Team Lead/Supervisor SACOT/IOP
Company: Southeastern Integrated Care LLC
Location: Pembroke
Posted on: May 4, 2024
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Job Description:
Summary: The Supervisor/Team Leader is responsible for the
supervision and management of team operations and staffing for
SACOT/SAIOP/MOUD treatment services. The Supervisor/Team Leader
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/Team Lead oversees and assures the program integrity
of SACOT/SAIOP/MOUD services as outlined below. Essential Duties
and Responsibilities: The team leader (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
TherapyProvides, coordinates, and oversees initial assessment and
ongoing assessment of the recipient's 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 team's 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 recipient's 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 company's 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 Care's 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 interventions 6. 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 well6 hours a day of services
plus lunch i.e., 10-4pm and an evening IOP 6-9Each 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 1Activity 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 1Activity Group 2 3:30 PMTherapy 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/ExperienceMaster's
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. ORThree
years of clinical experience with Substance Use Disorder Treatment,
Required Skills/AbilitiesMust 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,
RegistrationsLCAS or CCSValid NC driver's license including
personal vehicle insurance coverage.Current license must be
maintained.NCI within 30 days of hireCPR certificationTrauma
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.PIb1bf413d7fe4-25660-34397017
Keywords: Southeastern Integrated Care LLC, Durham , Team Lead/Supervisor SACOT/IOP, Hospitality & Tourism , Pembroke, North Carolina
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