JOB
LOCATION:
GALT, CA Conduct comprehensive histories, physical assessments, and diagnostic evaluations for all new clients. Diagnose substance use disorders and co-occurring mental health conditions within scope of practice using current clinical standards. Assess medical, psychiatric, and psychosocial factors affecting admission, treatment planning, and ongoing care. Evaluate suicide risk, self-harm, disruptive behavior, and withdrawal complications.
Withdrawal Management & Medical Oversight Assess clients for withdrawal risk on admission and throughout treatment. Provide clinical oversight for withdrawal symptoms and collaborate with nursing staff on symptom monitoring and escalation. Develop and adjust withdrawal-management protocols consistent with evidence-based practices and program policy. Medication Management Evaluate, prescribe, and manage medications, including medication-assisted treatment (MAT), in accordance with licensure, furnishing authority, and program policy.
Monitor medication efficacy, side effects, and interactions with substances or other prescribed medications. Adjust clinical plans based on treatment response, emerging symptoms, and client safety needs. Coordinate referral to psychiatry or other specialists when higher-acuity medication management is indicated. Ongoing Client Care Conduct follow-up visits as clinically indicated to evaluate response to treatment and medical stability.
Modify treatment interventions based on clinical progress, relapse risk, and withdrawal status. Provide crisis intervention and clinical stabilization support when needed. Participate in interdisciplinary treatment team meetings and level-of-care discussions. Collaborate with counseling staff regarding assessment results, treatment needs, and discharge planning. Documentation & Compliance Complete all clinical documentation timely, accurate, and compliant with regulatory standards.
Document all assessments, diagnoses, medication changes, clinical decisions, and client progress. Ensure compliance with state licensing, accreditation standards (CARF), and ASAM guidelines. Maintain records suitable for audits, reimbursements, and quality assurance reviews. Complete all disability forms within the required time frame. Work in conjunction with the nursing staff to ensure that documentation is complete and meets all regulatory standards and that all medication orders are correct Collaboration & Communication Collaborate closely with counselors, case managers, nursing staff, program leadership, and the medical director.
Provide consultation to staff regarding client care needs, clinical risks, and treatment recommendations. Communicate with family members and external providers when appropriate and authorized. Refer clients to primary care, psychiatry, or specialty services as needed. Coordinate chronic-medication issues and care transitions with outside prescribers. Program Support & Quality Improvement Participate in program meetings, conferences, and program development activities.
Attend all training sessions. Assist in creating or updating medical policies and procedures as needed. Support quality improvement efforts, including chart audits and performance reviews. Adhere to all licensing and county regulations/standards. Adhere to all auditing requirements following county and licensing audits
Job details are sourced from the employer's original posting.
Open job postingAbout the company
GLOM SAP is a company operating in the SAP ecosystem, likely providing services or solutions related to SAP software.