ER, Hospitalization and Urgent Care Entry Form

***FORM UPDATE FY 25***

Some fields have been removed to shorten the form and streamline data collection.

If there are any questions, please let your IT dept. know. 

Thanks.  

 

Please enter your full name.

Add a fourth email for someone who needs a copy of the form responses or leave blank.

K. Type of Report
N. Person Recommending the Visit
O. Was 911 used?
Q. When was the guardian notified?
R. Is there an Unusual Incident Report associated with this visit?
Z. Disposition from ER/Hospital
Please provide the following information in question "ZE":

1. What led up to the event described above?

2. What was the exact issue that caused the event?

3. What was staff's immediate response to the event?

4a. What testing was done?

4b. What was the results of the testing?

5. What treatment was ordered as a result of the testing?

6. Is there any follow-up needed related to this event?

Please give a brief, specific description that includes all requested information (see instruction above).

Behavior Analyst 4224R (Mascoutah, IL)

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Location: Mascoutah, IL

Days/Hours:  Monday - Friday; 8:00am to 4:00pm or 9:00am to 5:00pm

DESCRIPTION:

Trinity Services provides services for children, adults, and families affected by Autism Spectrum Disorders. We are currently looking to hire a Board Certified Behavior Analyst to provide support for our Applied Behavioral Analysis and Behavioral program. This position will provide 1:1 therapy and consultation services to families in home and in clinic, as well as supervision to Registered Behavioral Technicians working with children and young adults. The BCBA will report directly to the clinical director.

RESPONSIBILITIES:

  • Case supervision
  • Participate in monthly team meetings and trainings
  • Maintain client caseload (may be sole provider)
  • Communicate with parents, school personnel and other care coordination
  • Create Behavior Plans
  • Support/Supervise the Behavior Technicians through implementation of the assessment goals, program book, behavioral plans and documentation
  • Track progress and analyze data
  • Conduct bi-annual Assessments (PEAK, VB-MAPP, ABLLS-R, FBAs, FAs)
  • Completion of assessments for new referrals and re-evaluations
  • Completion of quarterly reviews on assigned client caseload
  • Provide case supervision within the required ratio (minimum of 5 percent of RBT client hours)
  • Provide parent training
  • Complete discharge summaries for closing cases
  • Travel Required between office, client homes, or other work sites
  • Hours may include evenings or weekends

QUALIFICATIONS:

  • Certification for BCBA
  • Strong leadership skills
  • Experience supervising or training staff
  • Experience providing 1:1 therapy or behavioral interventions to individuals with AS
  • Experience conducting assessments and implementing behavioral programming
  • Strong oral and written communication skills
  • Strong problem solving skills
  • Strong desire to work as part of a team
  • Flexible schedule; Monday-Friday

CONTACT:

Qualified applicants should email their resume to Justina Nava at jobs@trinityservices.org

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