Hiring: Therapeutic Recreational Wilderness Guide I, Wilderness Clinician
SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.
Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.
Therapeutic Recreational Wilderness Guide:
Based out of Wrangell, Alaska, Alaska Crossings is a wilderness-based, non-profit, behavioral health program of the Southeast Alaska Regional Health Consortium (SEARHC). Our expeditions are approximately two months in length and operate April through December in the Tongass National Forest around Wrangell and the surrounding areas. Alaska Crossings clients are 12-18 year-old Alaskan youth-at-risk; they are youth who experience a vast array of significant emotional and behavioral health issues, and come from a variety of cultural and socio economic backgrounds throughout the state of Alaska. Our expeditions utilize the remote Alaska Wilderness as a continuum in a therapeutic behavioral health service context to elicit positive change in our clients.
TRWGs must be proficient in a variety of hard skills and have experience working with youth-at-risk. They must have a high level of awareness for client needs and have the ability to instruct and mentor children with varying learning abilities as well as varying emotional and behavioral health issues. There is no time off during expeditions so staff must be comfortable in and prepared to be in the wilderness for extended periods of time. TRWGs work 16 hours days when with clients; on shifts that are 30-55 days in length with the majority of those days in a continuous wilderness setting. In addition to "field days" TRWGs work an additional 4-5 8 hour days without clients per shift in town on administrative tasks, maintenance tasks, and preparation and debrief for/from their shift. Alaska Crossings works with a staff: client ratio of 1:3 and group size is generally 3 staff to 9 clients. They are a behavioral health rehabilitative service provider. Guides are expected to commit to a minimum of two shifts, with at least one of those occurring during the height of the season (May through July). Alaska Crossings strives to create balanced, strength-based guide teams for their expeditions; therefore, placement within the final shift schedule is contingent upon availability and successful evaluation of performance at the annual staff training held in March.
Responsibilities include all things inherent in mentoring youth and providing them with a safe and enjoyable experience in a challenging and remote wilderness setting. These include, but are not limited to, the following:
Participate in all aspects of the Alaska Crossings program. This includes: attending all required staff training events and/or workshops, pre-trip planning and meetings, food preparation, potential travel-escorting duties with clients, equipment preparation and maintenance, program implementation, delivery of curriculum, report writing and all post program wrap-up duties.
The Therapeutic Recreational Wilderness Guides (TRWGs) must participate and contribute in all team activities and meetings. This will ensure program continuity and the overall safety of other TRWGs and program clients under our care.
Be responsible for the delivery of all skills instruction.
Provide required daily documentation on 2 to 5 clients: TRWGs will develop strategies to work with the clients, and implement the treatment plans as outlined by the clinician. They must complete all required documentation.
Communicate clear, objective information with efficiency and attention to detail – both orally and in writing
Adhere to the program values and implement the program mission
Work within organizational policies and parameters
Inform their Expedition Coordinator (EC) of any concerns regarding their ability to safely and competently execute these duties.
This position is responsible for providing clinical services such as intake/diagnostic evaluations, case evaluations, and crisis intervention for the Alaska Crossings Wilderness Therapy program; as well as acts as a liaison with other agencies as needed. In this position, you will serve as a member of the clinical team for Alaska Crossings, an expedition based Wilderness Therapy program for youth. Serving mostly underprivileged Alaskan youth, the program offers seasonal 6 week adventures which include land and water based activities in the Alaskan wilderness led by Therapeutic Wilderness Guides. The clinician, which is a year round role, ensures that clinical productivity standards are established and followed.
There is no specific responsibility to managing an operating budget. As a clinician the financial responsibilities lie in documenting all services as outlined first and foremost in the code of ethics of the profession. Clinicians maintain records necessary for rendering professional services to their clients and as required by laws, regulations, or agency or institution procedures. Clinicians include sufficient and timely documentation in their client records to facilitate the delivery and continuity of needed services. Clinicians take reasonable steps to ensure that documentation in records accurately reflects client progress and services provided. If errors are made in client records, clinicians take steps to properly note the correction of such errors according to agency or institutional policies, proper documentation is a requirement to ensure that SEARHC is able to bill accurately for services provided to client in accordance with state, federal, and insurance rules, laws and regulations. This position is a covered position in accordance with the Indian Child Protection Act (ICPA).
Provide screening, assessment, diagnoses, treatment planning, direct therapy and continuing care to individual clients, and/or conduct family therapy with clients ranging from birth to elderly and their families including children and significant others. Facilitate or co-facilitate groups as needed. Provide care coordination, client advocacy, and skill development as needed. Provide discharge planning. Overall provide clinically related chemical dependence and mental health services as needed based on results of individual assessments. Communicate and collaborate with clinical and paraprofessional team to achieve program treatment goals. Provide on call coverage as assigned and assistance in BH programs across the Behavioral Health Department. Provide crisis intervention services provided within normal clinic hours; on call as needed for after-hours mental health emergencies throughout BH department.
Clinicians who are not yet licensed will receive clinical supervision that meets the requirements stated under the specific license that one is becoming licensed in with documentation of the supervision kept on each person. Clinicians not licensed will provide structured chemical dependency and mental health services with a focus in supervision on providing the appropriate delivery of twelve core functions: Screening, intake, orientation, assessment, treatment planning, therapy, case management, crisis intervention, client education, referral, reports and records keeping, and consultation.
Maintain complete and accurate records (paper and electronic), case notes, statistics, etc., as required by laws, regulations, agency or institution procedures. This is includes federal, state and regulations specific to multiply insurance companies along with the National Accreditation of the Behavioral Health department. As licensed individuals it is each person’s responsibly as outlined in each license to know the regulations of the state for which they are working. Complete screening, assessments, treatment plans and all other documentation per program standards specifically as this relates to Alaska Medicaid, The Joint Commission, and Commission on Accreditation of Rehabilitation Facilities (CARF) requirements. Provide required reports and documentation to the client chart on a timely basis as required by Medicaid, The Joint Commission, and CARF. Participate and provide assistance in maintaining all state, federal, and industry accreditation laws and standards; as well as SEARHC policies and procedures. Maintain appropriate records in confidential manner according to program policy. Document the provision of services in charting that meets all requirements for state and national accreditation standards within the applications of practice. Prepare and review treatment and discharge summaries.
Coordinate with other corporate and community social service resources on both programmatic and case work basis to assure appropriate services are utilized for optimum client care. Participate in multi-disciplinary team meetings, assist in developing and monitoring treatment plans, and consult with other professional staff regularly as needed.
Provides scheduled staff trainings/meetings and help staff integrate new information/practices into delivery of treatment services.
Incorporate SEARHC Quality Management concepts and skills into delivery of client services. Assist and complete all billing duties assigned by lead program clinical personnel. Complete all required provider enrollment documentation as requested timely.