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Home My WebLink AboutUpdate Documents - BOCCPOSITION MANAGEMENT REVIEW TEAM (PMRT Form instructions: y,.N_o1s ■ Complete section one (1). If forfn is incomplete, it will be returned. ■ Submitform and supplemental materials, if available, to your HR Consultant. ■ Form is clzae to HR Consultant Thursday by S: 00 pm. Section 1 - Department Position Request Position Title Job # Dept Hiring Manager Therapist 2 150-83 Renew Traci Hunt Date of Request 07/14/2025 Proposed Start Date 08/14/2025 NOTES: Action Update Position NOTES: Workspace Available NOTES: Budget Status New Funding Received NOTES: State (HCA) Grant Proposed Wages Group Band Rate T05 - Therapy ^ Same ^ Current Wages Group Band Rate ^ ^ Same ^ Funding Source Additional State Grant Funding (HCA) This request and approval would not, currently, increase headcount. Funding for support from the Therapist 2 (SUD-P) would be afforded through the Health Care Authority (HCA) funding via a program called Comprehensive Opioid, Stimulant, and other Substance Use Program (COSSUP). The duration of the -grant under the pilot program would be 3 .years. However, revising the Therapist 2 position, as opposed to hiring another DCR (SUD-P) to support this new SUD program, will mitigate risk associated with downsizing (should grant funding for the program discontinue). If approved, the suggested revisions to the Therapist 2 job description would incorporate revised job duties for those in the Therapist 2 position that are also DCR Designated. The revised job duties would amend the scope of work to include crisis response associated with substance use. This position will report to the Crisis team. DJS Include Power Point for you or a representative of your department to presentation to the PMRT and BOCC. Include the following: 1. Title slide: title of request, name, role, and date. 2. Introduction/Overview: Briefly explain the business need, why is this request necessary for the department? 3. Current challenges/problems: describe the issue or challenge that the request addresses, provide data or specific examples that show the importance of addressing this need. 4. Request details: Clearly outline what you are requesting (job description, wage comparison, policy/process alignment, and budget status). 5. Benefits/impact: explain how fulfilling the request will benefit the department/office (cost savings, productivity improvements, risk mitigation). 6. Cost/resource requirements (if applicable). outline any costs, resources, or investments required for the request. FOR OFFICIAL USE: Position Management Review Team Department Business Case to include PowerPoint Presentation) ❑x Complete ❑ Incomplete P HR: Position documents ❑x Complete ❑ Incomplete Budget: Position expense 0 In Budget ❑ Not in Budget Payroll: Policy/Process 0 Compliant ❑ Non -Compliant Position ManaLyement Annrov2l (PMA) Commissioner Insight ❑x Provided ❑ Not Provided 0 Review Complete - Forward to BOCC Overall ❑ Review Incomplete - Forward to BOCC ❑ More Information Needed - Not Forwarded to BOCC Notes: Per Dell, he has received a a three year grant to pay for this position as well as a Peer Support Specialist position. FOR OFFICIAL USE: BOCC District 1: District 2: District 3: ❑Approve ❑ Deny []Abstain ❑Approve ❑ Deny ❑Abstain ❑Approve ❑ Deny ❑Abstain BOCC Approval: ❑ Approve ❑ DenyNotes: pp Page 2 of 2 Revised 02/17/23 Grant County Job Description Title: Therapist 2-DCn desig at Code(s): 150-83 Dept.: Renew Status: Full -Time FLSA: Exempt Union: Teamsters Reports to: I Clinical Manager Pay Band: 14 Supervisory Authority: None Updated: •-/n� /nr»n 61261202 Revised: 5 POSITION SUMMARY The Therapist 2R de44nati� provides behavioral health services to individuals with emotional behavioral, mental disorders and substance use disorders, assuring individualized quality behavioral health services which contribute to the well-being of citizens of Grant County. Services may be provided in an individual and/or group setting. Ifl The ^ er-i3rzei3ter-T Renew provides individual and/or group treatment services to individuals with emotional, behavioral, other mental disorders, and substance use disorders, to enhance independent choice, satisfaction and optimum participation in the community, family, and employment or education environments. This position may be required to work various hours/days of the week and is expected to work a minimum Of 4o hour per week. The schedule for this position will be set by a designated manager or supervisor and may be changed as Agency/department needs change. This position is represented by the Teamsters Local Union #76o. Therapist g (RCR Designation) ;- -- -- - -- - - -- -- - ----- -- - - ---------- - ------------------�. The qualified Therapist 2 with a Designated Crisis Responder (DCR) designation mayprovide' , proactive crisis intervention and crisis response services to individuals, ensuring individualized qualit` behavioral health services that contribute to the well-being, of citizens of Grant County with behavioral health issues. This position also provides services and functions of a County Designated Crisis Responder, including investigation for involuntary placements. ESSENTIAL DUTIES AND RESPONSIBILITIES The following examples of duties and accountabilities illustrate the general range of tasks assigned to the position but are not intended to define the limits of required duties. Other essential duties may be assigned consistent with the general scope of the position. Employee must comply with all County and department policies, procedures, WAC's, or other regulatory bodies. • Provides mental health and substance use treatment services to identified caseload, addressing the individual's needs and assuring treatment is commensurate with clinician's education and licensure/certification. • Completes and maintains appropriate records which meet Washington Administrative Code (WAC), Revised Codes of Washington (RCW), other contracts, and all other applicable Agency requirements. • Meets competency level for service coding, billing requirements, and other direct service standards as established by the Agency. - - { Formatted: Font: Bold, Underline Formatted: Font: Bold, Underline Formatted: Font: Bold, Underline -� Formatted: Font: Bold, Underline • Monitors the individual's risk to self, others, property and grave disability and refer to appropriate service. • Maintains strong working relationships with referring outside agencies, i.e. medical clinics, hospitals, convalescent centers, schools and other county agencies, as appropriate, to insure continuity of care for individuals served. • Provides therapy and group treatment services for dually diagnosed individuals, as assigned. • Creates individual treatment plans reflecting measurable goals, timelines and treatment outcomes, incorporating natural supports and maintains the individual's maximum level of functioning. • Makes referrals to appropriate resources when not provided by the Agency and are basic to the needs of the individual and coordinate services between other agencies. • Provides therapeutic intake services and pre -enrollment assessments to individuals within and outside the facility as appropriate. �l ((.� 3 g 4.✓' r-& '-7 r� e._ ,s !a YTS , S tv S Y1 to YTS `e i -ti i i L�a.�.i -� i i.. -.L i.J •• J LJrtr • r : }}''gg � [z ['0 3 S T'.7 • 3 1 rl�rarZ L. iedieal V} � f -'a4 - - i #---9�'Rr S�'a-s^-;+4.- t�,+yr-- qr-^.y;.- y}-yin- -v a{ uy 8♦ �^p p 1+ .(}.. a ' i - � � � �l-i i '4i, ;.,+ .. 'i/ ?'*�l 3� '...:. _ a - �.;e T'i � s- _i i � r. iee. ._ s .F. _ .:.ee, --.,-as • Documents accurately in client records within established Agency timelines. • Provides or obtains and includes in treatment plan appropriate specialist consults per Agency requirements. • Assures services are provided which support the individual's rights and are compatible with the particular culture and primary language of the individual. Actively participates in training and other meetings, whether in or out of office, as requested. --- t!o—vide s� owes-t&e-9 --a1 d re u� t:. -a d lYe-a i e -eo iste' '.� liseret a 41 'n is-i _..: he�pr s :.._ ris s !e e.1:g ,. y -s, icep , s_ -ei e . - s 40 3ferittfee'. • Proyldes telephone screening face-to-face crisis intervention and follow-up services to enrolled and non -enrolled indiy duals in various service locations includin,lails, nursing homes, hog. i)itals, individual's hoifies and residential facilities, etc. --Complete staffi ssta,fina*s after designated shift to next crisis worker, .._......... Dp ��€_ ill 1 i �.. to,e L .i ram.. A s- e � a7, i,-� �s'S ' "� i'� } � is 14 it i d e i�t�� & a, J i '��} a f :„ 7 7 a , e. Ta... ems- •,� i ,3. ^a4-,a��'iA' -IL a+H_, • Develop and maintain strong working relatlC�nships with the cominunitV, medical, enforcement. DCFS. schools, ICO's, ,Juvenile, DSHS, and other county agencies, as ar ro-nriate, to ensure continuity of care for in 'h iduals served in Grant Countv. De;iv t'a i e s a"e-s � i �' ,f.I �' g'.- ".3 Li e�"1-� -- t f a r� v r. sY' i t� e d e per„ t d�- :1 C - �- �i�J','.� ; i-�i S- R L a. � a �..� ti3 S..i `? Li i'a.�� 4 �': i-��4ti'Ter-F�j I.:�.'e�.�♦?Yy'-l'.�- C-$l • Respond to calls as detlern-�ined iJy contract. • I'roI-ide inpatient hospital hais-on coordination, discharge planning, complete post hospital ser \ ices. • ReN�e,,\- Least Restrictive Alternatives (LIZ-AL), meet with individuals to address their needs and inform them of their rights collaborate and assist clinicians with identified individuals. • Assures services are pro!% ided Wri, h sup,port the individual's rights and are compatible -v6th the particular culture aild-rin'ai`, lan uage of the individual. • Create Crisis plans itl; indi ;duals in collaboration with natural supports and other communitN partners involved during a crisis situation. e • Acti-�-ely participate in staf in:ds, team meetings and consultations, as requested. • Meets competency level for - -- Yice coding, billingrequirements, and other direct service standards as established b% tlhe Agency. • Must remain �%ithin Grant County boundaries throucyhout desicynated shift. • Therapist 2 vJ11 bee irk- required to transport individuals, post -overdose, to facilities for higher levels of care. Qualified employees with a DCR designation may also perform the followings ob duties.: •--------------------------- Juan/Traci, can you please populate? --------------------------------- • Pro\ -ides prompt responses to calls and requests and male appropriate, consistent, discretionar judgments in the prow sion of crisis/emergency services as well as pro -riding_ dis oposition to referral source. • Respond to crisis calls crisis walk-ins and to provide crisis stabilization services. Review daily reports for client follow-up and referral as indicated. • Develop, implement and participate in training -needs updates with supervisor to increase competencies that are necessam- to the provision of quality services as a Designated Crisis Responder. Provides crisis intervention; arranging for em.ergencv medications (when prescribed_�arr�g for medical services; assuring food is provided.; providing or arran, ing trans ortation to services, as needed;. and assisting with arrangements for other services or resources as appropriate. Team -Specific Requirements: The Therapist -or Therapist 2 may be part of the interdisciplinary team which ensures the provision of intensive services for clients who pose a high risk of hospitalization and/or deterioration of mental, physical, or social functioning with an emphasis on achieving client's recovery oriented goals and maintaining successful integration in the community. This Therapist will assist clients in the successful adherence to LRA orders. This will be identified in the job posting if necessary for position. EDUCATION, EXPERIENCE, and LICENSING 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. Any combination of education and experience may be substituted as long as it provides the desired skills, knowledge and abilities to perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required • Master's Degree in applicable field • Mental Health Professional as outlined in current WAC's and RCW's • At least two years of related experience in the direct treatment of individuals and families with emotional/behavioral disorders • 1:: :a: pep ,-Substance Use D dler-Disorder Professional SUD-P) Certification in the State of Washington • Strong assessment (risk, suicidal, crisis intervention and diagnostic) and counseling skills • Demonstrated ability to respond appropriately to aggressive behaviors with least restrictive interventions • Strong written and spoken communication skills • Demonstrated time management, organizational and networking skills • Good personal computer operations experience and skills including Word and Excel • Valid Washington State Driver's License with proof of automobile insurance • Background Check: Must have an acceptable background report, at time of hire and every three years afterward • Driving Abstract: Must have an acceptable driving retort Formatted: Font: Bold, Highlight Formatted: Font: Bold Formatted: No bullets or numbering Formatted: Indent: Left: 0.5", No bullets or numbering • Washington State Agency Affiliated Counselor Credential; Mental Health Counselor Licensure preferred. Must maintain an active status with Washington State and also have eithef a CDPT elf CDP license (dual certification) Preferred • Qualified Designated Crisis Responder (DCR) Designation preferred, but not required for consideration. • Licensed Clinician in the State of Washington • Experience with a clinical computer software program • Experience facilitating therapeutic groups. • A full range of clinical knowledge including treatment of children, adults, couples and families • Spanish Bilingual/Bicultural • Knowledge of County and Agency olicies and procedures PHYSICAL ABILITIES WORKING CONDITIONS Physical Abilities: The physical abilities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to walk, sit, write, hear, speak and lift up to 50 lbs. of unequal weight. Specific vision abilities required by this job include close and distance vision, peripheral, depth perception. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Demands: (Several times per shift) • Typing on keyboard • Operation of office equipment, including, but not limited to phone, copy machine, fax machine, computer • Operation of a car • Personal safety exposure risk: HIGH HIGH -Tasks that involve exposure to potentially verbally and physically aggressive individuals and/or environments MEDIUM -Tasks that involve no exposure to potentially verbally and physically aggressive individuals and/or environments, but employment may place employee in unplanned HIGH situations LOW -Tasks that involve no exposure to potentially verbally and physically aggressive individuals and/or environments • Exposure Risk Rating: 3 (Universal Precaution Category) 3-Tasks that involve exposure to blood, body fluids or tissues 2-Tasks that involve no exposure to blood, body fluids, or tissues, but employment may require performing unplanned category 3 procedures 1-Taskes that involve no exposure to blood, body fluids or tissues Mental Demands: (Several times per shift) • Maintaining a high level of, and consistent, professional behavior in unpredictable and stressful situations • Required to simultaneously manage and prioritize multiple competing tasks/requirements • Concentration required for meeting and managing time, completing required documentation, and productivity requirements • Concentration required during client assessment/treatment and subsequent documentation • Respond to telephone calls from professionals or clients which means that work plans need to be changed • The ability to act expediently and appropriately when responding to crisis situations • On -going requirement for continual updating and learning of techniques and practices including Information Technology skills • Working with clients with complex and diverse care needs. Emotional Demands: (Variable frequency) • Acting as advocate for clients • Communicating and dealing with vulnerable/distressed/anxious clients, family members, other providers and/or community • Dealing with challenging behaviors • Discussion with clients about prognosis, treatments and implications of illness. • Employee may experience secondary trauma as a result of exposure to information that is disclosed and/or client actions • Frequently dealing with situations involving domestic violence, abuse, family breakdown, conflict, and aggression. • Frequently communicating and dealing with situations involving other departments and/or co- workers • Management/dealing with aggressive behavior and situations • Participating within a team and dealing with any issues of conflict that arise Working Conditions: • Work is primarily performed indoors, but can be performed in varying temperatures. • Work is primarily performed in a one on one setting with clients. • Work settings may include any of the Grant Integrated Services offices, schools, jails, client's homes, or community locations. • Work may be performed in other environments where the employee may be exposed to sub - sanitary environments, pets, and passive smoking. • Daily exposure to potential verbal and physical aggression with risk of personal safety issues. • Employee may be exposed to cleaning supply odors or vapors. • Employee may be exposed to office supply odors or vapors. • Work duties may require employee to drive a vehicle, which involves risks associated with driving including road traffic conditions and inclement weather • Work duties may require employee to transport client in vehicles. Acknowledgment: I, , have received a copy of this job description, which is a guideline, or summary of the duties I am to perform. The description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. They are not to be construed as an exhaustive list of all job duties or roles performed by personnel so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. APPROVED: Employee Signature Supervisor Signature Date Date