This position is eligible for $5,000 retention bonus.

Job Summary:

The Providence Center Manager ACT II Team oversees the daily operations of the Assertive Community Treatment (ACT II) team within TPC's Certified Community Behavioral Health Clinic (CCBHC) model. Individuals served by the ACT II team have complex Serious and Persistent Mental Illness (SPMI) and benefit from a coordinated, multidisciplinary approach to care. This level of service is designed for individuals who may not require the ACT I (High Intensity) level of support but would benefit from ongoing team-based collaboration to assist with treatment, rehabilitation, and community integration.

The Manager is responsible for supervising the ACT II team, ensuring fidelity to ACT standards, and maintaining service intensity consistent with program expectations. This includes overseeing day-to-day operations, providing clinical leadership, and performing direct service duties when applicable. The Manager develops and sustains a continuum of care that promotes recovery, diverts consumers from hospitalization when clinically appropriate, supports timely step-down services for those transitioning from inpatient care, and coordinates appropriate consumer services with Emergency Services and community partners.

Duties and Responsibilities:

Supervise the daily operations of the team.

Ensure team adheres to evidence-based ACT model of care.

Coordinate clients care; oversee clients admissions to and discharge from the team.

Conduct regular supervision meetings with staff and maintain records of the meetings per BHDDH requirements.

Track clients hospital admissions and support the team in collaborating with inpatient teams to coordinate client care.

Provide leadership to staff regarding training, risk management, and daily operations.

Facilitate an environment that supports staff participation and encourages self direction and team building.

Facilitate treatment planning meetings for the development, review and implementation of person-centered, recovery oriented treatment plans, in a timely manner.

Ensure that confidentiality and the highest standards of ethics are maintained by staff when treating clients, in accordance with Center policy and legal requirements.

Ensure the staffs’ quality and timely completion of Health Information Management (HIM) and other required documentation.

Perform administrative functions in a timely manner and in accordance with Center policies; interviewing prospective employees, disciplining staff, completing performance evaluations, oversight of petty cash, etc.

Develop staff schedules to assure on-call and adequate coverage to meet clients needs.

Maintain client contact and caseload statistics. Ensure staff compliance with standard.

Provide orientation and training to new staff.

Assist with ongoing training and staff development.

Conduct record audits of staff records in accordance with Center requirements. Establish plans of improvement as needed.

Ensure that staff participating on committees regularly attend meetings and report back to the department on committee activities.

Serve as a member of the ACT services Management Team to develop programs, in-service trainings, solve problems, and generate ideas and to implement Center policies.

Address staff performance concerns, monitor overdue documentation, etc.

Audit and approve time sheets.

Carry a small caseload when needed and provide direct service.

Deliver person-centered, recovery-oriented clinical services as part of a multidisciplinary team providing comprehensive treatment, support, and rehabilitation to individuals with Serious and Persistent Mental Illness (SPMI).

Ensure service intensity aligns with ACT II (Moderate Intensity) standards, including a minimum of five (5) or more client contacts per month, with at least three (3) contacts conducted in person (Home, Office, Community Setting) OR Four (2.5) hours “of qualifying” services per client, per month in person with a focus on community base treatment. These contacts may be provided by any member of the multidisciplinary team to meet client needs.

Treat clients with respect and use a flexible approach in diverse populations.

Provide supportive counseling, problem-solving, and limit setting to clients.

Establish attainable goals with the clients.

Involve clients, families, team members, agencies and others in planning care treatment to establish attainable goals for clients.

Assist clients in deciding which goals they want to accomplish.

Assist clients with basic activities of daily living. Encourage clients to attain the highest possible levels of independence.

Accept the values and lifestyles of clients.

Collaborate with a multi-disciplinary team in the development and implementation of therapeutic services; to include working with individuals with mental health and/ or substance use disorders.

Provide regular updates to other members of the multidisciplinary team and present clinical case overviews as required.

Accompany clients to community appointments with agencies, clinics, doctors, etc.

Make assessments and provide appropriate crisis interventions and risk management as needed.

Assess clients' unmet needs (psychological, substance use, physical, housing, psychiatric).

Identify, assess and respond to crisis situations.

Use a flexible approach with a diverse population.

Perform in a calm and professional manner during crisis or emergency situations.

Utilize evidence-based tools (PHQ9, CSSRS) to assess for suicide risk.

Coordinate with team QMHP or emergency services for additional assessment when indicated.

Teach clients adult daily living skills.

Teach, supervise and assist clients with doing household chores, laundry, room cleaning, etc.) using realistic situations.

Use a step-by-step process when teaching skills.

Use positive reinforcement and encouragement.

Integrate skills training in all aspects of treatment plan.

Maintain a clean, healthy and safe environment at all times.

Assist clients with budgeting and money management.

Arrange for move for clients.

Help form a nutritional plan and assist clients with food shopping.

Initiate treatment and advocate for clients within network of care.

Schedule appointments for clients within The Center and with outside agencies.

Assist clients with benefits acquisition (social security supplemental insurance (SSI), food stamps, advocates office, medical doctor).

Complete required interagency and other necessary paperwork.

Identify, obtain, and maintain housing and necessary household goods and furnishings.

Monitor clients during spend down process, complete DHS applications as necessary

Complete recordkeeping in accordance with Health Information Services (HIS) and other center requirements within required time frames and abide by center confidentiality policy.

Complete daily activity logs.

Complete progress notes with appropriate format.

Develop and implement a plan of care with ongoing consumer input.

Complete a clear, specific, behaviorally oriented treatment plan as required, with consumer signature.

Monitor confidentiality in accordance with Center policy and legal requirements.

Complete required reports and evaluations (MHPRR checklist, Psycho-social form).

Follow required office procedures in a cooperative manner.

Initiate and process incident reports as per Center guidelines.

Adhere to Infection Control protocols. --Ensure all members from the team are adhering to above standards

Maintain cooperative relationships with Center staff, clients, community agencies and the public

Communicate with various local agencies and other departments or teams at The Center.

Work in cooperation with co-workers and supervisory staff.

Deal with team members regarding problems in a constructive manner.

Accept and use direction and supervision.

Benefit from constructive criticism.

Transport clients in own vehicle or Center van (as available and only when indicated) to planned activities and appointments.

Drive carefully and abide by traffic rules.

Ensure that seat belts are worn by all traveling in Center or employee-owned vehicles.

Attend trainings and conferences.

Provide feedback to staff on the content of educational programs attended.

Attend mandatory in-service trainings and other trainings required.

Monitor staff compliance with required trainings Perform duties in accordance with departmental goals, objectives and standards.

Adjust to meet changes in team scheduling.

Provide information for clinical treatment and team decisions.

Participate in developing team goals and objectives.

Analyze the delivery of service and recommend corrective action.

Identify team educational/training needs.

Perform select maintenance activities: inventory control and/or stock medication; special equipment checks.

Additional Duties for RN Candidate:

Triage and assess assigned clients on the team.

Assess and evaluate client health care data collected through interviewing, observation, record review and team input.

Perform integrated care in accordance with appropriate medical protocol.

Identify expected outcomes of care, individualized to the client, with the goal of improving client’s overall health.

Evaluate the consumer's response to the plan of care and update the plan based on client’s response.

Instruct clients and families concerning the disease process, plan of treatment and rehabilitation course, using available teaching materials when appropriate.

Educate clients on the various medications on the expected effects and side effects.

Question any aspect of the client’s treatment regimen which endangers the level of wellness.

Administer medications as per prescriber orders (Injections and PO).

Implement appropriately prescribed medication regimen while following the 6 rights of medication administration.

Monitor lab results and complete related documentation.

Ensure that externally prescribed medications (from outside providers i.e. PCP) are accurately documented in EMR.

Liaise with treatment team and pharmacy regarding medication changes to ensure clients receive accurate and most current prescribed medications.

Coordinate activities regarding consumer hospitalization.

Follow up with clients’ post-hospital discharge to provide support and education regarding recommendations resulting from inpatient stay.

Complete medication reconciliations, review hospital discharge paperwork, and communicate any changes or significant findings to treatment team, including prescriber.

Complete initial and annual nurses’ assessment forms.

Serve on appropriate Center committees.

Attend meetings and report committee activities to staff.

Other duties as assigned.

Supervisory Responsibilities:

Directly supervises all employees on the team. Carries out supervisory responsibilities in accordance with Center policies and applicable laws. Responsibilities include planning, assigning, and directing work; addressing complaints and resolving problems.

Requirements:

Bachelor’s degree in Human Services, or related required. Master’s degree preferred.

RN candidates: Associate’s degree required; Bachelor’s degree preferred.

Eligibility for QMHP preferred.

Licensure required: LICSW, LCSW, LMHC, LMHC-A, LMFT, LMFT-A, LCDP, or RN.

Minimum 3+ years’ experience working with psychiatrically disabled consumers in a community support setting and knowledge of the special needs of the deinstitutionalized consumer, knowledge of BHDDH rules and regulations and community resources. Demonstrated success in program development in relation to assertive community treatment teams.

Bilingual Spanish preferred.

Ability to read and interpret documents such as policy and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before team members and other employees and have the capacity to work with other community agencies.

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers. Ability to define problems, collect data, establish facts, and draw valid conclusions.

Must have valid driver's license, registration, current inspection sticker, and insured automobile.

Care New England Health System (CNE) and its member institutions; Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.