Orange County NC Website
39 <br />There is a vacant STR/Authorizer position for which OPC is actively recruiting for a <br />licensed or provisionally licensed clinician. The manager of STR and UM/UR is a <br />Licensed Clinical Social Worker with experience in adult and child mental health and <br />child residential services. The Clinical Care Coordinator is a LCSW who provides care <br />coordination to children and supervises two Care Coordinator positions, one of which is <br />vacant. The current Care Coordinator is a registered nurse with decades of experience <br />working with adults with SPMI especially those in need of ACTT. <br />The cost model allows 19.1 FTEs for Service Management. OPC's FTEs for Service <br />Management varies from the cost model, by having 12.6, because: <br />• OPC contracts for after-hours STR and those FTEs are not counted in the total of <br />LME staff. <br />• Over the last two years as part of our overall_'fnancial management plan, OPC <br />has combined a variety of duties and responsibilities within the Care <br />Management Department. As we move forv~ard we will be investigating <br />opportunities to increase staffing. E ~ ~. <br />,\ <br />Business Rules ~~;` '~ _. <br />,, <br />The following business rule enhance the Service Management-function <br />•'• Enhanced Services implementation Update #14 provided clarification and <br />• guidance, as weli~as standardization regarding the role of STR. <br />-,\ <br />OPC's STR is; conducted as';efficiently and effectively as possible. STR is a brief <br />inquiry to determine -need and to facilitate access to a more intensive clinical service. <br />We identify the nature'~of;the p~esentng_,MH/DD/SA problem, clarify the severity of <br />need and facilitate referral'to a provider of choice. With this implementation update, <br />we can be assured thafiour providers are conducting screenings in the same <br />manner. ~ ' -< <br />• A Care Coordinator is assigned to any consumer admitted to a state <br />psychiatric facility. <br />OPC has prioritized a reduction in the use of state psychiatric beds. One Care <br />Coordinator is dedicated to monitoring high-risk consumers and ensuring referrals of <br />those individuals to an appropriate clinical home. Additionally, a.system exists for <br />tracking which consumers are admitted and discharged from state psychiatric <br />institutions. This system allows all Care Coordinators, Supervisors and Department <br />managers to review the specifics around the admission, projected discharge, and <br />out-patient commitment status of consumers and to ensure timely and appropriate <br />response. <br />The following business rules inhibit the effectiveness and efficiency of the Care <br />Management function <br />39 <br />