use
disorders/addiction. The integrity of these services is dependent
on quality clinical interventions, scheduled duration of
interventions, and frequency of care weekly. These are the vital
components of care.Therefore, key quality metrics driving program
integrity include milieu, pharmacological interventions, frequency
of each episode of care and duration of each episode of carePROGRAM
INTEGRITY includes:1. Structure/ time/ content of all groups and
services 2. Expectations regarding attendance, drug testing
(medication monitoring), LOS and hours per week3. Expectations
regarding use - limitations around harm reduction and relapse 4.
Program safety - constant client observation, engagement,
surveillance while on campus 5. Documentation quality tied to PCP
goals, interventions provided, response to interventions6. Expected
KPIs - duration and frequency of care, admitted clients per week,
relapse rate/positive urine screening, ED, or
hospitalizations-clinical stability Harm Reduction, albeit
controversial does have a role in the continuum of interventions
for the treatment of substance use disorder and addiction, however
harm reduction is defined as reducing the severity of the outcomes
of behaviors, IE death, overdose, infection, and DOES NOT directly
address the biopsychosocial and spiritual aspects of the brain
diseases of substance use disorder and addiction. Therefore, harm
reduction does not appropriately overlay on intensive treatment
services such as SACOT/SAIOP which are designed to change behavior,
thinking, and beliefs. When a client is unable to maintain
abstinence during ambulatory treatment, it is called relapse, and
appropriate treatment revisions and interventions must be made to
assist the client in working toward the biopsychosocial and
spiritual changes needed for ongoing and continued recovery.
Therefore, use during intensive treatment must be addressed as a
relapsing issue. ASAM defines SACOT and SIOP services from a
threefold perspective or what we can call the three components of
treatment. TIME: Like all medical treatment protocols, frequency
and duration are treatment is critical. In SACOT and SAIOP,
duration or time spent on clinical interventions per episode of
care, inclusive of group counseling, individual counseling, psycho
educational counseling, therapeutic recreation/socialization
interventions, etc. is equivalent to the dose or intensity of a
medication. Frequency of episodes of care, or times attended
weekly, is equivalent to any prescription for medical care that
clearly outlines how often the medication, procedure, etc. should
be administered. Frequency and duration both are critical
components in the structure of SACOT and SAIOP, the integrity of
the intervention and combined help determine a length of stay.
Honoring LOS and therefore duration of each episode and frequency
of those episodes is a key component for clients to process the
beginning and end of each phase of treatment. Care is not
arbitrary; LOS is not arbitrary. Recognizing the unique
characteristics of each level of care in treatment is vital for a
robust therapeutic experience for clientsMILIEU- This is the
structure/environment that is established to allow for quality,
best practice, standards of clinical practice/interventions to be
provided including the use of SAMHSA Illness, management and
recovery practices (IMR), Eight Dimensions of Wellness, MATRIX
model, Integrated Treatment for Co-Occurring Disorders, Relapse
Prevention, Motivational Interventions, 12 Step Integration,
Disease Management, Cognitive Behavioral Therapy, Family Systems,
etc.PSYCHOTROPIC/PHARMOLOGICAL/PROCEDURE Management- The use of
medications for opioid use disorder, or alcohol abuse disorder,
stimulant use disorder, or co-occurring use disorders is critical
as a bridge (short term and on occasion long term) to recovery and
adherence to the other facets of clinical interventions inclusive
of SACOT and SAIOP. In addition, procedures like acicular
acupuncture can be incorporated into care. SACOT- ASAM 2.5 minimum
5 days a week of care, preferably 6 (FREQUENCY) with minimum of 4
hours a day, taper up if needed to 6 hours daily (DURATION)-
minimum of 20 hours of care a week, preferably 25 -30 which is
standard with commercial payers THIS IS A PARTIAL HOSPITLIZATION
MODEL. Anticipated LOS is 60 to 120 days per clinical coverage
guidelinesSAIOP-ASAM 2.1 minimum 3 days a week of care, preferably
4-5 initially (FREQUENCY), with a minimum of 3 hours a day,
preferably 4 hours daily initially (DURATION)- minimum 9 hours a
week, preferably 12-15 hours up to 19 per week, with no more than
48 hours between episodes/events of care- Anticipated LOS is 30-90
days per clinical coverage guidelines Recommended schedule of care
to assure duration, frequency and milieu are adequately provided
The below structured schedule allows for the services to be more
clients driven as opposed to program driven, i.e., more flexibility
on delivering care to the client - allowing for both frequency and
duration along with achieving specific objectives to be the
measures of success as opposed to completing a program. The
structure (bones) of the program included a:
- Monday - Friday schedule eventually Saturdays as well
- 6 hours a day of services plus lunch i.e., 10-4pm and an
evening IOP 6-9
- Each service/even was broken into one-hour segments
- Two services running concurrently at a time (allowing for 20
patients to be seen)
- Services included one therapy group- theme focused, one psych
educational group - dimension focused, and one therapeutic activity
group - i.e., mediation, art therapy, Rec therapy, team building
(gym across street) etc. PER three-hour block
- This model allows for SACOT/SAIOP to operate simultaneously
with duration and frequency changing as client progresses in
treatment. This also allows for the clients to attend at various
times of the day, as long as they receive their prescribed clinical
interventions EXAMPLE TREATMENT SCHEDULE DAILY10 AM
- Therapy group
- Psych Educational group 11 AM
- Activity Group 1
- Activity Group 2 12 PM
- Therapy group
- Psych Educational group 1 -130 Pm lunch 1:30 PM
- Therapy group
- Psych Educational group 2:30 PM
- Activity Group 1
- Activity Group 2 3:30 PM
- Therapy group
- Psych Educational group
- This is staffed accordingly to assure two professionals in
their designated role/ discipline where available per one hour
segment
- Supervisor/Team Lead will pinch hit for two to three groups a
week allowing some additional non-Clinical time for their direct
care providers
- Embedded throughout the day would be individual sessions as
needed, family sessions as needed, pharmacological management, and
medication monitoring
- Care management services, appointments to DSS, etc. are
services provided in addition to onsite therapeutic interventions,
to assure the integrity and quality of services, and are not billed
as part of the duration and frequency of outlined care. Peer
Support Services as outlined in clinical coverage policy 8G can be
provided to SACOT/SAIOP clients as long as services are not at the
same time of day as scheduled SACOT/SAIOP intervention/events The
model requires between 2.5 FTE direct care staff and a Team LEAD.
Additional per diem staff as needed to adhere to clinical coverage
policy guidelines inclusive of peer support specialists,
paraprofessionals, etc.1 Team Lead- LCAS onsite1 40 hours CSAC,
CADC, etc.1 40-hour social worker/QP.5 FTE or 20 hours of activity
therapist times. Need two individuals each working about 10 hours
or so a week Supervisory Responsibilities:The team leader
supervises all members of the team demonstrating the knowledge,
skills, and abilities for this role as required by the population
and age served. 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
- Masters 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.0104Certificates, Licenses,
Registrations
- LCAS or CCS
- Valid NC drivers license including personal vehicle insurance
coverage.
- Current license must be maintained.
- NCI within 30 days of hire
- CPR certification
- Trauma Informed Training Supervisory Responsibilities: This
position supervises the SACOT/IOP clinical team members. 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.
PI7d38292e3f2b-31181-34397017
Keywords: Southeastern Integrated Care LLC, Fayetteville , Supervisor SACOT/IOP LCAS Supervisor Residential/Group/SACOT/IOP, Other , Pembroke, North Carolina
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