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Lead OBRA Therapist

Neighborhood Service OrganizationDetroit, Michigan, United StatesOnsite

Position Title: Lead OBRA Therapist


FLSA Classification: Exempt


EEOC Classification: First/Mid-Level Manager


Location: Clinics


Position Type: Full Time


Reports to: Program Manager of Clinical Services


Job Number:


Summary: 


Lead OBRA Therapist oversees the staff assigned to provide behavioral health services to nursing home residents, including Therapy and Social Work.   They are responsible for the day-to-day operations of the OBRA Team, ensuring nursing h9ome residents receive adequate behavioral health services, in accordance with state guidelines. This is a clinical and administrative position which involves the orientation and training of new staff, reviewing and assuring accuracy of documentation, case assignments, collaborate with nursing homes and hospitals to facilitate effective provision of OBRA/PASRR services, consultation and education regarding OBRA Specialized Services pursuant to PASRR evaluations.

This position includes maintaining a caseload, completing assessments and treatment planning on adults who have had a Level II PASRR Evaluation and been identified as in need of specialized services or other mental health services upon review. The evaluation is part of a multidisciplinary assessment which includes a diagnostic formulation, disposition and treatment recommendations.

Responsibilities: 


  • Monitors interventions by staff to ensure compliance with treatment plan objectives. 
  • Orients and trains new staff. 
  • Reviews documentation and signs off on assessments as needed.
  • Approves/disapproves leave request. 
  • Monitors direct and indirect service delivery of OBRA staff. 
  • Assist in the development of new programs within the OBRA department.
  • Provides on-going staff training and development. 
  • Ensures that all staff provides services that adhere to federal, state, and local guidelines for OBRA Pre-admission Screens, Annual Resident Reviews and Specialized Mental Health Services. 
  • Participates in employment interviews, performance evaluations and disciplinary actions as directed by Supervisor.
  • Assessment skills and activity reflect an ability to gather data pertinent to consumer functioning and history.
  • Provisional diagnosis formulation, disposition and treatment recommendation are consistent with the DSM-V.
  • Communication skills reflect the ability to maintain positive professional relationships with other professionals within and outside of NSO-OAS.
  • Provides clinical supervision with staff in the resolution of crisis situations presented by a client/family
  • or nursing home to ensure that they are resolved in the least restrictive setting which is appropriate to the client’s situation.                
  • Provides clinical services to consumers on an individual or family support basis as required. 
  • Ensures timely and appropriate documentation consistent with services rendered. 
  • Maintain positive, professional relationships with external organizations.
  • Remain available for consultation/training to nursing homes.
  • Document all client and collateral contacts in compliance with agency policies.
  • Attends and provides meaningful information at I-Team or BTC meetings in the development of treatment plans. 
  • Monitors and follows-through with treatment plan goals and objectives, as needed.
  • Ensures timely and appropriate documentation consistent with crisis services rendered.
  • Participates in clinical case conferences and case consultations as needed.
  • Reviews staff documentation to ensure that it is accurate, appropriate, and submitted within required time frames.
  • Documents every client and collateral contact in compliance with agency policy.
  • Obtains accurate data collection for billing, fee-setting, the management information system and other purposes in accordance with agency policy.
  • Completes all assigned reports.    
  • Completes monthly statistical reports of direct and indirect service hours.
  • Completes internal billing reports. 
  • Performs other duties as required by supervisor and related to the position. 

Leadership Skill:


  • Able to inspire, influence, and enable others to achieve goals. 
  • Sets performance expectations of the department or individual work unit. 
  • Develops performance objectives for direct reports. 
  • Supervises staff which includes mentoring, coaching, training, and administering disciplinary actions as necessary in keeping with Human Resources policies and procedures. 
  • Delegates by allocating decision making and other responsibilities appropriately and effectively. 
  • Gives performance reviews on time and takes an active role in the development of subordinates.
  • Excellent writing, reading, and organizational skills, 
  • Basic computer skills required

Candidate Requirements:


  • Master of Social Work from an Accredited University
  • Licensed Master Social Worker (LMSW), through State of Michigan
  • Minimum 2 years supervisory experience
  • Minimum 5 years of clinical experience with the Severe and Persistent Mental Illness & Intellectual and Developmentally Delayed populations
  • Experience working with nursing home personnel and geriatric populations (Preferred)

Neighborhood Service Organization is an equal opportunity employer and values diversity in its workforce. We encourage applications from all qualified individuals, including those with diverse backgrounds and those with disabilities. 

Life at Neighborhood Service Organization

Neighborhood Service Organization’s (NSO) compassionate and professional staff provides services that have impacted countless children, youth, adults, seniors, families, and communities since 1955. NSO’s empowering programs and services provide assistance for: older adults with mental illness; children, youth, and adults with developmental disabilities; youth leadership and advocacy training; year-round workforce development for youth, young adults and their parents; homeless recovery services; housing development; community outreach for psychiatric emergencies; call hotline for emergency shelter and housing resources in Detroit; training; and volunteer opportunities for individuals, groups, and organizations.\r\n\r\nOur Mission: Changing lives through innovative human services that harness the power of choice
Thrive Here & What We Value1. Equal Opportunity Employer2. Commitment to excellence through diversity3. Respect for Confidentiality and Courtesy towards patients4. Collaborative Environment5. Supportive Teamwork6. Continuous Learning7. Compassionate Approach to Care8. Focus on Community Wellbeing</s>
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