Crisis Stabilization Supervisor

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Major Duties and Responsibilities:

  • Assures the accessible and effective 24-hour delivery of residential crisis stabilization services to all those deemed appropriate for such services.
  • Supervises and schedules the work of crisis stabilization staff members, including shift coverage, and the coordination of adjunct staff with other CSB departments.
  • Provides programmatic leadership to all staff, including planning, scheduling, supervising, and evaluating the active treatment and supports delivered daily to residents.
  • Provides program-specific and ongoing training to staff regarding recovery, clinical care, medical management, and risk management issues related to crisis stabilization services.
  • Makes admission and discharge decisions in conjunction with the Emergency Services Supervisor and the Director of Behavioral Health Services as needed, as well as in conjunction with CSU Nursing and CSU Case Coordinator.
  • In coordination with the Director of Behavioral Health Services, assists in developing and revising program policies and procedures for daily operations to reflect current practices and to meet current standards including licensing, Medicaid, and all DBHDS requirements.
  • Meets, as needed, with other CSB coordinators/supervisors and with the Directors to plan for the effective utilization of the crisis stabilization program.
  • Represents the program with other stakeholders, including other CSBs who refer individuals to the program, and hospital personnel (e.g., SRMH, WSH, etc.).
  • Provides data as required for performance contract, reimbursement, and program planning/evaluation purposes, by assuring the collection of data is carried out as prescribed.
  • Assures maintenance of records and documentation in compliance with Board policy and procedures, and licensing and other regulatory requirements.
  • Manages the facility by initiating and coordinating services/repairs to maintain the facility in a safe and attractive manner to meet welfare, fire and building codes.  Modifies environment, program, and materials to meet physical disability needs of residents.
  • Participates in the annual budget preparation and monitors budget throughout the fiscal year.
  • Maintains and assures that staff maintain effective relationships with co-workers and customers based on courtesy, compassion, and respect.
  • Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service.
  • Is responsible for other duties as assigned, consistent with established policy and procedure.

Required Knowledge, Skills and Abilities:

  • Astute diagnostic, evaluative, and crisis intervention skills.
  • Strong interpersonal skills including the ability to work effectively with service providers from other agencies as well as with people who are experiencing a high level of stress.
  • Thorough knowledge of the principles and methods of administration and supervision.
  • advanced skills in providing administrative and clinical supervision; ability to plan, organize, develop, implement and evaluate a program of direct client services operating 24/7.
  • Ability to work as a member of a team and lead a team is essential; knowledge of and adherence to basic ethics appropriate for a helping relationship; ability to speak and write concisely and effectively.
  • Demonstrated good judgment and conflict resolution skills; computer literacy and word processing skills required.

Minimum Education and Experience:

Graduation from an accredited college or university with a master’s degree in Human Services plus two years’ experience in a behavioral health setting, or any equivalent combination of education and experience which provides the required knowledge, skills, and abilities. Supervision and crisis intervention experience is required. Professional licensure or Licensed Eligible required. Staff member is responsible for submitting proof of credentials to the Human Resources office.

Additional Requirements:

  • Mandt training
  • CPR Certification
  • First Aid Certification,
  • Trauma Informed Care training
  • Valid Driver’s License with acceptable record.
  • Background check with favorable results

Other Information:

Work Equipment: Telephone, PC, word processing software, copier, fax machine.

Work Environment: General office environment with normal lighting levels, temperature, air quality, and ventilation and noise levels.

Work Location: 1353 N. Main St. Work requires some local and regional travel.

Work Hazards: Standard hazards associated with a mental health treatment environment.  Standard hazards associated with human service residential environment including hazards associated with problem behaviors; behaviors and hazards associated with necessary use of medical first aid procedures.  Use of universal precautions required.  Use of protective equipment recommended.

Work Schedule: Monday through Friday, regular program hours; additional hours as needed to perform job requirements.  Supervision of 24/7 services may require after hours contacts. After-hours admission/administrative coverage as well as staff consult for CSU on a rotating basis.

HIPAA Access Level 2:  Full read/write access to protected health information (PHI), limited to the minimum necessary, for all clients directly served or assigned, as well as all clients indirectly served through case consultation, clinical supervision, program management, or coverage requirements. Staff at Level 2 are allowed to seek out client PHI as necessary to perform their assigned duties but are expected to exercise due precautions to limit exposure to any PHI which is outside the scope of their need to know. Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI.

E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.

HRCSB is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact recruitment@hrcsb.org.

 

Community Case Manager

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General Statement of Duties:

This position works in conjunction with the Community Paramedics at Harrisonburg Fire Department and is housed in the Public Safety Building HFD office.  This co-responding team will work in the community to build partnerships with community members and ultimately utilize resources to keep individuals served in their home. The Community Case Manager will support the overall goal of reducing low acuity calls for EMS services and creating positive results in the community by identifying needs related to mental health, substance use, and chronic disease management in potentially underserved or at-risk populations.  This team will work to not only address a current need but assess for underlying needs that may offer an opportunity for longer term improvements which reduce the need for future use of 911.

 

The role of the Community Case Manager will be to provide crisis intervention services aimed at determining the underlying needs contributing to the crisis.  As part of the co-responding Community Team, the case manager will provide the necessary time and referrals needed while Community Paramedics are able to assess and determine necessary medical response (immediate or otherwise).  The interventions will be varied and may include, but are not limited to: providing resources related to caregiving, providing healthcare resources, connecting with mental health treatment, providing resources to rehabilitate living conditions.  The Community Case Manager will collaborate with the individuals natural supports, medical and mental health providers, social service providers, and other community resources as needed (at the discretion of the client).

 

This position requires a multifaceted skill set that embraces the whole person perspective of treatment.  The individual must be able to engage an individual in crisis and meet that person where they are to assess and determine the underlying needs, knowledge of area resources, ability to create an accessible plan of care, and diligent follow-up to ensure efficacy.

 

This position is classified non-exempt under the provisions of the Fair Labor Standards Act.

Required Knowledge, Skills and Abilities:

    • Maintains trauma-informed treatment perspective.
    • Good assessment, evaluative, resource identification, and crisis intervention skills.
    • Knowledge of systems of mental health and substance abuse disorders
    • Ability to function calmly in stressful situations.
    • Ability to communicate effectively verbally and in writing.
    • Ability to establish and maintain effective working relationships with other employees and with private and public agency personnel.
    • Knowledge of and adherence to basic ethics appropriate for a helping relationship; ability to write concisely and effectively
    • Ability to work collaboratively with diverse individuals, including consumers, professionals, and family members Ability to work as part of a team to assist in providing administrative and clinical supervision.

 

Minimum Education and Experience:

Graduation from an accredited college or university with a Bachelor’s degree in any Human Service related field.  .

Additional Requirements:

  • Mandt Training
  • CPR Certification
  • Trauma Informed Training
  • First Aid Certification
  • AED Training
  • Valid Driver’s License
  • Background Check

E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States..

HRCSB is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment. Applicants who require accommodation to participate in the job application process may contact Human Resources at recruitment@hrcsb.org.

Early Intervention Clinician I/II

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To provide brief and supportive counseling services to students in the local public school system. Clinician works directly and effectively with students, families, school personnel, community partners, and other youth serving organizations. The clinician practices independence and good judgement in decision making related to services to the identified population. Clinician works under the regular supervision of the supervisor of Child and Adolescent Clinical Services. Regularly scheduled supervision is provided as well as consultation and assistance necessary to accomplish work.

Persons in this position are classified as non-exempt under FLSA.

Continuation of this position is contingent upon annual renewal of service contracts between the city of Harrisonburg and/ or Rockingham County local school system.

 

Major Essential Functions

  • Provides education, prevention, and early intervention services to clients referred through either the Rockingham County or Harrisonburg City Public School System.
  • Provide face-to-face individual and group services to at-risk or hard to serve youth.
    Provide crisis intervention and referral services as needed.
    Conducts pre/post-tests with students utilizing rating scales approved by this agency and school personnel.
  • Enter and track data on spreadsheet regarding utilization of services.
  • Meet with an average of 20 students per week that school is in session.
  • Maintains a current level of knowledge regarding causes for adolescent violence, trauma, and adolescent mental health and substance abuse issues.
  • Attend meetings with parents and school personnel as appropriate.
  • Must maintain an active professional license (LPC/LCSW) that is in good standing within the State of Virginia.
  • Assures compliance with agency policy, client rights, confidentiality, and licensure regulations.
  • Maintains effective relationships with co-workers, clients, families, school personnel, community agencies and other youth serving organizations.
  • Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service.
  • Is responsible for other duties as assigned, consistent with established policy and procedures.

Required Knowledge, Skills, and Abilities

  • Thorough knowledge of the principles, practices, and methods of mental health and substance abuse treatment.
  • Good Interpersonal skills, the ability to work effectively with service providers from other disciplines and disabilities, particularly those in the school system and other Child Early
  • Intervention Clinicians serving agencies.
  • The ability to work with persons from many socioeconomic and educational level who are experiencing a wide variety of problems.
  • Knowledge of and adherence to the basic ethics appropriate for helping relationships.
  • The ability to communicate clearly and effectively, both verbally and in writing.
  • Ability to teach and provide education to individuals and groups.

Minimum Education and Experience

  • Graduation from an accredited college or university with a Masters’ Degree in Human Services related field plus two years of experience working with children and youth.
  • Any equivalent combination of education and experience which provides the required knowledge, skills and abilities.
  • Licensed/ License Eligible (LPC/LCSW) in the state of Virginia required. Individual is required to provide a copy of their license.

Equipment: Telephone, copy machine, PC, word processing software

Work Environment: General office and group room environment with normal lighting, temperature, air quality, ventilation and noise levels. Classroom facility with environment as determined by school personnel.

Work Location: 1241 N Main St., Harrisonburg; Rockingham County Public Schools or Harrisonburg City Public Schools.

Work Hazards: Minimal hazards associated with a general office environment and rehabilitation programs; occasional hazards associated with problem behaviors.

Work Schedule: Monday through Friday, regular school and office hours; 10 month position (mid-Aug through mid-June)

HIPAA Access Level 2: Full read/write access to protected health information (PHI), limited to the minimum necessary, for all clients directly served or assigned, as well as all clients indirectly served through case consultation, clinical supervision, program management, or coverage requirements. Staff at Level 2 are allowed to seek out client PHI as necessary to perform their assigned duties, but are expected to exercise due precautions to limit exposure to any PHI which is outside the scope of their need to know. Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI.

E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.

HRCSB is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact recruitment@hrcsb.org.

 

Emergency Services Clinician

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To provide crisis intervention, pre-screening for hospitalization, and other direct emergency services as required. The Emergency Services Clinician is directly responsible to the Supervisor of Emergency Services. S/he is expected to exercise considerable independence and autonomy in day-to-day decision-making related to the delivery of emergency services and to carry out those services on a daily basis. The position requires expertise in the area of emergency interventions and the ability to work effectively with other emergency services providers both in the immediate community and in the state hospitals. Good judgment and the ability to maintain a high level of confidentiality are also required.

This position is classified exempt under the Fair Labor Standards Act.

Major Essential Functions:

  1. Provides crisis intervention either by phone or face-to-face to individuals experiencing emotional distress.
  • Effectively prioritizes crisis situations and triages as necessary.
  • Effectively deals with adults and juveniles in crisis who are MH, SA, ID or dually diagnosed.
  • Effectively deals with suicidal clients.
  1. Involvement in all areas of the civil commitment process.
  • Provides accurate consultation regarding the petitioning process, ECOs and TDOs.
  • Functions as the “qualified evaluator” in assessing juveniles and adults to determine level of risk.
  • Provides thorough preadmission (PAS) screenings for both voluntary and involuntary hospitalizations to private and state hospitals.
  • Maintains up-to-date knowledge of the Statutes of Virginia relating to Behavioral Health and Developmental Services Laws.
  • Actively explores the least restrictive alternative.
  1. Fulfills agency requirement for documentation.
  • Follows agency procedures for accurate record keeping.
  • Follows agency procedures for accurate emergency services record keeping.
  1. Participates in training and supervision as required by the Emergency Services Supervisor.
  • Attend in-service training pertinent to Emergency Services.
  • Attend monthly meetings with Emergency Services Supervisor.
  1. Ability to function as a team member.
  • Works effectively with team members to provide adequate coverage during normal work hours.
  • Conforms to agreed-upon scheduling for requested duties, such as lunch coverage.
  • Works effectively with ES On-Call staff to provide accurate information.
  1. Makes effective use of available technology, including computers, e-mail and voice mail in order to enhance customer service.
  1. Maintains effective relationships with co-workers and customers based on courtesy, compassion and respect.
  1. Completes other duties as assigned consistent with established CSB policies and procedures.
  • Implements projects consistent with established CSB policies and procedures.

Required Knowledge, Skills and Abilities:

Position requires the ability to work effectively with service providers from other agencies as well as with people who are experiencing a high level of stress.  Good diagnostic, evaluative, and emergency intervention skills. Good interpersonal skills including a reassuring telephone demeanor are essential. Knowledge of and adherence to basic ethics appropriate for a helping relationship. Good interpersonal skills with demonstrated good judgment and flexibility in highly stressful and unstructured situations with a wide range of mental health disabilities. The ability to work as a member of a team is essential, as well as, skills in oral and written communication and basic computer literacy.

Minimum Education and Experience:

Graduation from an accredited college or university with a Masters Degree in Human Services or a related specialty, plus two years of experience in a mental health or substance abuse setting; or any equivalent combination of education and experience which provides the required knowledge, skills and abilities. Professional licensure or license eligibility is required.  Staff member is responsible for submitting proof of license renewal to the Human Resources office.

 Other Information:

Equipment:  Telephone, copier, fax, vehicle, laptop

Work Environment:  General office environment with normal lighting levels, temperature, air quality, ventilation and noise levels.

Work Location:  1241 N. Main St, Harrisonburg; facilities, and/or community settings.

Work Hazards:  Standard hazards associated with rehabilitation programs.

Work Schedule:  Monday through Friday, regular office hours as scheduled by supervisor; some evening and weekend hours required as scheduled. Additional hours as needed to perform job requirements. Regular attendance is required.

E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States..

HRCSB is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment. Applicants who require accommodation to participate in the job application process may contact Human Resources at recruitment@hrcsb.org.

Emergency Services On-Call Clinician

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Major Duties and Responsibilities:

  • Provide crisis intervention to individuals by telephone or face-to-face who are experiencing a mental health or substance abuse emergency.
  • Provide consultation, information, and support to individuals, families and to other community emergency service providers (e.g. Rockingham County Sheriff’s Department, Harrisonburg Police Department, Sentara Rockingham Memorial Hospital, Local Rescue Squads, ECC, Social Services Departments, etc.)
  • Perform pre-admission screenings for emergency hospitalizations, to include all admissions to private and state hospitals, both voluntary and involuntary.  In addition to screening the individual, this will encompass overseeing the petitioning process, advising the magistrate’s office regarding Emergency Custody Orders and Temporary Detention Orders, and coordinating/ensuring appropriate disposition/admission issues with respect to the most appropriate treatment in the least restrictive environment.
  • Perform assessments as requested regarding mental health and substance abuse issues. May include exploring and making dispositional arrangements for the individual in question.
  • Provide the Community Services Board with the required documentation of service delivery.
  • Participate in on-going coordination and consultation with other emergency service providers and with Community Services Board staff.
  • Participate in in-service training and supervision as required by the Supervisor of Emergency Services.
  • Perform other related functions as judged professionally necessary to ensure availability, response and continuity in the delivery of emergency services.

 

Required Knowledge, Skills and Abilities:

  • Good diagnostic, evaluative and emergency intervention skills.
  • Good interpersonal skills including the ability to work effectively with service providers from other agencies, as well as, with people who are experiencing a high level of stress.
  • Demonstrated good judgment and flexibility in highly stressful and unstructured situations.
  • The ability to work as a member of a team is essential.

 

Minimum Education and Experience:

Graduation from an accredited college or university with a Masters Degree in Human Services or a related specialty.  If licensed, staff member is responsible for submitting proof of license and renewal to Human Resources.

 

Other Information:

  • Equipment:  Telephone, Laptop
  • Work Environment:  Community settings, facilities with environment as determined by occupant.
  • Work Location:  Setting as needed.
  • Work Hazards:  Standard hazards associated with rehabilitation programs.
  • Work Schedule:  After regular hours as scheduled.
  • HIPAA Access Level 2:  Full read/write access to protected health information (PHI), limited to the minimum necessary, for all clients directly served or assigned, as well as all clients indirectly served through case consultation, clinical supervision, program management, or coverage requirements. Staff at Level 2 are allowed to seek out client PHI as necessary to perform their assigned duties, but are expected to exercise due precautions to limit exposure to any PHI which is outside the scope of their need to know. Utilization of information will be in accordance with HIPAA regulations regarding use limitation, disclosure and requests of PHI
  • Additional Requirements:
    • Possession of a current, valid Virginia driver’s license and acceptable driving record.
    • Favorable Background check results.

    E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.

    HRCSB is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact recruitment@hrcsb.org.

CSU Lead Nurse

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Major Duties and Responsibilities:

  • Assures accessible and effective 24-hour delivery of medical services appropriate to the admission and maintenance of residential crisis stabilization services including coordination with medical prescriber when necessary.
  • Supervises and schedules the work of crisis stabilization nursing staff, including shift coverage, and the coordination with CSU medical providers.
  • Provides for the safe storage, handling, and administration of IM and oral medications in compliance with state and federal law, departmental guidelines, and Community Services Board policy and procedure, as well as safe storage and handling of necessary medical supplies
  • Call in physician medication orders to pharmacies as authorized by physician.
  • Providing medical decision-making & leadership as part of CSU Leadership (along with Supervisor and Case Coordinator.)
  • Provides leadership to and medical services oversight of other nurses.
  • Arranges lab tests
  • Practices good venipuncture techniques and administers intramuscular injections under the direction of the medical provider.
  • Monitors clients for the development of side effects of medications, reporting this to the medical provider and ensuring best practice documentation
  • Reviews laboratory results and reports irregularities to medical provider.
  • In conjunction with CSU team, coordinates and administers a comprehensive health history, making appropriate referrals as needed for further assessment and treatment. Provides consultation to other clinical staff regarding health care issues.
  • Provides leadership to the nursing team and quality assurance of the programming and delivery of the educational nursing group to include medication, health, and wellness education on an individual and group basis to residents of the facility.
  • Documents client contacts and maintains client records in accordance with established Board policy and procedure;
  • Participates, as necessary, with Board staff and staff of other agencies in planning services for CSU residents;
  • Contributes to the positive culture of the CSU and facilitates an environment of courtesy, compassion, and respect amongst staff.
  • Makes effective use of available technology, including computers, e-mail, and voice mail in order to enhance customer service;
  • Maintains effective relationships with co-workers and customers based on courtesy, compassion, and respect;
  • Is responsible for other duties as assigned, consistent with established Board policy.

Required Knowledge, Skills and Abilities:

  • Knowledge of psychopharmacology, serious mental illness, blood drawing techniques, medical issues related to mental illness, substance abuse symptomatology, and medication side effects.
  • Skills in the area of consultation and documentation and the ability to communicate with a wide variety of individuals.
  • Ability to assess the nursing needs of consumers with mental illnesses and co-occurring disorders.
  • Ability to dispense medications including IM injections and to draw blood.
  • Ability to establish positive care-giving relationships with consumers and family members.
  • Thorough knowledge of the principles and practices of nursing;
  • Adherence to the code of ethics of the nursing profession;
  • The ability to assess both general health problems and medication side effects;
  • Ability to organize and attend to detail in the delivery of medication;
  • Good interpersonal skills demonstrated good judgment, and the ability to work with considerable autonomy as well as part of a clinical team.
  • Ability to establish and maintain effective working relationships with other employees and with private and public agency personnel.

Minimum Education and Experience:

Graduation from an accredited college or nursing school with a degree or diploma in nursing, current licensure as a Registered Nurse in the Commonwealth of Virginia plus four years of nursing experience which includes experience working with mental health clients. QMHP-A credentialed as defined by DBHDS preferred. Staff member is responsible for submitting proof of license renewal to the Human Resources office.

Additional Requirements:

  • Mandt Training
  • CPR Certification
  • AED Training
  • Trauma Informed Training

Other Information:

Equipment: Standard nursing equipment, telephone; computer hardware and software as required, misc. household appliances (i.e. washer/dryer, stove, dishwasher)

Work Environment: Residential setting with normal lighting levels, temperature, air quality, ventilation, and noise levels.

Work Location: 1353 N. Main St., Harrisonburg, VA 22802

Work Hazards: Standard hazards associated with a mental health treatment environment. Standard hazards associated with human service office environment including hazards associated with problem behaviors; behaviors and hazards associated with necessary use of medical procedures. Use of universal precautions required. Use of protective equipment recommended.

Work Schedule: Schedule includes weekday daytime hours. However, flexibility is required in order to meet and respond to coverage needs and individual residents’ needs. On-Call (24/7) rotation shared with CSU Coordinator and CSU Supervisor. .Regular attendance is expected.

Job Type: Full-time

Benefits:

  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

 

Medical specialties:

  • Psychiatry

 

Physical setting:

  • Inpatient

 

Standard shift:

  • Day shift

 

Supplemental schedule:

  • On call

 

Weekly schedule:

  • Monday to Friday

 

Work Location: In person

CSU Nurse, Hourly

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Be a part of the dynamic, interdisciplinary team teaching and supporting individuals experiencing psychiatric crisis. HRCSB is seeking nursing staff who are proficient in the field, yet sensitive to the challenges individuals face when dealing with a psychiatric crisis. Arbor House is a short-term, 7-bed crisis stabilization program working with folks to avoid psychiatric hospitalization, or stepping down from hospital setting before returning home. Duties include standard nursing practices, as well as working with team of mental health professionals to ensure high quality care to those experiencing a psychiatric crisis. This position provides opportunities for engaging on an individual level, facilitating teaching moments, and life skill development outside of general nursing duties.

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Medical Director / Chief Psychiatrist

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The Harrisonburg-Rockingham Community Services Board is hiring a Medical Director/Chief Psychiatrist! Nestled in the Shenandoah Valley, the Harrisonburg-Rockingham Community Services Board (HRCSB) provides services to residents across the lifespan for mental health, substance abuse, and developmental disabilities. The incumbent for this position will provide clinical leadership in combination with direct services to children with serious emotional disturbance and/or adults with serious mental illness and other behavioral health concerns across disabilities. This is a full-time, salaried position with benefits. Work schedule Monday-Friday during regular office hours and additional hours as needed.

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