Job title	Lead Residential Tech-SAR
Lines of Authority	This position is supervised by the Unit Coordinator, Social Services Director or designee. This position may require periodic participation in peer review activities.

Position Summary

This position will be responsible to train and supervise Residential Technicians providing care and treatment to Substance Recovery patients.  Works with the Director of Nurses and Administrative staff to promote and ensure compliance and proper record keeping Provide activities as assigned based on specific site and population served (Hospital/Crisis Stabilization Unit/Group Home) assisting with daily living skills and care working towards independence. Lead Residential Tech is expected to cooperate as a team member in the provision of a therapeutic environment that encourages each client's emotional growth.  The Lead Residential Tech is required to actively participate with the client in a positive manner. This position will be expected to maintain an acceptable level productivity as measured by billable hours. Implements policy on infection control, kitchen usage and housekeeping.  Advocates for clients, obtain entitlements, and coordinate transportation between ChangePoint and other service providers.  Report any unusual behavior or medical issues to the supervisor and or nurse.

Duties and Responsibilities

1.  Provide training and supervision to all Residential Technician staff to ensure that they proficiently perform the following duties:

Administer, with assistance, restraints and seclusion of patients when needed.

Record/report any unusual incidents.

Assign tasks to personnel in order to complete shift activities.

Provide patient education.

Provide direct care to patients.

Participate in quality management and quality improvement activities.

2.  Responsible for making sure that all training documents are complete for the employees supervised by this position, as required, at new hire and annually.  These records shall be given to the Hospital Administrator or Designee and the Human Resource Department, as directed. 

3.  Investigates complaints and reports findings of the investigation to the Hospital Administrator or Designee.

4.  Serves on committees as required.

5.  Ensures that staff maintains compliance with standards, policies and procedures and regulatory agency requirements.

6.  Participates in reporting as it pertains to Seclusion and Restraint and IRs.

7.  Evaluates and analyzes incident reports and takes appropriate action.

8.  Constantly evaluates attitudes, morale, interpersonal relationships and promotes ways to improve in these areas, making recommendations to the Hospital Administrator or Designee.

9.  Promotes teamwork with medical officers, other departments, and the community.

10.  Acts as a role model for staff and contributes to orientation, continuing staff development and training.

11.  Must participate in quality management and quality improvement activities.

12.  Promotes quality and safety to help maintain a safe and pleasant work environment, follows safety regulations, infection control guidelines, and actively contributes towards a safe workplace.

13.  Is responsible for reporting workplace injuries to HR according to procedure guidelines.

14.  This position requires positive and active support of the company, the customer and the co-worker.

15.  Responsible for weekly and monthly reporting of Residential Technician progress, concerns and statistics to the Unit Coordinator, Social Service Director, Hospital Administrator or Designee. 

16.  Perform other duties as assigned by the Hospital Leadership team and Outpatient Program Director or his/her designee.

1. Provide services and activities for clients in accordance with program requirements and individual treatment plans. Such services and activities may include:

• Serve as primary care coordinator for assigned clients; provide educational and living skills discussions and activities, (e.g., laundry, cooking, cleaning, shopping, personal hygiene, Etc.) based on site/population;
• Attend staffing and medical appointments,
• Foster the development of independent living skills
• Monitor client behavior, foster and model socially acceptable behavior patterns;
• Provide recreation and socialization;
• Provide transportation to appointments and approved activities;
• Assist group home clients with self-administration of medications;
• Intervene to reduce client distress;
• Assist clients and visitors as needed
• Assist with activity and recreational therapy group.Must meet state standards for continued education
• Promotes quality and safety to help maintain a safe and pleasant work environment, follows safety regulations, and actively contributes towards a safe workplace.
• Promotes Infection Control following IC Plan, completing reports and checks.
• Supervise patient's/clients' daily activities and provide ADL's.
• Obtain patient/client pulse, temperature, and respiration rates as directed.
• Meals will be served meeting nutritional guidelines and any special diets or Medical Officer orders. 
• Kitchen and warming areas will be cleaned and orderly following IC standards as directed by Manager, Charge Nurse, or Designee.
• Complete all required competency tests, complete and maintain all trainings in Relias.
• Be trained in providing de-escalation, seclusion, and restraints.  At the hospital will assist in restraints.
• Hospital staff will obtain knowledge and demonstrate competency of waived laboratory equipment.
• Keep service areas and equipment clean such as linen room, utility room or shed, closets, and pantries.
• Perform other duties as assigned by the Program Manager or designee.
• Night shift, monitor security of the property through hourly ground checks.

Primary Contacts

• Daily interaction with clients and their support system, usually their family.

Ongoing interaction with all nursing, medical personnel.

Constant interaction with ChangePoint Integrated Health personnel and customers. 

Frequent interaction with referral sources and family members.

Occasional contact with outside provider service agencies.

• Interface as needed with peers and other clinical team members.
• Collaboration, as appropriate, with other community resources/referral agencies, with the client's s consent.

Position Requisites

Qualifications and Experience

Required:

Associates Degree in any field; or High School Diploma; or General Education Equivalency Certificate.

One-year Behavioral Health experience.

Current Arizona Driver's License.

Fingerprint Clearance.

Must be at least 21 years of age.

Comply with a Drug Free workplace.

Knowledge and ability to define the needs of the client served.

CPI certification

CPR & First Aid certification

 For Those Working With SMI:

 1.  Knowledge of symptoms related to qualifying diagnosis.

 2.  Ability to identify and communicate signs of regression and deterioration.

 3. Knowledge of interventions to foster self-care and ADL skill development.

For Those Working With DD:

1.  Knowledge of symptoms related to qualifying diagnosis.

2.  Ability to identify and communicate signs of regression and deterioration.

3.  Knowledge of Client Intervention Techniques relative to self-care and ADL skill development.

For Those Working With Substance Abuse:

1.  Able to identify signs and symptoms of Substance Abuse and Chemical Dependency. 

2. Knowledge of range of treatment for dependence including relapse, prevention, strategies and self-help groups.

Skills/Abilities

Required:

Fluent in English, both verbally and in writing.

Literate.

Able to effectively employ critical thinking and problem-solving skills.

Able to prioritize, handle multiple tasks with client.

Ability to accurately complete difficult paperwork in a timely manner, producing professional documents, charting in client charts, and record keeping using TJC, HCIC and ADHS standards.

Able to work in crisis-oriented work environment.

Knowledge of side effects of medications. CPR and First Aid certification.

Knowledge of entitlement process and local resources.

Current Training in CPI (Nonviolent Crisis Prevention & Intervention)

Familiar with psychotropic drugs and their side effects.

Working Conditions

Physical Requirements

-  Able to perform physical functions of the job with or without reasonable accommodation as necessary.

-  Able to communicate using auditory, visual, written tools or use other service aides for the completion of the work.

-  Able to visually see a computer screen and various kinds of written documents or use other service aides for completion of the work.

-  Ability to occasionally assist in behavior management techniques, to physically restrain, seclude and apply restraints to aggressive customers in the Hospital and Crisis Stabilization Unit.

-  Negative TB skin test.

-  Pass general physical

Emotional Capabilities

-  Able to work with customers who are emotionally distressed, in crisis.

-  Able to work with customers who are SMI.

-  Able to work with customers who have been abused or perpetrated abuse.

-  Able to work with customers who abuse substances.

Equipment Operation

-  Able to operate general office equipment.

-  Able to operate Company vehicles.

-  Ability to use kitchen appliances in a safe manner.

-  Able to operate basic outdoor tools and yard equipment.

Environmental Conditions

-  Cooled and/or heated office setting or customer's home.

-  Outdoors.

Accommodations(s)

-  Will accommodate as appropriate and reasonable.

Confidentiality Level

I understand that State and Federal Laws strictly prohibit unauthorized access, use, modification, disclosure, or destruction of confidential, sensitive or protected health information.  Penalties for violation may include disciplinary action, including termination of employment, and/or criminal or civil action.