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Scope of Position
Harding Hospital and The Ohio State University Wexner Medical Center are committed to enhancing the quality of care our patients receive. Our hospital is a multi-disciplinary Academic Center for Excellence providing behavior health inpatient, partial, outpatient, emergency, crisis stabilization, and consultation services to adults. Psychiatric Emergency Services (PES), as a multi-disciplinary team of behavioral health professionals, facilitates inquiries about and access to Psychiatric Services on a 24-hour basis. As a Harding service embedded in the Medical Center Emergency Departments, PES provides comprehensive face-to-face, or via telemedicine system, mental health & substance use evaluations, crisis assessments, and brief crisis interventions (as indicated) to adult and adolescent patients presenting with psychiatric emergencies to the Medical Center Emergency Departments. When appropriate & possible, PES assists patients & families with linkage to inpatient, partial, and outpatient services for adults through Harding Hospital, Talbot Hall and/or other services in the community. PES also provides the intake and admitting function, insurance verification, precertification, and telephone consultation to referral sources regarding access to Harding services. PES works collaboratively with programs within Harding, the Emergency Department, Talbot Hall, other departments of the Medical Center, & other community behavioral health facilities including, but not limited to, Netcare, Ohio Health, and other public and private psychiatric facilities.

Position Summary
OSUWMC Harding Hospital Psychiatric Emergency Services (PES)-Medication for Opioid Use Disorder (MOUD) Clinician will provide clinical assessment, care coordination, crisis intervention, liaison/administrative support, and advocacy for patients with opioid use disorder presenting to the OSUWMC Emergency Departments and/or admitted to the medical/surgical units of OSUWMC. Clinicians perform comprehensive mental health, substance use, and crisis assessments to patients with potential Opioid Use Disorders, other substance use disorders, and/or psychiatric crisis presenting to the OSUWMC Main and East Emergency Rooms. They also obtain detailed collateral information from patient self-reports, family members, other involved caretaking persons, treatment providers, lab results, and medical records. PES clinicians integrate these multiple sources of information into a diagnostic formulation, risk determination, and preliminary treatment recommendations which is then staffed with an MOUD APP, ED attending, and/or PES Attending Psychiatrist. The PES clinician-MOUD, collaboratively with the providers above, develop formal treatment recommendations, readiness for treatment, and determination of risk. Conditions requiring PES clinician-MOUD involvement may include Opioid or other substance intoxication, withdrawal, underlying substance use disorder, medical and/or psychosocial problems related to substance use. Other reasons may involve attempted suicide, depression, psychosis, violence or other rapid changes in behavior. Individuals may arrive at the Emergency Rooms through their own voluntary request, family members, a referral from another health professional, or through involuntary commitment via the police or ambulance. Care of patients requiring substance use and/or psychiatric intervention often encompass many serious and potentially life-threatening conditions which could include acute or chronic mental disorders, symptoms similar to those conditions, and/or medical problems. The PES Clinician-MOUD assists with the entire intake process, including triage of referral source calls, collection of pre-admission demographic, clinical, and payor information, verification of insurance benefits, eligibility, pre-certification, case management, brief psychotherapeutic interventions, psychoeducation, linkage, and the registration/admitting process. This position requires up to date knowledge of area addiction medicine/chemical dependency resources, as well as excellent clinical and organizational skills, the ability to triage medically/psychiatrically complex cases, and to flexibly interact with families, hospital and medical staff, students, and a wide range of external contacts.

Minimum Qualifications
For Hire: Masters degree in Social Work or Counseling and valid Ohio licensure (LSW or LPC). Eligibility for future independent licensure required. Independent licensure (LISW or LPCC) preferred. Pre or Post-Masters training and experience in working with patients with mental illness and/or substance disorders is also required. Experience via an internship prior to completing Masters level education may be considered. Experience with completing mental health, substance use disorder, & crisis assessments, case-management, and conducting evidenced based psychosocial interventions preferred. Must be willing to work weekends and holidays
Ongoing: Maintain licensure(s), credentials and CBLs. Practice within the parameters of the Ohio Counselor and Social Work Board.

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