Intake and Assessment Therapist
Job Description
Job Description
Job Title : Intake and Assessment Clinician
Base : Harmony Bay Wellness
Direct Report : Intake and Assessment Supervisor
Job Purpose Summary :
Overview of Intake and Assessment Clinician job functions which include providing direct clinical service and administrative assistance to clients :
Obtaining Informed Consent
Facilitate acceptance of client Informed Consent documents from patient portal.
Ensure all documentation is properly completed prior to the start of the Intake Assessment.
Outreach and provide rescheduling opportunities for clients unable to complete paperwork.
Assessment and Diagnosis
Ensure each client completes a PHQ and Columbia-Suicide Severity Rating Scale during Intake Assessment.
Gather all relevant clinical data to make an informed preliminary diagnosis.
Justify all diagnoses given using DSMV criteria.
Assess client’s level of care, and facilitation to higher levels of care when needed.
Clinical Documentation
Completion of Biopsychosocial, Missed Appointment Notes, Phone Call notes, etc. within 48 hours of service.
Maintain accurate and concise documentation of client interactions.
Clinical Recommendations and Scheduling
Make clinically justified recommendations for the client’s treatment plan.
Educate clients on recommended treatment services.
Facilitate the linkage of clients to recommended services (therapy, medication management, specialty services).
Crisis Intervention
Identification of client’s current risk level.
Maintain client safety through crisis intervention.
Responsibilities Include :
Responsible for review and acceptance of client Informed Consent documents.
Ensuring all Informed Consent has been appropriately given via electronic signature.
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