Designated Administrator

The Clinic Manager shall be responsible for the day to day management of the Behavioral Health Program at the Nebraska Urban Indian Medical   Center.    In the absence of the Clinic Manager, the Licensed Mental Health Practitioner shall be responsible for the operation of the Program.

Responsibilities

The Clinic Manager’s responsibilities shall include:

1.      Serving as administrator who is responsible for the day to day management;

2.      Being on the premises a minimum of 40 hours per week;

3.      Ensuring that the Licensed Mental health Professional is designated to be responsible for the Program
    when the Clinic Manager is absent from the office.

4.      Monitoring policies to assure appropriate administration and management of the program;

5.      Ensuring the facility’s compliance with all applicable state statues and relevant rules and regulations;

6.      Ensuring the quality of all services, care and treatment provided to clients whether those services, care or treatment is furnished by Medical Center staff or contractors;

7.      Providing adequate notice to the Executive Director regarding the potential vacancy of the position so that the Executive Director can notify the Department of Health and Human Services within five working days.

8.      Ensuring clients are provided with a stable and supportive environment, emphasizing the need to respect
    the rights of clients;

9.      Ensuring that all reports of any evidence of abuse, neglect, or exploitation of any client served by the
    facility using the Medical Center Policies and Procedures.

          10.   Receiving quarterly reports and recommendations regarding the   

                 quality assurance/performance improvement program;

11.  Implementing programs and policies to maintain and improve the  

       quality of client care and treatment based on QA/PI reports; and

12.   Ensuring that staff levels are sufficient to meet the client needs based    

       upon the availability of funds.

Staffing Requirements

Staff must be capable of assessing and treating substance related and behavioral health disorders.  Staff must be able
to assess the patient’s bio-psychosocial needs, be knowledgeable about the bio-psychosocial dimensions of alcohol
and other drug disorders and assess the patient’s readiness to change.  Staff must also be capable of monitoring
stabilized mental health disorders and recognizing any instability of patients with co-occurring mental health concerns
to make appropriate referrals. Adequate staff will be provided based upon the availability of funding.  The staff to
client ratio for Group Therapy must not exceed 1:8. 

Staff Credentialing

Any staff person providing a service for which a license certification, registration, or credential is required must
hold that license in accordance with applicable state laws. Copies of all licensed, registrations or credentials will
be maintained in the employee’s file in the Coalition Office in Omaha.  The original must be displayed in the
provider’s office.  It will be the responsibility of the employee to maintain the licensure/credentials.  Failure to do so
may result in termination of employment.  In addition to having the required license to provide services, staff must
be culturally and linguistically competent in order to meet the needs of the diverse client population. 

Health Status of Facility Staff

Each employee will be required to complete a health screen prior to employment.  Employees will also be required to
have an annual TB skin test that will be administered by Medical Center staff at no cost. 

Staff Training

Staff will be responsible for informing administration regarding Continuing Education Units (CEUs).  The cost
of training will be covered by the Coalition based upon the availability of funds.  Staff will be provided time off to
attend training.

Initial Orientation

Before assuming direct care responsibilities, all program staff will be provided with orientation that covers the
following topics:

1.      Policy and procedure manuals

2.      Client rights;

3.      Job responsibilities relating to care and treatment programs and client interactions;

4.      Emergency procedures including information regarding availability and notification;

5.      Information on any physical and mental special needs of the clients receiving treatment; and

6.      Information on abuse, neglect, and misappropriation of money or property of a client and
      the associated reporting procedures.

Ongoing Training

Each employee in the Medical
Center will have a training plan that is part of the annual review.  Training topics will be appropriate to the
staff person’s job duties with the purpose of enhancing the employee personally and professionally.