Position Reports To: Director of Medical Services

FLSA Status: Non-Exempt

Position Summary:

Provider needed for a newly established Stabilization Center which provides emergency services for chemically dependent patients. Under the indirect supervision of the Medical Director and within the scope of their license the nurse practitioner provides an advance level of comprehensive health care services to a specified population of patients needing emergency medical services. Performs physical examinations; establishes diagnosis; prescribes medications; instructs patients about medical conditions and treatment.

Duties and Responsibilities:

· Obtains and reviews medical histories on all new patients.
· Performs medical examinations and establishes preliminary diagnosis, treatment, follow-up and consultation.
· Provides urgent care, first aid and/or referral to specialists.
· Orders appropriate medications for chemically dependent patients.
· Develops a plan of care to meet the medical needs of the chemically dependent patients.
· Provides appropriate evaluation and management for medical detoxification patient emergencies.
· Provides comprehensive, timely and legible documentation in the medical record including histories, physicals, progress notes, and discharge summaries.
· Reviews outpatient health history and information and makes appropriate clinical recommendations.
· Refers patients to appropriate health professionals as needed.
· Attends meetings as necessary or required.
· Perform other duties as assigned.

Knowledge, Skills and Abilities, Education and/or Experience:

· Ability to review charts on an ongoing basis in preparation for audits and to ensure compliance.
· Understanding patient care goals and making the patient a major part of his treatment and recovery.
· Critical thinking and shared decision-making ensuring protection of patient’s self-determination.
· Quality care assurance, following state and nursing guidelines and standards.
· Educate, support and care for patients receiving medication assisted treatments.
· Familiarity with Medication Assisted Treatments.
· Nurse Practitioner certification in the State of Maryland
· Certification in Basic Life Support required
· Advanced Cardiac Life Support preferred
· State DEA – Federal DEA
· Minimum two years of experience caring for chemically dependent patients
· Must have the use of sensory skills to effectively communicate and interact with other employees and the public by using the telephone and personal contact as normally defined by the ability to see, read, talk, hear, handle or feel objects and controls.
· Ability to effectively use and operate various items of office related equipment, such as, but not limited to: personal computer, calculator, copier, and fax machine.
· Ability to lift, carry, push or pull heavy objects in excess of 75lbs as well as squat, walk, climb, bend, crouch, stoop, kneel, stand, grasp, reach, pull, and repetitive motions.
· If recovering, five (5) years sobriety.
· The incumbent must continually demonstrate excellent oral and written communication skills.
· This position includes weekend and/or evening duties.
· All other duties assigned.

Position Reports To: Charge Nurse

FLSA Reports: Non-exempt

Position Summary:

The LPN works under the supervision of the Charge Nurse and is responsible for the complete care of all assigned patients, within the scope of the State Registered Nurse Practice Acts and the policies and procedures of the Agency. The LPN is responsible and accountable for making decisions and providing care according to Maryland’s Department of Health and Mental Hygiene’s regulations and agency guidelines.

Duties and Responsibilities:

• Follows-up with any patients in need of medical follow-up as determined by review of medical file/documentation.
• Administer all medications to clients as needed and is responsible for safe and secure storage of all medications.
• Keep abreast of all State standards for nursing practice in an intermediate care facility and to keep in compliance with these standards at all times.
• Perform the Nursing Assessment for each client at admission and provide for each client at discharge a care plan for continuing medical conditions.
• Responsible for orientation of nursing staff, as instructed by the Charge Nurse.
• Maintains all medical forms in clinical records in complete and timely manner.
• Maintains accurate records of TB testing of all employees.
• Review and completes patient paperwork as needed.
• Monitor client’s complaints and incident’s
• Reply in accordance with agency/ regulatory body guidelines for complaint tracking procedures and complaint policy.
• Works with staff, as necessary to resolve incidents.
• Responsible for monitoring and follow-up on Infection Control/Surveillance reporting.
• Maintain a system of client care records; reporting forms, client and service data and any other needed client care information as required.
• Ensures that all client care services are coordinated and integrated as indicated.
• Maintains all needed clinical documentation from doctors, nurses, etc.
• Maintains a multi-disciplinary approach to delivery of services.
• Accepts and performs duties assigned by Medical Director, Executive Director or Designee who are appropriate to this job description but are not here specified.
• Attends meetings as necessary or required.
• All other duties as assigned

Required Knowledge, Skills and Abilities, Education and/or Experience:

• Ability to review charts on an ongoing basis in preparation for audits and to ensure compliance.
• Demonstrated ability to maintain the client’s right to courtesy and confidentiality.
• Consistently observes essential discipline of the program, including reporting to work,
• use of sign-in logs, incident logs, reporting to supervisors, punctual attendance at required staff meetings and training sessions,
• Adherence to standards of dress, language and general deportment required.
• Consistently and promptly performs all monitoring as prescribed by Infection Control Policy.
• Demonstrated ability to train staff in medication procedures.
• Consistently arranges client medical referrals-out according to policy and demonstrates ability to orient clients to procedures for departure and return from appointments.
• High school Diploma or GED equivalent required for LPN
• Associates of Arts (AA) degree required for LPN. BS preferred.
• Valid Maryland LPN required, BLS certified, required.
• Ability to learn in-house software.
• If Recovering, five (5) years sobriety.
• Must be able demonstrate excellent oral and written communication skills.
• This position may include weekend and/or evening duties as needed or required.
• All other duties as assigned

Position Reports To: Charge Nurse

FLSA Reports: Non-exempt

Position Summary:

The RN works under the supervision of the Charge Nurse and is responsible for the complete care of all assigned patients, within the scope of the State Registered Nurse Practice Acts and the policies and procedures of the Agency. The RN is responsible and accountable for making decisions and providing care according to Maryland’s Department of Health and Mental Hygiene’s regulations and agency guidelines.

Duties and Responsibilities:

• Follows-up with any patients in need of medical follow-up as determined by review of medical file/documentation.
• Administer all medications to clients as needed and is responsible for safe and secure storage of all medications.
• Keep abreast of all State standards for nursing practice in an intermediate care facility and to keep in compliance with these standards at all times.
• Perform the Nursing Assessment for each client at admission and provide for each client at discharge a care plan for continuing medical conditions.
• Responsible for orientation of nursing staff, as instructed by Charge Nurse.
• Maintains all medical forms in clinical records in complete and timely manner. Maintains accurate records of TB testing of all employees.
• Review and completes patient paperwork as needed.
• Monitor client’s complaints and incident’s, reply in accordance with agency/ regulatory body guidelines for complaint tracking procedures and complaint policy.
• Works with staff, as necessary to resolve incidents.
• Responsible for monitoring and follow-up on Infection Control/Surveillance reporting.
• Maintain a system of client care records; reporting forms, client and service data and any other needed client care information as required.
• Ensures that all client care services are coordinated and integrated as indicated.
• Maintains all needed clinical documentation from doctors, nurses, etc.
• Maintains a multi-disciplinary approach to delivery of services.
• Accepts and performs duties assigned by Medical Director, Executive Director or Designee who are appropriate to this job description but are not here specified.
• Attends meetings as necessary or required.
• All other duties as assigned

Required Knowledge, Skills and Abilities, Education and/or Experience:

• Ability to review charts on an ongoing basis in preparation for audits and to ensure compliance.
• Demonstrated ability to maintain the client’s right to courtesy and confidentiality.
• Consistently observes essential discipline of the program, including reporting to work,
• use of sign-in logs, incident logs, reporting to supervisors, punctual attendance at required staff meetings and training sessions,
• Adherence to standards of dress, language and general deportment required. Consistently and promptly performs all monitoring as prescribed by Infection Control Policy.
• Demonstrated ability to train staff in medication procedures.
• Consistently arranges client medical referrals-out according to policy and demonstrates ability to orient clients to procedures for departure and return from appointments.
• AA (Associates Degree) or BS (Bachelor’s Degree) required.
• Valid Maryland RN license required, BLS certified, required.
• Ability to learn in-house software.
• If Recovering, five (5) years sobriety.
• Must be able demonstrate excellent oral and written communication skills. This position may include weekend and/or evening duties as needed or required.

Position Reports to: Director of Clinical Services

Status: Exempt

Position Summary: This individual plan and conducts activities and counsels’ clients on an individual and group basis. This individual is capable of performing independent and advanced work with clients within the program. He/she must demonstrate a working knowledge of the full continuum of care.  In addition, this person must have a broad understanding of how a program operates and how each client moves along in the treatment system.

Work is performed in accordance with established regulations, policies and procedures, but employees are expected to exercise significant initiative and independent judgment in discharging duties. Work is reviewed by the Clinical Director through an evaluation of the completion of assignments, and individual and group supervision.

Duties and Responsibilities:

• Keep records such as TAP/ Bio-Psychohistory and assessments, evaluation and keep client case records current according to the established guidelines.
• Coordinate collection of urine samples ensuring that all protocols and chain of custody guidelines are followed.
• Work with social agencies and managed care organizations, hospitals, clinics, courts and gatekeepers in carrying out tasks of persons with chemical dependency and /or mental health problems.
• Provide substance abuse counseling, assessment, and education to clients in individual and group sessions as scheduled. Select and provide appropriate educational materials for clients concerning substance abuse.
• Maintain client charts with all relevant program forms and reports.
  Work collaboratively with Program Director to develop and execute treatments plan for each client’s care. (Includes assessing and advising on client status in program).
• Refer clients to other additional support services as needed.
• Responsible for a full client caseload.
• Support and demonstrate adherence to Tuerk House Code of Ethics, Code of
• Conduct and all personnel policies and procedures.
• Continue special training in areas designated by Supervisor.
• Maintain a valid driver’s license and appropriate professional certificates and credentials.
• All other duties as described in the Job Description or as assigned by the Clinical Director.

Required Knowledge, Skills and Abilities, Education and/or Experience:

• Significant knowledge of the TAP, bio-psycho-social characteristics and manifestations of chemical dependency and/or mental illness, preferred.
  Significant knowledge of individual and group behavior and the effective way of working with people to produce ongoing recovery.
• Demonstrated ability to work effectively with clients and aid them in achieving goals and objectives identified in treatment.
• Demonstrated ability to identify the needs of the clients and to gain their confidence and cooperation in assisting them to obtain their goals.
• Demonstrated ability to establish and maintain effective working relationships with clients, other members of staff, outside agencies, institutions and the general public.
• Demonstrated ability to successfully work with others from various cultures and backgrounds.
• Knowledge and experience in running groups (house meetings and general meetings if applicable).
• Qualified candidates will have Maryland Board of Professional Counselors Licensed as a LCPC, LMSW, LGPC, LGADC, LCADC, and LCSW-C or certified as a CAC-AD or CSC-AD.
• A copy of your licensure certificate will be required.
• Candidates must be flexible to work some daytime and evening hours.

Special Software Skills: Demonstrated ability to use entire MS Office (Outlook, Word, and Excel). Ability to learn in-house software; (SMART and Beacon Health.

Sobriety: If Recovering, five (5) years sobriety.

Training: Must successfully complete annual training requirements of 25 hours per year.

Other: Must demonstrate excellent oral and written communication skills. This position may include weekend and/or evening duties as needed or required.

Position Reports To: Executive Director

FLSA Status: Exempt

Position Summary

Director of Quality, Safety, and Compliance will be responsible for coordinating and supporting the Patient Quality and Safety program while helping to develop, measure, execute, and report on patient safety and quality improvement programs. The coordinator performs all activities necessary to ensure a smoothly functioning quality and safety program and exercises independent judgment in the resolution of administrative problems, prioritization of workload, and coordination of special projects or programs. These roles serve as a resource in a team environment and provides some support to teams including correspondence, briefs and presentations.

Duties and Responsibilities

• Develops, implements, and monitors outcomes measures for training programs
• Collects, reports, analyzes, and trends performance standards for departmental performance reports
• Provides clinical and quality oversight of each care management initiative
• Coordinates audit preparation as directed
• Works with Director of Operations and Medical Director to develop clinical education programs for care management staff; implements training of new programs
• Implements interrater reliability audits of Care Plans
• Oversees care management clinical pods in reference to all case management, disease education, care coordination initiatives
• Identifies opportunities to improve clinical care, customer service, and internal business processes
• Performs quality of care investigations, including preparing cases for Medical Director
• Collects, reports, trends, and analyzes elements for departmental reporting
• Collects, reports, trends, and analyzes performance standards for departmental performance reports
• Develops, implements, and monitors policies and procedures for clinical compliance
  Serves as a liaison with members in reference to all care management processes
• Establishes and maintains systems for effective communication throughout the care delivery system
• Manages the development and analysis of statistical data and specifications to determine benchmark standards
• Assists in the development, communication and implementation of the Medical Director’s and QM Committee’s decisions and/or corrective action plans
• Implements QIPs if needed, clinical and administrative in nature
• Coordinates tasks, committees, presentations, and projects related to Patient Quality and safety
• Prepares and administers online/paper surveys and outcome measures.
• Assists with data management and storage.
• Works to ensure appropriate information and program outreach, communication, and dissemination.
• Networks within and throughout the community to develop and maintain strong working relationships.
• Knowledge of principles related to Behavioral Health, Meaningful Use, and Joint Commission standards.
• Responsible for effectively supporting and monitoring departmental performance improvement teams.
• Directs Joint Commission and compliance requirements; facilitates uniform performance organization-wide.

Qualifications

• Strong independent and analytical thinking skills are required
• Committee coordination and presentation experience
• Demonstrates knowledge of utilization management principles
• Demonstrates knowledge of care management principles
  5+ years’ experience managing nursing personnel, other healthcare professionals, and preferably QM staff
• Quality Improvement Project experience
• Project Management skills
• Update or revise agency policies as needed to ensure compliance with the State and Federal regulations and law.
• High degree of independence, flexibility, initiative, and commitment.
• Seeks and participates in ongoing formal training and professional development to improve knowledge and execution of process and Patient Quality improvement strategies.
• Knowledge of data management, spreadsheets, word processing, Microsoft suite essential.
• Aptitude for learning programs involved in graphing and project planning essential.
• Strong data analytic skills.
• Excellent communication and interpersonal skills.
• Ability to confidently approach and engage individuals.
• Attention to grammar and written communication.

Education and Work Experience 

• Master’s degree strongly preferred. Additional education may substitute for required experience, to the extent permitted.
• Progressively responsible administrative and operational experience ( year or more).
• Preferred training in, Psychology, Social Sciences, Health Sciences, Public Health, Public Policy, or related field.
• Experience or training in quality improvement tools/methods, leadership, teaching, problem solving, data analysis, and project management is strongly preferred.
• Certificate in quality management or patient safety also strongly preferred. (CPHQ, CHES, CQM, ASQ certification, Six Sigma, Lean Certification).

Position Summary:
Assist the Manager of Facilities with repair and maintenance tasks as necessary. Duties and Responsibilities:

• Perform minor repairs.
• Check control panels and electrical wiring to identify issues. 
• Install appliances and equipment. 
• Do garden/yard upkeep by mowing lawn, collecting trash, etc. 
• Conduct maintenance tasks such as replacing light bulbs. 
• Inspect and troubleshoot equipment and systems. (e.g. ventilation)
• Check functionality of safety systems. (e.g. fire alarm) 
• Report to a facilities or maintenance manager for issues 
• Conduct routine inspections of premises and equipment. 
• Performing preventative maintenance. 
• Overseeing contractors when professional repairs are necessary. 
• Diagnosing mechanical issues and correcting them. 
• Perform cleaning activities such as dusting, mopping etc. 
• Repairing machines or structures as necessary. 
• Other duties as assigned

Required Knowledge, Skills and Abilities, Education and/or Experience:

• Basic knowledge of HVAC. 
• Basic knowledge of plumbing. 
• Basic knowledge of electrical systems. 
• Basic knowledge of drywall and painting. 
• Experience using hand and electrical tools. 
• Ability to read technical manuals and drawings. 
• Physical stamina and dexterity.
• Valid driver’s license. 
• High School Diploma/GED.

Position Summary:

This position requires an experienced, skilled clinician with experience with the behavioral health population, triage, trauma treatment, emotional disturbance, chronic and severe psychopathology to provide specialty health services for our clients recovering from chemical dependency. Experience working with adults is required. Work is performed in accordance with established regulations, policies, and procedures but the ability to exercise significant initiative and independent judgment to provide the best care possible to our clients is expected. 

Duties and Responsibilities 

• Provide immediate crisis intervention and resolution, as necessary and appropriate.
• Serve as a liaison between the somatic care sites and the mental health specialty clinic providing the link between psychiatrists, mental health providers, and primary care providers if urgent consultation is required for clients seen in the triage process.
• Perform brief bio-psycho-social diagnostic assessments and mental status exams.
• Respond to the clients clinical needs using differential diagnosis and treatment approaches.
• Provide crisis intervention services when required.
• Apply evidence-based interventions and treatment to clients with general behavioral problems.
• Make referrals to the clinic specialty mental health or other community mental health or substance abuse agencies as needed.
• Participate in the interdisciplinary treatment team.
• Provide referrals to community agencies as needed.
• Provide coordination of any outside agency referrals for community involvement.
• Complete and maintain clinical records in accordance with insurance regulations and established policies and procedures.
• Maintain statistical and tracking database of patients seen and the outcome of service delivery.
• Participate in psychiatric/psychological consultation with Primary Care Providers.
• Initiate discharge plans and coordinate the transfer of patient care to appropriate provider.
• Attend all staff meetings.
• Maintain a valid driver’s license and appropriate professional certificates and credentials.
• All other duties as assigned. 

Knowledge, Skills & Abilities, Education and/or Experience: 

• A minimum of 3-5 years providing therapy services to clients with trauma histories including diagnostic assessment experience, triage interview experience, and experience working with dually diagnosed population. 
• Valid license as a Licensed Clinical Social Worker-Clinical (LCSW-C). 
• Demostrated ability to develop and maintain customer relationships; influence, build credibility and trust. 
• Demonstrated ability to identify the needs of the clients and to gain their confidence and cooperation in assisting them to obtain their goals. 
• Demonstrated ability to establish and maintain effective working relationships with clients, other members of staff, outside agencies, institutions, and the general public. 
• Demonstrated ability to successfully work with others from various cultures and backgrounds. 
• Demonstrated ability to multi-task, prioritize and delegate as appropriate. 

Position Summary:

This position requires a clinician with experience with the adult behavioral health population to perform triage and trauma treatment. In addition this person must have a broad understanding of how a recovery program operates and how each client moves along in the process. 

Duties and Responsibilities: 

• Provide supervision and assist with planning needs of clients and assist them in utilizing available resources. 
• Perform brief diagnostic assessments and mental status exams. 
• Make referrals to the clinic specialty mental health or other community mental health or substance abuse agencies. 
• Apply evidence-based interventions and treatment to patients with general behavioral problems. 
• Respond to the patients’ clinical needs using differential diagnosis and treatment approaches. 
• Provide crisis intervention services when required. 
• Maintain timely and accurate clinical documentation. 
• Complete all required insurance documentation for clients. 
• To participate in regularly scheduled clinical supervision. 
• The LGSW is supervised, according to their discipline regulations, by an LCSW-C. 
• Serve as a liaison between the somatic care sites and the mental health specialty clinic providing the link between psychiatrists, mental health providers, and primary care providers if urgent consultation is required for clients seen in the triage process.
• Participate meetings as required.
• Maintain statistical and tracking database of patients seen and the outcome of treatment.
• Effectively manage time and responsibilities.
• Include outside community resources into the treatment planning.
• Provide immediate crisis intervention and resolution.
• Initiate discharge plans as needed and coordinate the transfer of patient care to appropriate provider.
• Participate in psychiatric/psychological consultation with primary care providers.
• Maintain confidentiality at all times.
• Obtain and maintain appropriate training and continuing education 

Required Knowledge, Skills and Abilities, Education and/or Experience: 

• A minimum of 3 years providing therapy services to inner city clients with trauma histories including diagnostic assessment experience. 
• Triage interview experience and experience working with dually diagnosed population a plus. 
• Ability to communicate effectively (verbally and in writing). 
• Ability to plan and organize work initiatives to successfully accomplish center/organizational goals and objectives. 
• Ability to multi-task, prioritize and delegate as appropriate. 
• Strong analytical, problem solving and interpersonal skills. 
• Ability to identify, develop and implement short/long-term strategic goals and objectives. 
• Ability to ensure and advocate for quality healthcare and services. 

Position Summary:

The Peer Recovery Specialist supports the clinical team serving as a role model, mentor, advocate, and motivator for recovering clients. This position will also assist clients in finding appropriate resources for long-term stability. 

Duties and Responsibilities 

• Assess the eligibility of assigned participants. 
• Engage clients to assist them understand and establish their needs, goals, and objectives. 
• Maintain accurate and comprehensive documentation of all client encounters and plans of care. 
• Capture data to complete documentation and reports as necessary. 
• Provide recovery education for every phase of the recovery journey from pre-recovery engagement, recovery initiation, recovery stabilization, and sustained recovery maintenance. 
• Provide coaching, harm reduction education, and support based on their personal experience of recovery. 
• Coach recovering clients on independent use of community resources. 
• Refer clients to appropriate services in the community as necessary. 
• Transport clients to the appropriate referral source or safe environment. 
• Identify obstacles to accessing services and supports and addressing these in collaboration with clients. 
• Ensure clients have appropriate discharge plans in place that and the client completely understands these plans. 
• Ensure the appropriate supports are in place if support is needed for the discharge plans. 
• Maintain contact to provide peer support to aid recovering clients after they leave the program to insure their on-going success and provide any re-engagement support necessary. 
• Develop relationships with community groups and agencies. 
• Gather feedback from clients to continually improve the quality of our programs. 
• Collaborates with the team to develop and implement a framework for involving alumni in the drug court program. 
• Support peers to identify their area of need for professional supports and services and communicating those needs to the clinical staff. 
• Support clients to assess, identify, and combat self-destructive and unlawful behaviors. 
• All other duties as assigned. 

Required Knowledge, Skills and Abilities, Education and/or Experience: 

• A personal belief in recovery. 
• Ability to perform each essential duty satisfactorily. 
• Good communication skills and ability to interact effectively with personnel, visitors, clients, physicians and general public. 
• Ability to flexibly engage client based on their own needs. 
• Demonstrated ability to respect and maintain appropriate and professional boundaries with management, peers, and clients at all times. 
• Must hold a valid driver’s license. 
• High school diploma or GED equivalent required. 
• Ability to use MS Office (Outlook, Word, and Excel) and ability to learn in-house software. 
• If recovering at least two (2) years of sobriety. 
• Connecticut Community for Recovery (CCAR) Training required.