General Description

Under the direction of the Program Manager of PASRR and within federal, state, and local guidelines, performs Preadmission Screening and Resident Review (PASRR) evaluations and routine case management. Work involves developing and maintaining long-term contact with individuals, individuals' families/guardians, and service providers for medical, social, educational, and related service needs.

This position is responsible for overseeing the PASRR evaluations and caseload for Mental Health Services. This position works to ensure the continuity of care for individuals in nursing facilities and provides resources as needed. This position works under moderate supervision, with limited latitude for the use of initiative and independent judgment.

Education, Training, and Experience

• Graduation from an accredited four-year college or university with major course work in a human services field as required to qualify as a Qualified Mental Health Professional (QMHP).
• Six (6) months prior experience in a mental health field preferred.

Registration, Certification, Licensure, and Other Qualifications

• Must have and maintain a background and criminal history free from any disqualifying offenses as outlined by the Texas Administrative Code (TAC) and the Health and Human Services Commission (HHSC).
• Must possess and maintain a valid driver's license and automobile insurance.
• Individuals with an out-of-state driver's license must be able to obtain a driver's license in the state of Texas within thirty (30) days.
• Successful completion of all position-specific training within thirty (30) days of employment is required.

Knowledge, Skills, and Abilities

• Knowledge of community resources, of case management delivery systems, and of program policies and procedures.
• Ability to assess clients' needs, coordinate individuals' services, communicate effectively, and to train others.
• Has the ability to work independently and make decisions but seeks guidance when needed.
• Ability to make decisions based on education and or clinical experience, which reflect consistency with the Center's Guiding Principles, Policies and Procedures, and Standards of Care. Ability to display regular and reliable (in-person, if required) attendance.
• Understanding and practice of Trauma Informed Care principles.

Essential Duties

The following list outlines key responsibilities for the position; however, it is not exhaustive and does not encompass all responsibilities. Additional duties may be assigned as needed.

1. Attends and participates in all scheduled team meetings.

• Staff will attend meetings as scheduled and sign in for meetings to acknowledge their presence and understanding of the topics discussed.
• If a meeting is missed, staff will get with supervisor within one week to review the information.
• Attends monthly PASRR calls.

2. Provides courteous, professional services at all times.

• Maintains professional boundaries.
• Interacts with center staff, individuals, and community members in a professional manner.

3. Provides PASRR evaluations within 72 hours of receiving notification on Texas Medicaid and HealthCare Partnership (TMHP) portal.

• Submit PASRR evaluation into TMHP portal within 7 days.
• Checks TMHP portal twice a day for any notifications.
• Attends Interdisciplinary treatment (IDT) Meetings within 14 days of being notified of positive PASRR evaluation.
• Attends yearly IDT meetings or CARE meetings for dually diagnosed clients.
• Carries the Mental Health PASRR caseload for Denton County.
• Caseload size will vary.

5. Provides Case Management and/or rehabilitation services in a team-based environment.

• Provides supported employment, supported housing, budgeting, and/or skills training as appropriate to Mental Health individuals approved for services as defined in TRR guidelines.

6. Completes community-based visits per minimum monthly contact.

• Community-based visits to occur 20% of the time for individuals approved for LOC 1 and LOC 2, and 80% of the time for individuals approved for LOC 3.

7. Ensures each individual served is provided services as required by the level of care assignment for each month.

• Engagement measure with consumers is at 65.6% on a monthly basis.
• Maintains contact standards as defined in Texas Resilience and Recovery (TRR) guidelines.

8. Administers clinical assessments and paperwork to determine appropriateness of level of care assignments and level of rehabilitative services required to meet individual's needs.

• Required paperwork includes: ANSA, Recovery Plan, Substance Abuse Needs Inventory, Rights Review, QUIDS, consent forms, Tobacco Cessation Form, and CSSRS Form completed prior to expiration and as needed based on individual change.

9. Is familiar with all applicable Texas Administrative Code (TAC), fidelity tools and Texas Human Health Services (HHSC) contract information and Center policies and procedures.

• All documentation is completed within two business days, to meet or exceed 95% monthly.
• Skills training notes include fidelity words.

10. Ensures individuals charts are in compliance with HHSC contract requirements and standards.

• Responds to all chart audits by assigned deadline.
• All paperwork will be signed in black ink with credentials and date.

11. Provides emergency/crisis intervention when necessary according to HHSC and Center policies and procedures.

12. Completes other duties as assigned.

• All assignments given are completed in a timely manner.
• Has the ability to work independently and make decisions but seeks guidance when needed.

13. Participates in the Center's Zero Suicide Initiative.

• Supports individuals experiencing a crisis by promptly connecting them with appropriate Center programs, such as the Mobile Crisis Outreach Team (MCOT), Psychiatric Triage, Crisis Prevention services, and/or other applicable resources. Ensure seamless coordination to facilitate timely intervention.
• Remains with individuals, when deemed safe, to provide support and maintain a calm environment until specialized crisis staff or emergency personnel arrive to take over intervention efforts. Adheres to safety protocols to prevent escalation of the crisis situation.
• Participates in debriefing sessions with the immediate supervisor or designated staff following a crisis event. Collaborate with the team to review the incident, identify lessons learned, and ensure all HHSC guidelines and Center policies are followed.