Denton County MHMR
MCOT QMHP On Call
General Description
Under direction of the Program Manager of MCOT On-Call and within federal, state and local guidelines provides moderately complex case management work. Work involves developing contact with clients, client families, and service providers for medical, social, educational, and related service needs.
This position is responsible for providing after-hours crisis services to residents of Denton County. Job duties include face to face risk of harm (ROH) assessments within the county at a secure location (medical hospitals, psych hospitals, jails, etc.) as well as individual's homes and anywhere in Denton County community with police present. This position requires telephone interventions and works under moderate supervision, with limited latitude for the use of initiative and independent judgment.
Education, Training, and Experience
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.
Stipend Pay Information
There are three teams scheduled each on call shift:
Monday-Friday:
North 1 (4:30p-8a): $200 base stipend plus $50 each additional assessment after the first one.
North 2 (4:30p-1a): $125 base stipend plus $50 each additional assessment after the first one.
South (4:30p-8a): $200 base stipend plus $50 each additional assessment after the first one.
Weekend/Center Holiday:
North 1 (7a-7a): $325 base stipend plus $50 each additional assessment after the first one.
North 2 (7a-1a): $250 base stipend plus $50 each additional assessment after the first one.
South (7a-7a): $325 base stipend plus $50 each additional assessment after the first one.
An MCOT incentive is provided quarterly based on performance. The amount varies.
1. Participates in the Center's Zero Suicide Initiative.
a. 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.
b. 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.
c. 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.
General Description
Under direction of the Program Manager of MCOT On-Call and within federal, state and local guidelines provides moderately complex case management work. Work involves developing contact with clients, client families, and service providers for medical, social, educational, and related service needs.
This position is responsible for providing after-hours crisis services to residents of Denton County. Job duties include face to face risk of harm (ROH) assessments within the county at a secure location (medical hospitals, psych hospitals, jails, etc.) as well as individual's homes and anywhere in Denton County community with police present. This position requires telephone interventions and works under moderate supervision, with limited latitude for the use of initiative and independent judgment.
Education, Training, and Experience
- Bachelor's degree in a human services field, qualifying as a Qualified Mental Health Professional (QMHP) required.
- Requires experience working with individuals diagnosed with a mental illness and experience with crisis intervention services.
- Requires a minimum of six-months experience working in the mental health field.
- Preference of Spanish-English bilingual.
- Must be able to respond anywhere in Denton County within 1 hour.
- This position requires knowledge of causes and treatment of individuals diagnosed with a mental illness and related conditions.
- 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 of local, state, and federal laws and regulations relevant to program areas.
- Knowledge and background in mental health services.
- Knowledge of serious and persistent mental disorders, personality disorders and substance abuse/dependence encompassed in the DSM-V.
- Proficient reading, writing, interpersonal relations and communication skills.
- Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to assess individuals' needs, coordinate individuals' services, and communicate effectively.
- Ability to train others as needed.
- Skills in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Highly effective in working objectively with a diverse group of people and must demonstrate organizational and administrative skills.
- Computer skills required specifically ability to use Microsoft Office, Microsoft Outlook and the Center's electronic health record.
- Ability to make decisions based on education preparation and clinical experience, which reflect consistency with Agency philosophy, 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.
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.
- Responds to all calls within 10 minutes. Gathers information from caller regarding the nature of the crisis situation. Responds to need for emergent face to face assessments within one hour.
- This position is community based and staff will report to various locations in the community as needed.
- If the location is not secure, police presence will be requested (secure locations include medical and psychiatric hospitals, jail, or Denton County MHMR's Psychiatric Triage Facility).
- Provides thorough documentation.
- Documents all services provided to an individual in the electronic health record (EHR).
- Each service delivered will be documented according to agency and state guidelines.
- All risk of harm assessments and 24-hour follow-ups completed must be documented within one hour of completion.
- Other documentation or corrections must be completed within 2 business days.
- Collaborates with MCOT team members and at times Backup Clinician On-Call to determine the least restrictive environment.
- Utilizes the Centers screening form to gather and document information regarding risk of harm/risk factors.
- Ensures least restrictive environment recommendation is carried out.
- Provides or facilitates transport as needed.
- Maintains communication with hospitals regarding admission if applicable.
- Communicates with collaterals regarding possible ensure safety and means restriction if applicable.
- Completes all additional tasks associated with completion of a risk of harm assessment.
- Completes Child and Adolescent Needs and Strengths (CANS) or Adult Needs and Strengths Assessment (ANSA) to determine appropriate level of care.
- Ensures communication and appropriate documentation of follow-up for 100% of individuals assessed.
- Collaborates with individuals to complete individualized crisis plan.
- Ensures screening email is sent to all appropriate parties.
- Ensures registration document is completed for all individuals.
- Ensures provider letter is complete when applicable.
- Ensures diagnosis is entered into the EHR; when applicable.
- Completes 24 hour follow ups as assigned.
- Each individual assessed receives a follow up within 24 hours of the assessment.
- Ensures time worked is documented accurately on Center timesheet.
- Completes on-call reimbursement and mileage reimbursement forms in a timely manner.
- Provides on call availability by deadline provided.
- Attends all team meetings.
- On-call meetings are held monthly, and two-time options are available to accommodate staff who have an additional full-time job.
- Follows all Center policies and procedures.
- Maintains acceptable driving record as required for Denton County MHMR insurance.
- Performs additional duties as deemed necessary by department supervisor within designated timeframes.
- You will be required to work a minimum of 8 shifts a month. Those 8 shifts must include:
- A minimum of 4 full (i.e., 4:30PM ? 7:00AM) overnight shifts a month.
- A minimum of 2 weekend shifts (1 Saturday and 1 Sunday, or 2 Saturdays or 2 Sundays).
- You will be required to pick up 3 of the below minor holidays and 2 of the below major holidays:
- Minor holidays include Good Friday, Easter, Memorial Day, Fourth of July, Labor Day, Halloween, Friday after Thanksgiving, New Years Eve
- Major holidays include Thanksgiving, Christmas Eve, Christmas Day, New Years Day
Stipend Pay Information
There are three teams scheduled each on call shift:
Monday-Friday:
North 1 (4:30p-8a): $200 base stipend plus $50 each additional assessment after the first one.
North 2 (4:30p-1a): $125 base stipend plus $50 each additional assessment after the first one.
South (4:30p-8a): $200 base stipend plus $50 each additional assessment after the first one.
Weekend/Center Holiday:
North 1 (7a-7a): $325 base stipend plus $50 each additional assessment after the first one.
North 2 (7a-1a): $250 base stipend plus $50 each additional assessment after the first one.
South (7a-7a): $325 base stipend plus $50 each additional assessment after the first one.
An MCOT incentive is provided quarterly based on performance. The amount varies.
1. Participates in the Center's Zero Suicide Initiative.
a. 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.
b. 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.
c. 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.