ACT Substance Use Specialist - Community-Based Care

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Lutheran Family Services is forming a new team in Fremont, Nebraska. The Assertive Community Treatment (ACT) team utilizes a multidisciplinary, team‑based service delivery model that offers continuous, community‑based support to individuals with serious mental illness, particularly those with concurrent substance use issues, frequent hospitalizations, risk of homelessness, involvement with the criminal justice system, and psychiatric crises.

ACT is where care meets the community. Team members engage with individuals in various settings, including the office, homes, streets, shelters, and community spaces. This approach fosters genuine relationships while providing accessible, consistent, compassionate, and deep human support.

Position: Clinical Substance Use Specialist – ACT

Location: 1420 E Military Ave, Fremont, NE

Job : 831

# of Openings: 1

Job Type: Full‑Time

• Assertive Community Treatment (ACT) is an evidence‑based practice that improves outcomes for adults with severe and persistent mental illness (SPMI) who are most at risk of psychiatric crisis, hospitalization, or involvement with the criminal justice system.
• The Clinical Substance Use Specialist provides integrated, person‑centered substance use treatment and recovery support as part of a multidisciplinary ACT team.
• This team member must hold an active Alcohol & Drug Counselor (PLADC or LADC) or Mental Health Counselor (PLMHP, LMHP, or LIMHP) license with specialized training in substance use disorder treatment.

• Provide individual and group counseling focused on substance use, relapse prevention, and long‑term recovery, including crisis intervention and outreach‑based support in community settings such as homes, shelters, and hospitals.
• Provide on‑call support and intervention on a rotating schedule, including evenings, weekends, and holidays.
• Conduct comprehensive assessments of substance use history, co‑occurring mental health conditions, risk factors, and recovery goals.
• Collaborate with the multidisciplinary ACT team to develop, implement, and regularly update individualized treatment plans using evidence‑based approaches such as Motivational Interviewing (MI), Integrated Dual Diagnosis Treatment (IDDT), Cognitive Behavioral Therapy (CBT), and harm reduction models.
• Support clients in navigating community resources, advocating for their needs within healthcare, legal, and social service systems.
• Transport clients to medical appointments or community resources as needed.
• Maintain accurate and timely clinical documentation in accordance with agency policies and funding requirements, including treatment plans, progress notes, and discharge summaries.
• Provide consultation and training to team members on best practices in co‑occurring disorder treatment and coordinate care with external providers, detox facilities, and rehabilitation programs.
• Participate actively in daily ACT team meetings and contribute to shared clinical decision‑making to ensure comprehensive, person‑centered care.
• Monitor client progress toward treatment and recovery goals, collect and report outcome data, and participate in quality improvement initiatives to maintain…