Therapist - OBRA

Macomb County Government; Michigan; On-site; USD 67,000 - 86,000; Full time

Job summary

Macomb County Government in Michigan is seeking a Therapist (OBRA) to perform OBRA pre-admission and annual resident reviews. You will screen, review with consumers and guardians, and coordinate compliant care within MCCMH.

The role requires licensure as LMSW/LLMSW, LPC/LLPC, or equivalent, a master's degree in a related field, and at least two years of clinical mental health experience. Full-time position with driving as needed.

Qualifications

• Master’s degree in social work or related field.
• Minimum 2 years clinical mental health experience.
• Licensure appropriate to position as listed (LMSW/LLMSW, LPC, LLPC, LLP, TLLP, LP, LMFT, LLMFT).
• Valid Michigan driver's license and vehicle for travel.

Responsibilities

• Reviews and prescreens Level I referrals to determine need for full assessment.
• Schedules Level II assessments with facilities, hospitals, guardians and family homes.
• Completes Level II assessments and documents in the EMR system.
• Delivers and reviews Level II assessments with consumers and guardians.
• Makes referrals for specialized mental health services.

Skills

Assessment & evaluation

De-escalation techniques

Crisis intervention

Relationship building

Education

Master’s Degree in Social Work / Psychology

2+ years clinical mental health experience

Tools

EMR systems

Job description

As part of our total benefit package, Macomb County proudly offers medical, dental, and vision coverage, with no monthly premium to employees for single, two (2) person or family coverage. Health care, dental and vision benefits are effective the first day of employment.

Therapist - OBRA

Salary

$66,559.45 - $86,089.08

Department

Community Mental Health

Opening Date

10/29/2026

Closing Date

11/14/2026 12:00 a.m.

FLSA STATUS

Non-exempt – Overtime pursuant to Collective Bargaining Agreement

EMPLOYMENT RELATIONSHIP

Just cause subject to probationary period

CURRENT HOURS AND STARTING TIME

Full-time (37.5 hours per week) position. The starting time for this position is currently 8:30 a.m.

LOCATION

http://www.mccmh.net/locations/

General Summary

Under direction, completes Omnibus Budget Reconciliation Act (OBRA) pre-admission (PAS) and annual resident review (ARR) screenings. Delivers and reviews completed screenings with consumers and guardians.

Essential Duties & Responsibilities

• Reviews and prescreens Level I referral forms submitted by hospitals and nursing homes to determine need for full assessment.
• Schedules Level II Assessment with nursing facilities, hospitals, consumers, guardians and family homes.
• Completes face-to-face assessments at nursing facilities, hospitals and family homes. Consults with nursing facility and hospital staff. Reviews available clinical records to incorporate into Level II assessment.
• Completes Level II Assessment in State electronic medical record (EMR) system.
• Reviews list of Level II assessments with upcoming due dates. Notifies nursing facilities of assessments coming due.
• Delivers and reviews completed Level II Assessments with consumers and guardians.
• Screens Level II assessments for consumers needing specialized treatment and transition services.
• Makes referrals for specialized services or other mental health services.
• Performs indirect clinical services, including timely and complete case documentation following Macomb County Community Mental Health (MCCMH) policies and procedures.
• Confirms diagnosis to make the most suitable, least restrictive, and medically necessary clinical recommendations.
• Assists client and/or family in obtaining appropriate programs and resources.
• Maintains accurate clinical documentation, including assessments, progress notes, treatment plans and other required documentation.
• Ensures administrative paperwork is accurate and up to date, including staff activity logs, statistical reports, attendance, mileage reports, and case lists.
• Conducts thorough, accurate, clinically sound triage/screening with consumer/guardian/family members in a timely manner.
• Requests appropriate authorizations for services provided; monitors utilization of services; requests re-authorizations or continuations as appropriate.
• Serves on community mental health or community-based committees.
• Operates an automobile to perform assigned job functions.
• Performs related duties as assigned.

Qualifications

Required Education and Experience

• Master’s Degree from an accredited college or university in Social Work, Counseling, Psychology or Doctorate in Psychology or a directly related mental health field
• Two (2) years or more clinical experience working in a mental health setting

Preferred Education And Experience

• Previous community mental health experience with children, adolescents, and adults

Required Licenses Or Certifications

• Licensed Master Social Worker (LMSW), Limited Licensed Master of Social Work (LLMSW), Licensed Professional Counselor (LPC), Limited Licensed Professional Counselor (LLPC), Masters Limited Psychologist (LLP), Temporary Limited Licensed Psychologist (TLLP), Licensed Psychologist (LP), Licensed Marriage and Family Therapist (LMFT), or Marriage and Family Therapist Limited (LLMFT)
• Possession of required state licensure appropriate to position and ability to meet privileging and credentialing guidelines
• Possession of a valid Michigan driver’s license and operable, insured automobile for authorized travel

Preferred Licenses Or Certifications

• Certification with the Michigan Certification Board for Addiction Professionals (MCBAP) or an approved development plan

Knowledge Of

COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES

• Michigan Mental Health Code/401 criteria
• Mental illness, serious emotional disturbance, and developmental disabilities
• Techniques to de-escalate/interact in potentially dangerous situations
• Recovery-oriented and trauma-informed practices
• Applicable computer applications, including electronic medical record (EMR) systems

Skill In

• Strong assessment, de-escalation, crisis intervention, and relationship-building skills
• Using good professional judgment for the welfare and safety of our persons served
• Providing excellent and timely customer service
• Performing a variety of duties, often changing from one task to another

Ability To

• Collaborative: Approaches all situations with a teamwork and solution focused mindset demonstrated through active participation in meetings, volunteering to assist teammates and other departments as appropriate. Examples include participation in internal and external committees, subcommittees, process improvement groups or other multi-organizational initiatives
• Accountable: Takes ownership and empowers others to do the same as evidenced by identifying solutions and acting on job responsibilities and organizational objectives, daily
• Respectful: Treats people with dignity while honoring individual differences demonstrated through use of positive and encouraging statements and/or interactions to, about and/or with colleagues and persons served; evidenced by supervisor observation, feedback from other department staff and leadership
• Engage effectively with diverse communities; interact with people in an inclusive manner that respects cultural and socio-economic differences
• Work in an environment which embraces the county’s Dignity Campaign
• Effectively speak, write, and understand the English
• Effectively speak, write, and understand a language other than English is preferred
• Understand and carry out oral and/or written instructions
• Accurately organize and maintain paper documents and electronic files
• Maintain the confidentiality of information
• Work independently

WORK ENVIRONMENT/CONDITIONS

Work Environment

• Office or similar indoor environment: F/C
• Outdoor environment: N/S
• Street environment (near moving traffic): N/S
• Construction site: N/S
• Confined space: N/S

Exposures

• Individuals who are hostile or irate: O
• Individuals with known violent backgrounds: O
• Extreme cold (below 32 degrees): N/S
• Extreme heat (above 100 degrees): N/S
• Communicable diseases: N/S
• Moving mechanical parts: N/S
• Fumes or airborne particles: N/S
• Toxic or caustic chemicals, substances, or waste: N/S
• Loud noises (85+ decibels): N/S
• Blood Borne Pathogens: N/S

PHYSICAL DEMANDS

Demand

• Balancing on even or uneven surfaces/ground: F/C
• Bending (forward or backward bending at the waist): F/C
• Climbing up or down stairs, ladders, scaffolding and platforms: N/S
• Crawling (moving about on hands and knees): N/S
• Inspecting in confined spaces: N/S
• Digging: N/S
• Driving on sealed and unsealed roads: O
• Grasping, gripping, holding, clasping with fingers or hands: F/C
• Kneeling to work at low levels: O
• Manual Dexterity (fine finger movements i.e., keyboard operating, writing): F/C
• Up to 10 pounds: N/S
• Up to 50 pounds: N/S
• More than 50 pounds: N/S
• Over 100 pounds: N/S
• Push/Pull objects away from or towards the body: O
• Reaching overhead (arms raised above the shoulder) or forward reaching (arms extended): O
• Sitting in a seated position during the task performance: F/C
• Standing in an upright position without movement: F/C
• Walking considerable distances in the facility on multiple surfaces: F/C
• Running considerable distances in the facility on multiple surfaces: N/S

General Requirements And Disclaimers

Complies with P.A. 390, as amended, known as the State’s Emergency Management Act and the County’s Emergency Management resolution as well as all related plans, policies and procedures covered by those statutes.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment amongst other possible accommodations.

The American Federation of State, County, and Municipal Employees (AFSCME) Local 411 bargaining unit represents this position. Therefore, there may be contract language which could require consideration in the selection process.

GRANT OR EXTERNALLY FUNDED POSITION –

This position will continue only if sufficient grant or external funds are provided.