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Billings Clinic Crisis Assessment Counselor (.8) in Billings / Billings, Montana

You can make a difference as a part of our region's largest health care system, based locally in Billings, Montana. Join our amazing team with a focus on safe, high quality care and an excellent patient experience. Billings Clinic is here to take care of our community and region.

We look forward to meeting you.

About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits
We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the 2021 Employee Benefits Guide.

Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

Crisis Assessment Counselor (.8)

COMMUNITY CRISIS CENTER (Billings Clinic Main Campus)


Shift: Day, Evening, Weekends

Schedule: varies

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 0.80 = 64 hours (Non-Exempt)

Works independently and according to established policies and procedures to provide assessments and referrals to clients presenting directly to the Community Crisis Center (CCC). Counselor determines if the client is in need of being admitted for crisis stabilization services and further develops a stabilization plan for within the facility and upon discharge from our care. Clients present with complex medical, mental health, substance abuse, social service needs and psychosocial needs. Collaborates with the local hospitals and CCC team on the diagnosis, symptoms and lethality. Contributes psychosocial information to the RN, MHW (Mental Health Worker), Discharge Coordinator/Case Manager and LAC (Licensed Addictions Counselor) in developing the continuum of care. Coordinates referrals to community and mental health services as needed. May need to tran sfer clients to a higher level of care for mental health emergencies or for medical needs.

Essential Job Functions

• Assess the client and gathers appropriate information to assist in the determination of a diagnosis and assess the need to admit a client to our stabilization services or refer to Billings Clinic for a higher level of Psychiatric care or refer to community shelter care. Responds to telephone crisis calls and to referrals from the Social Workers or Psychiatric Assessment Clinicians from Billings Clinic.

• In collaboration with the CCC Team members evaluates, plans, organizes, implements, and documents safe therapeutic client care consistent with Crisis Center values/goals and Billings Clinic departmental policies and procedures and those of the CCC also. Consideration will be given to cultural diversity needs and the appropriateness of care based on the age of the patient.

• On rare occasion, may provide collateral information to assist Billings Clinic with involuntary detention and commitment to assure compliance with state laws and Billings Clinic policies and procedures.

• Uses interviews and client record reviews to identify environmental impediments to client progress and develop plans to resolve.

• Utilizes performance improvement principles to assess and improve the quality of client care.

• Develops collaborative relationships with Social Workers, PAC Workers and Care Management persons from Billings Clinic. Also works closely with the CCC team of mental health professionals to provide the best care possible.

• Interview’s clients and their support systems, when applicable, in order to set proper goals and minimize anxieties and maximize cooperation.

• Demonstrates positive, supportive, and caring behaviors in communication with clients, families, visitors, physicians, staff, and others.

• Helps clients cope, accept and adjust to issues related to mental health and substance use/abuse.

• Reviews the client record to identify environmental impediments to client progress and works with team members to resolve.

• Interacts with the clients, support systems, healthcare professionals, and community and state agencies and serves as a liaison between the CCC and community agencies facilitates the exchange of information.

• Discusses goals and stabilization plans with clients and support system to maximize compliance in meeting the goals.

• Performs duties to support CCC’s goals and objectives in its effort to provide the least restrictive care in the most cost-effective system of care. Will only transfer to a higher level of care when the client is not appropriately served within our facility or when the client will not agree to stay voluntarily in our facility

• Maintains basic knowledge regarding insurance benefit reimbursement. Completes all client billing sheets in a correct and timely manner to ensure reimbursements.

• Coordinates with internal discharge coordinator and coordinates necessary referrals to ensure services are in place. Provides the paperwork in a timely manner for the discharge coordinator. Monitors the need for revisions in the stabilization plans and makes recommendations to the RNs, LACs, MHWs and other counselors when indicated. Modifies stabilization plans to comply with changes in a client’s situation or needs.

• Assists with internal auditing by completing peer counselor chart audits as directed by the CCC Supervisor. Will also comply with any necessary corrections on his/her own charts if there are corrections warranted.

• Monitors the need for revisions in a client’s goal and works with other CCC counselors to modify goals and ensure the client can comply with care that is consistent with their current stage of change. Provides documentation and justification when a client goal is modified. Documentation will be timely, reflect professional practice and consistent with CCC policy.

• Takes a lead role in debriefing crisis situations within the CCC when an extremely stressful incident has occurred with the CCC clients, employees and security.

• Maintains competency in departmental policies and process that are relevant to the performance of the counseling position.

• Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains competency in all organizational, departmental and outside agency environmental, employee or client safety standards relevant to job performance.

• Takes responsibility for the identification of own professional growth and development needs; meets all system/departmental educational requirements.

• Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, mental health ethics, disaster protocols, and safety.

• Performs other duties as assigned or needed to meet the needs of the department/organization.

• Demonstrates the ability to be flexible, open minded and adaptable to change

Knowledge, Skills, and Abilities

• Billings Clinic policies and procedures both organizational and departmental policies within the CCC

• Billings Clinic Code of Business Conduct

• Billings Clinic Corporate Compliance Program

• HIPAA and confidentiality requirements

• Client rights and grievance procedure

• Customer service techniques and Personal Service Excellence (PSE) skills

• Regulatory standards (i.e., OSHA, Client Safety Standards, etc.)

• Personal computers, hardware and software

• Clinical social work and mental health theories as applicable

• DSM 5

• Community agencies and resources

• Conflict resolution

• Identifying problems and researching and recommending solutions

• Professional written and oral communication and interviewing skills

• Critical thinking and analytical skills necessary to triage and assist in the diagnosis and/or coordination of appropriate referrals for each and every client

• Psychotherapeutic interventions with a diverse and complex patient population

• Advanced professional communication skills, both verbal and written

• Conflict resolution

• Establishing and maintaining effective working relationships with clients, staff and public

• Defining and implementing an evolving role of patient centered care delivered in a complex integrated health care system which includes setting common goals that are in line with a client’s stage of change, merging resources, providing education, and cross training of roles

• Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric

• Communicate clearly and effectively, both verbal and written

• Establish and maintain collaborative relationships

• Adequate manual and finger dexterity required to perform appropriate procedures, write legibly, and manipulate a laptop computer

• Adequate visual acuity required to read, interpret and transcribe written material and to perform appropriate procedures

• Adequate hearing and verbal communication skills to perform procedures and interact with clients, families and other health care providers

• Work independently

• Understand and analyze clinical data

• Interpret, adapt and apply guidelines and procedures

• Work with a variety of diverse and complex clients, families and both internal and external health care providers

• Perform tasks or duties with frequent interruptions and changing priorities

• Lift, bend, stretch and reach to accomplish duties

• Position requires ability to define and implement an evolving role of client centered care delivered in a co-occurring capable facility that provides for comprehensive continuous integrated system of care which includes setting common goals, merging resources, providing education, and cross training of roles.

• Must be able to work with a variety of diverse and complex patient, families and both internal and external health care providers and agencies

Minimum Qualifications


• Prefer a minimum of 2 years’ experience working as a licensed professional.

License and Certification

• Montana License as a Licensed Professional Counselor, Licensed Social Worker, or Licensed Clinical Psychologist

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.