RLC provides mental health outpatient therapy in a private practice setting, utilizing in office and tele-health services. We work with a combination of Medicaid Funded Insurances, Private Insurances and Private Pay. Real Life Counseling provides executive and administrative services to our team of Independent Clinicians. Instead of getting caught up in the distractions of running a business, such as insurance billing or administrative procedures, our counselors focus on what they do best: counseling. This allows our Clinical team to direct their energy to where it matters most: our clients.
The goal of the Clinical Supervisor positions is to support new 1099 Independent Contractor Counselors, both Associate Licensed and Licensed, in being successful growing into their practice and business competencies, while navigating thru the credentialing process. Counselors are generally trained in clinical competencies but not as business owners and RLC recognizes the need for identified support to help ensure their successful completion of personal and professional goals. RLC values it’s business partnership with its host of 1099 Counselors, recognizing the mutual benefits this role provides. As a 1099 Independent Contractor Clinician, counselors experience freedom and opportunity they would otherwise not have in traditional medical agencies and RLC’s purpose for Clinical Supervisors is to journey alongside them as “seasoned” 1099’s" who offer both the clinical and business acumen, supervision and consultation needed to hone their career path.
Goals of the Licensed Clinical Supervisor Contract & Program
- For a Clinical Supervisor to provide their experienced clinical & business insights, support and consultation to new 1099 Independent Contractor Counselors.
- For Clinical Supervisors to provide the Clinical Supervision needed by Associate Licensed Clinicians working towards licensure.
- For Clinical Supervisors to be the consultant around clinical and business growth 1099’s seek out.
- For Clinical Supervisors to provide Incident to Billing support to Counselors who utilize RLC’s Incident to Billing Counseling Services Agency Agreement.
- For Incident to Billing Counselors to grow confident and competent as 1099 Counselor.
- RLC desires Clinical Supervisors to have a collaborative working relationship with the Incident to Billing counselor.
- For a Clinical Supervisor to provide the coaching, steadiness, experience and support to a newly graduated or recently graduated Associate Licensed Clinician who is just learning their way into their counseling practice. To draw upon the skills, strengths and passions that a 1099 Independent Contractor Clinical Supervisor may have and desire to use in a clinical setting that is mutually beneficial.
- For Associate Licensed Counselors to grow in their skills and knowledge of the counseling profession, including the clinical skills/modality practices & around paperwork/documentation.
For 1099 Independent Contractor Clinical Supervisors to use their knowledge and skills in a different venue of teaching & investing and broaden a supervisor's income opportunity and teach an upcoming counselor on how to “do the job of a counselor”. For Clinical Supervisors to model effective and “real” counselor approaches and skill sets.
- For Clinical Supervisors to use their knowledge and skills in a different venue of teaching & investing and broaden a supervisor's income opportunity and teach an upcoming counselor on how to “do the job of a counselor”. To model effective and “real” counselor approaches and skill sets so as to assist an Associate Licensed Clinician towards becoming a confident and competent counselor.
1099 LIcense Clinical Supervisor Required Qualifications
- Have a minimum of a Master’s degree, preferably in Counseling/Social Work, or a related profession;
- Must possess a Washington State Clinical License (LICSW, LMHC or LMFT) that remains active and in good standing.
- Must possess and show proof of Washington State Business License
- Must possess and provide proof of Practice Liability Insurance
- Must pass or have passed a background check.
- Must not be on the Excluded Provider List (LEIE).
- Must have maintained your active license for a minimum of two years of pertinent professional experience (post licensure)
- Have or learn the knowledge of expectations of this contract addendum;
- Have relevant training & experience in counseling supervision. To fulfill this requirement, each supervisor must complete a supervision training. A minimum of 15 hours of training in supervision is required.
- Have and maintain an active 1099 Independent Services Contract with RLC
- Must have completed the credentialing process for all major insurances that RLC facilitates billing for.
- Must be competent using the contracted EHR system
- Additional RLC Requirements: As a supervisor we are asking you to teach and support Incident to Billing Counselor’s practice as any Clinical Supervisor would in the Mental Health/Social Work field. Therefore, if you are struggling to manage your own practice then supporting an Incident to Billing Counselor is probably not a good fit for you.
Supervisor Contracted Responsibilities - Supervisor’s Agreed Upon Scope of work
- Provide supervision to a caseload of 10 counselorsModel and teach your license/degree ethics and practices
- Oversee the work of the Incident to Billing Counselors you provide supervision to through regular & documented supervision (this can be done through Reliatrax)
- Recognize that as an Incident to Billing provider, the clients working with your Incident to Billing Counselors are having their treatment overseen by you.
- Regularly review, provide feedback, coach and approve your Incident to Billing Counselors documentation (to be completed within Reliatrax).
- Support your Incident to Billing Counselors in following important RLC contracted policies as well as WAC/RCW’s associated with their License or Associate License, including but not limited to;
- Communicating with staff
- Contacting referrals in accordance with the current referral policy/agreement
- Not meeting with clients until paperwork is received (either through the portal or completed in-person) and loaded into the RLC EHR (Electronic Health Record) Reliatrax. All clinical documentation completed by Incident to Billing Counselors is requested to be completed within the EHR to ensure HIPAA compliance and documentation standards.
- Entering diagnosis into Reliatrax within one week of the intake session
- Ensuring they are billing the correct codes in Reliatrax (i.e. 90837 NOT 90834)
- Completing treatment plans within the first 30 days of Intake
- Completing the previous session’s progress note before they meet again with a client.
- Making sure all treatment plans, progress notes, intake paperwork, and signed professional disclosure statements are in Reliatrax
- Following WAC 246-809-035 for recordkeeping and retention
- Meeting legal and ethical standards of practice.
- Provide weekly individual and/or group supervision to Incident to Billing Counselors, including Associate Licensed Clinicians. The Supervision you provide qualifies towards their licensure requirements. Supervisions, as outlined by the State of WA, are dependent upon the number of appointments an Incident to Billing Counselor completes
- The goal is to meet the majority of your Associate Licensed Clinician’s needs during supervision time. However, because Real Life Counseling’s site is different from traditional mental health agencies in that you are not always onsite with your Associate Licensed Clinician to answer questions, there is an expectation that you are reasonably available to answer questions or concerns during typical office hours. This means that you should expect to spend more than an hour a week supporting Incident to Billing Counselors, including those who are Associate Licensed.
- During supervision meetings you are responsible for documenting what is covered during that time within the EHR system.
- Supervisor’s provide at least one hour of supervision/week.
- Supervisors must review and sign all documentation through Reliatrax at minimum on a weekly basis.
- Additional duties related to the licensure process;
- Supporting the Associate Licensed Clinician in completing their licensure process such as completing their application and signing off on supervised hours.
- During an Incident to Billing Counselor’’s first week of seeing clients, we ask that you have a plan to be on-site with them to help them through the process. If their first session is telehealth, then we ask that you are available to them during that time in-case issues arise. It is your responsibility as a supervisor to support the Incident to Billing Counselor through this process.
- If you take time off and your Incident to Billing Counselor is going to see clients while you are away, it is your responsibility to find another RLC Clinical Supervisor (or similarly qualified and licensed RLC contracted clinician) to be accessible to support those Incident to Billing Counselor’s while you are out of the office.
- If your Incident to Billing Counselor ends their contract with RLC, we ask that as a supervising clinician to that counselors caseload, you support their clients through pairing with a new clinician. If you are not able to find one, then a new referral will need to be put through our website. You may also use our clinical email to assist in coordinating/identifying new providers.
- Maintain your own CEU’s (Clinical Supervisors have free access to the RLC Online Training Platform “Relias” and complete most, if not all, CEU’s required by WA State. WA State currently allows all CEU’s to be completed online for Licensed Mental Health Counselors. Incident to Billing Counselor’s are provided the opportunity to “buy” access to this same training platform ($30/month).
- Complete Clinical Supervisor training as required by the State of WA for all Clinical Supervisors.
Additional Information
- An Incident to Billing Counselor can maintain their own preferred caseload, much like any 1099 Independent Contractor Counselor. Part of the “mentorship” a Clinical Supervisor provides is supporting the Incident to Billing Counselor in “growing” in their clinical experiences and practices - this is especially so for newly graduated and/or Associate Licensed Counselors.
- It is requested that Clinical Supervisors carry a caseload of 10 Incident to Billing Counselor. A Clinical Supervisor who displays capacity to oversee the treatment of more than 10 Incident to Billing Counselors can request to supervise up to 12 but it is recommended by RLC to not carry more than that. Clinical Supervisors must display the competent capacity to oversee the treatment provided by those Incident to Billing Counselors to ensure their own capacity to engage with each provider and stay engaged in the treatment process of each of their clients.
Supervisor Compensation
- As an RLC 1099 Independent Contractor, the Supervisors are contracted to receive 5% of their Associate Licensed Clinician’s billable and collected session reimbursements.
- Clinical Supervisors have an adjusted contracted rate for their own sessions (available upon application)
- Eligible Incident to Billing Counselors are currently able to work with all or most of the major insurances that a 1099 Independent Contractor Clinical Supervisor is contracted with and bills “through” the Clinical Supervisor. Incident to Billing Counselors are also able to work with private pay clients and Incident to Billing Counselors set their own private pay rate, cancellation rate and any sliding scale rate they may use. As with any new provider, it takes an Incident to Billing Counselor a few weeks to build up their caseload to full capacity.
- Clinical Supervisors also receive access to the contracted RLC Online Education & CEU Platform of Relias
- Please remember that there can be a lot of cancellations and no-shows for the population that Intern Clinicians are working with at RLC. Additionally, when Intern Clinicians are first starting you will likely be investing more time in them and they may not have any clients.
Schedule
Our Clinical Spaces are staffed by our Administrative Team Monday thru Friday, 9am - 5pm. But, 1099 Independent Clinical Contractors can set their own schedules that can be outside of our Administrative team's hours. Evenings and weekends are available for those who prefer that time.
Work Conditions
RLC has multiple locations throughout Clark County. Depending upon office space availability, RLC can work to customize a schedule and location of your preference.
COVID-19/Pandemic Precautions (when applicable)
- Telehealth Options as needed
- Personal Protective Equipment required for in person sessions when mandated by the state and follows CDC guidelines.
- RLC/RLCBH provides a system of navigating COVID related barriers, offering Telehealth options to all clients (when exposed or quarantining) and clinicians (if they’ve been exposed or tested positive).