Primary Therapist

Job Summary

The Primary Therapist is the primary clinical lead for an assigned caseload of residents within the facility. The Primary Therapist is responsible for the creation, implementation, and regular review of Individualized Treatment Plans (ITPs). This role involves providing high-intensity therapeutic interventions, conducting comprehensive biopsychosocial assessments, and ensuring that all clinical services meet the "Medical Necessity" standards for residential care. The Primary Therapists work as part of a multidisciplinary team to move residents toward successful community reintegration.

Essential Duties and Responsibilities

• 1. Clinical Assessment and Treatment Planning
• Conduct comprehensive biopsychosocial assessments for new residents within the state-mandated timeframes.
• Develop, write, and update Individualized Treatment Plans (ITPs) as required by the state regulatory bodies, ensuring goals are SMART (Specific, Measurable, Achievable, Relevant, Time-bound) and reflect the resident’s voice.
• Interpret clinical data to identify trends in resident behavior and adjust treatment strategies accordingly.

• 2. Therapeutic Interventions
• Provide individual, group, and family therapy sessions utilizing evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), or Trauma-Informed Care (TIC).
• Facilitate specialized clinical groups focused on symptom management, emotional regulation, and recovery skills.
• Provide clinical "real-time" intervention and de-escalation for residents experiencing acute psychological distress.

• 3. Documentation and Regulatory Compliance
• Maintain precise and timely clinical documentation in the Electronic Health Record (EHR) according to state regulations and national accreditation bodies (Joint Commission).
• Prepare comprehensive discharge summaries and transition plans in collaboration with the Case Manager.
• Ensure all documentation supports the "Medical Necessity" of the residential level of care for insurance utilization reviews (UR).

• 4. Multidisciplinary Collaboration
• Participate in weekly Treatment Team meetings to provide clinical updates.