Mobile Crisis Response Clinician

Monroe Community Mental Health Authority

• Crisis Mobile Response Clinician
• Reports to: Access/Crisis/Diversion Director \u007C Chief Clinical Officer oversight \u007C Pay Grade 8 (Bachelor) / Grade 10 (Master)
• ROLE SUMMARY
• Triages incoming behavioral health and substance use crisis calls and deploys to community settings (homes, schools, shelters, libraries, etc.) to effectively manage consumers in crisis. Responsibilities include assessment, engagement, de-escalation, stabilization, safety planning, service coordination, pre-screening, and level-of-care decisions for Medicaid and indigent consumers of Monroe County. Partners with law enforcement on ride-alongs for behavioral health crisis response and interfaces with community leaders and external providers.
• CORE DUTIES
• Clinical Knowledge
• Assess symptom acuity, functional abilities, and risk factors to identify severity of illness.
• Evaluate psychiatric symptomatology and risk of harm to self or others.
• Document accurate DSM-based diagnostic impressions, including ICD codes and treatment recommendations, across mental illness, ID/cognitive impairments, and substance use disorders for all ages.
• Develop an evaluation of the crisis situation and formulate a safety plan that includes alternatives to hospitalization.
• Apply knowledge of special populations: developmental disability, serious emotional disturbance in children, and co-occurring disorders.
• Demonstrate knowledge of health insurance benefits, medical necessity criteria, and current MI Mental Health Code and MI Medicaid Provider Manual standards.
• Apply Duty to Warn, Child Abuse and Neglect, and Elder Abuse reporting laws and complete mandatory reports as required.
• Intake & Assessment
• Screen all incoming calls and provide crisis services for adults, children, adolescents, and families; conduct face-to-face assessments per authority standards.
• Schedule admission appointments or refer to outside agencies, including coordination with law enforcement, courts, and probation officers.
• Coordinate supports and services with the consumer's primary health care provider; send a letter to the primary care physician per agency standards upon consent.
• Assess need for psychiatric consultation authorization.
• Triage and assign consumers to the appropriate clinical department; provide level-of-care authorizations for initial and continuing care.
• Maintain complete, detailed case records consistent with MDHHS guidelines, authority procedures, and third-party payer requirements.
• Deliver individual and group community education by phone or group presentation.
• Implement interdisciplinary peer review recommendations on a retrospective and prospective basis.
• Emergency Services
• Complete pre-screens and assessments to determine appropriateness of emergency psychiatric hospitalization for children and adults.
• Respond to consumer requests for emergency services via phone or face-to-face contact to stabilize crisis situations.
• Arrange alternative emergency service placements when hospitalization is not warranted.
• Transport consumers when necessary.
• Quality & Performance Improvement
• Identify, operationalize, and implement performance improvement indicators with appropriate approval; actively participate in agency-wide PI activities.
• Maintain individual credentials and complete training required to stay current in all essential skill areas.
• Follow oral and written direction; complete tasks by assigned due dates.
• Maintain working knowledge of applicable software applications.
• REQUIREMENTS
• Education —Bachelor's Level(Pay Grade 8)
• Minimum bachelor's degree with current Michigan licensure.LBSW \u007C Registered Professional Nurse
• Education —Master's Level(Pay Grade 10)
• Master's degree in social work, psychology, or counseling with State of Michigan licensure.LMSW \u007C LP \u007C LPC \u007C LMFTFull, limited, and temporary limited licenses accepted.
• Experience
• 2 years with MI/co-occurring populations preferred. 1 year with SED children or adults/children with developmental disabilities preferred.
• Other
• Valid driver's license, current auto insurance, and driving record acceptable to the Authority's insurance carrier. Proficiency in Microsoft Outlook and Word.

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