EMERGENCY SERVICES CLINICIAN
Under supervision of the Access Supervisor, this position is responsible for providing shortterm crisis intervention counseling, clinical assessments, hospital pre-screening and
outpatient treatment for individuals suffering from mental illness, substance use disorders
and/or intellectual disability. This position serves as a hospital liaison for consumers who are
hospitalized at local or state psychiatric hospitals. This position assists with Same Day
Access, which incorporates completing initial diagnostic assessments for child, adolescent,
and adult consumers experiencing behavioral health illnesses and disorders in a Same Day
Access model of service. The Emergency Services Clinician will be responsible for
determining eligibility for services and level of care, assigning consumers to the appropriate
service, and scheduling first appointments with the appropriate service providers. The
Emergency Services Clinician will assist in referring individuals to outside resources as
appropriate. This position may provide brief mental health therapy or other services to a
small caseload of consumers. This position is a licensed or licensed eligible position. As an
exempt position, the Emergency Services Clinician is expected to be available as needed
and may occasionally work after business hours. This is not regularly scheduled.
JOB EXPECTATIONS AND ESSENTIAL FUNCTIONS
• Provide crisis intervention services including prescreening evaluations, clinical
evaluation, conduct collateral contacts as appropriate, referral for appropriate community
and regional services, and provide follow-up services to consumers experiencing
psychiatric distress, including monitoring, and case management, as needed.
• Participate in commitment hearings for Goochland and Powhatan residents, as needed
and coordinate activities with other community services boards related to the
• Monitor consumers hospitalized with Region IV Acute Care Project funding and
coordinate with the regional office and hospitals.
• Establish and maintain ongoing positive relationships with Sheriff’s Department,
magistrates, hospitals, and other community agencies/persons and coordinate with
providers to include GPCS representation on emergency response teams in Goochland
• Assist, monitor availability, and track utilization of local community inpatient beds,
including maintaining the Hospital Log or other tracking and reporting systems.
• Triage consumers who present in acute crisis or seeking services and urgent scheduling
for those in priority SUD populations.
• Provide clinical, diagnostic assessments for child, adolescent and adult consumers.
• Assess and determine consumers’ level of care for services.
• Assign consumers to the appropriate agency service(s) and schedule initial
• Initiate individualized service plans in collaboration with consumers.
• May provide brief therapy or services to a small caseload of consumers, including
coordinating with other agency programs or outside providers.
• Maintain administrative and clinical documentation as required in the delivery of services
(i.e., service documentation, correspondence, treatment plans, quarterly
progress reports, etc.) and entering information accurately in the Electronic Health
• Report direct service and other time spent in clinical activities in a timely manner.
• Provide consultation, education, and community awareness programs to community
organizations and individuals.
• Assure the confidentiality of protected health information as required by law and
according to the GPCS confidentiality policies, state law, and the Federal Drug and
Alcohol Confidentiality Law, 42 CFR Part 2, as applicable.
• Provide information when necessary and clinically appropriate, with current and valid
authorizations to release information concerning consumers’ attendance and progress
in treatment to courts, criminal justice agencies, departments of Social Services, and
other entities that may be responsible for monitoring the consumer.
• Attend in-service training sessions, conferences, workshops, seminars related to the
provision of clinical services for professional and program development.
• Participate in state, regional, and local councils, associations, and work groups.
• Perform other assigned duties as necessary within established policy and procedures.
Master’s Degree, Licensed and/or eligible to become licensed as a "Resident or
Supervisee" under supervision of a licensed professional counselor (18VAC115-20-10),
licensed marriage and family therapist (18VAC115-50-10) or licensed substance abuse
treatment practitioner (18VAC115-60-10) approved by the Virginia Board of Counseling;
"Resident in psychology" under supervision of a licensed clinical psychologist approved
by the Virginia Board of Psychology (18VAC125-20-10); "Supervisee in social work"
under the supervision of a licensed clinical social worker approved by the Virginia Board
of Social Work (18VAC140-20-10).
Clinical experience in mental health with knowledge and/or experience of co-occurring
treatment preferred that may include supervised clinical internships and field placements
with a provider of mental health and/or co-occurring disorders.
Licensed Mental Health Professional (LCSW, LCP or LPC) or eligible to become
licensed per Virginia DBHDS requirements
Certified Preadmission Screening Clinician Certification or ability to become certified
within six-month probationary period required.
Position will be required to possess a valid Virginia driver's license
Must submit to pre-hire criminal background check
KNOWLEDGE AND ABILITIES
• Knowledge of psychiatric crises and effective intervention.
• Knowledge of the Civil Commitment Process in Virginia, Region IV Emergency Services
protocols, and Admission and Discharge protocols.
• Knowledge of theories, delivery systems and treatment of behavioral health illnesses
• Knowledge of principles, methods, and procedures for clinical assessments, including
DSM5 and ICD10 diagnosis.
• Knowledge of consultation, educational and training needs of people dealing
with behavioral health illnesses and disorders.
• Knowledge of consumers with behavioral health illnesses and disorders and the impact
on individuals, families, and the community.
• Knowledge of clinical treatment and service planning.
• Knowledge of case management services.
• Knowledge of community services and resources.
• Knowledge of individual, group, and family counseling techniques.
• Knowledge of documentation standards.
• Knowledge of Goochland Powhatan Community Services policies and procedures.
• Ability to provide effective clinical evaluations including crisis assessments and
individual/family crisis intervention counseling.
• Ability to triage, evaluate, determine, and refer for appropriate treatment.
• Ability to recognize withdrawal symptoms and connect with appropriate services, as
• Ability to interview and display very good interpersonal skills, including the ability to
empathize, demonstrate respect, reflect feeling and confront constructively.
• Ability to think critically, exercise sound judgment, and demonstrate resourcefulness in
problem solving and conflict resolution.
• Ability to assess, develop and manage individualized treatment planning.
• Ability to develop, coordinate and provide consultation and educational programs.
• Ability to work independently and as a team, take initiative, and make emergency
• Ability to handle emergency situations without direct supervision.
• Ability to effectively work and communicate with all types/levels of persons.
• Ability to effectively communicate orally and in writing.
• Ability to adhere to ethical standards appropriate for any professional helping
• Ability to safely operate a vehicle.
• Ability to complete required training, including behavioral or crisis intervention, and inservice First Aid and CPR training.
• Ability to work under pressure, meet deadlines, and set priorities.
• Ability to access internet and use appropriate applications including Microsoft Office
products or other agency software/hardware.
• Ability to maintain confidentiality of consumer’s information.
Persons with mental or physical disabilities are eligible as long as they can perform the
essential functions of the job after reasonable accommodation is made to their known
limitations. If the accommodation cannot be made because it would cause the employer
undue hardship, such persons may not be eligible.
Work environment will typically be working in a clinic office setting, but may include
community settings, such as hospitals, sheriff’s departments, and state facilities. Work
environment will involve traveling within the community and will include exposure to road
hazards usually experienced in driving in rural, county surroundings, interstate highway
driving, including exposure to weather and temperature extremes that may affect driving
conditions. May involve exposure to aggressive verbal and physical behavior, and
exposure to infectious diseases from others.
Sitting: 80%, Standing/Walking 10%, Driving 10%
Average Weight Required to lift or carry at any one time: 50 pounds for brief periods of time