If you are interested in joining our practice, please apply by completing the questionnaire at the bottom of this page, AFTER reading all of this information.
@ Easy Processes. We use a simple EHR system to enter our notes and bill all claims. We give you detailed video instructions on how to operate the cloud-based EHR (On 5/1/2021, we will switch to an even easier system! - a sample of what it looks like can be found here)
@ Independence. We do not tell you how to do your job, only to make sure your notes are Medicaid compliant and that you keep open communication with us and your clients. All services are conducted in the field, such as at a client's home, or via Telehealth. We do not offer in office sessions at this time, although it can become a possibility later on as we grow. If you are not comfortable doing in home sessions, we can guide you through the fears from decades of experience.
@ Easy Payments. Effective 01/01/21, as soon as the claim is paid by the insurance company, and your documentation is turned in, you get paid too, you no longer have to wait months like in the past. You get paid for notes, or claims, that are completed and insurance-reimbursable. It is a "Fee for Service" structure. You get paid on a weekly basis, for all claims that the insurance company paid during that week. On average, when a claim is submitted to an insurance company, it takes them bet 10-20 days to pay. And yes, we bill those claims for you (you don't need to worry about that aspect). More details below.
@ Respect. Nobody wants to work for a company who belittles them, or who micromanages every aspect of your day. Yes, there are always certain rules to follow, but nobody is "your ugly boss". There is no Clinical Director breathing down your neck and making you wish not being a therapist anymore. And even though we are all independent practitioners, we can still rely on each other for help, especially if clinical questions or concerns come up. You will be able to email us at anytime for help. You are never alone.
TCM (Targeted Case Managers)
Must have Bachelors Degree in human services field, and at least 1 year experience with the mental health population, and must be able to self-refer cases and build your own caseload. We contract with TCMs anywhere in FL.
Must have Masters Degree in Counseling. We only hire for Orange, Osceola, & Seminole Counties. For other counties please visit our sister company.
Must be someone who has self-discipline, can follow deadlines, and is responsible. It is great for someone who has a lot of local resources and know where to obtain new cases in the local area.
Clinicians - You must live in FL*, and you must be licensed in FL, or be a Registered Intern in FL (pursuing licensure - If you are not yet a RI, you can get the info here). If you are not yet registered (and you have completed your MA degree, you may join us, but we ask that you register within 90 days of joining us).
Intake Clinicians - who are willing to do intake assessments, must be licensed and have active Medicaid Type-07 Number. For information on Medicaid enrollment, visit here.
Targeted Case Managers - You must live in FL*. We want to make sure you understand the expectations, so we want to repeat this. Like you read above, we are looking to expand and grow our TCM program. Currently, we get TCM-referrals (new clients) in the Orange/Seminole area. If you are applying in the Orange/Seminole area, we might be able to get you clients, although it is never a guarantee.
If you are a TCM wanting to work with us outside of Orange/Seminole (meaning, anywhere else in the state of Florida), we welcome you! But in order to build a caseload, please note that you will need to self-market your services in your local community and self-refer clients. Maybe you are working at another agency and you want to switch things up. Or you are good or have lots of community contacts that can give you referrals. We will give you the marketing brochures for you to use in your local community. Our goal is to expand our TCM program to every county in the state of Florida to help all families.
* If you do not yet live/reside in FL, please WAIT to apply until you do.
ABOUT US & CULTURE
We are a group practice, started in 2010 by my wife and I. Our goal has always been to form a great practice for clinicians and case managers to practice the profession we love. We provide individual and family therapy in homes and in schools. We also have two psychiatric APRNs who operate from our Maitland office. Throughout the years, we have serviced 5000+ clients, and helped many families along the way in the Central Florida area.
Get to know our staff & leadership <Go Here>
As a practitioner in our group practice or company, you will be an independent contractor, but and have a TCM Supervisor to guide you. You can always count on help and feedback when you need it. You are never alone out there in the field. You make your own hours. You make your own schedule. You control how many cases you carry, etc.
We will not micromanage you. But we will expect you to write a Medicaid compliant note, follow documentation guidelines, contact your clients when supposed to, etc.
For example, being assigned a client and not contacting them for 3 weeks is completely unacceptable and unprofessional. Same goes for writing a progress note that is 1 sentence long, not checking your emails on a regular basis, etc... those are things we cannot tolerate. (if you tend to behave that way, please do not apply).
THIS IS NOT A 9-5, W2 POSITION
You are not an "employee" (this not a full time "employment" position or vacancy)... it is 1099 Independent Contractor position; it is like being in private practice, without the overhead and billing and other nightmares. This opportunity is perfect if you want to complement your income while having a full time job.... or if you want to build a case load and do this full time... your choice. 90% of the therapists that contract with us, do this on a part time basis while having other full time jobs. This is an amazing opportunity to make some extra income while doing what you love!
1. (For Case Managers outside of Orange/Seminole) - Self-market yourself to self-refer cases for Case Management services in your area.
2. Perform Therapy or TCM work in-home, in-school (as allowed), or via Telehealth.
3. Submit documentation (progress notes etc..) on a timely manner.
4. Use our easy-to-use system to complete all notes in a Medicaid-compliant manner according to our instructions (sample progress note here).
5. Maintain regular communication with our office (if we email you, you must reply back within 48 hours - so that we know you are there)
6. Keep track of deadlines (we suggest you keep everything organized on a spreadsheet so you know when everything is due, we can give you a template - that way you don't give the insurance company an excuse not to pay)
HOME VISITS & TELEHEALTH
Our code model is based on home-therapy, meaning going to client's homes and schools. With Telehealth rules relaxed, we can also use this method (not sure when or how long the rules will stay like this). If you are not comfortable with home visits, we help you through it and give you suggestions. But this is something you have to decide yourself.
Telehealth may be used if both you and the client agree to. We prefer you use Doxy.me since it is free to use and HIPAA compliant.
LIABILITY INSURANCE & BACKGROUND CHECKS
You must have professional liability insurance (if you don't currently have any, we recommend www.cphins.com as a possibility) within 30 days of signing your contract.
If you are already cleared by AHCA as far as background checks, we'll be able to look it up in their system, otherwise you might have to be fingerprinted for clearance. You must pass a Level-2 background check. If you have experience in the field, we might be able to look up your screening in ACHA's portal. But if you are new to the field, or your prints are about to expire, you will need to get those done before seeing clients. If you have to get fingerprinted, you'll have to pay for the $45.00 prints - but remember, you'll be able to use those for any employment while they're valid (not just for us).
Rates for Medicaid Sessions
@ Case Managers - $22.00 to $25.00 per TCM billable-hour
@ Counselors - Masters - $34.00
@ Counselors - Registered Intern - $36.00
@ Counselors - Licensed - $38.00
This applies to Individual Therapy (H2019HR) or Case Management (T1017) sessions.
We also pay a flat rate for other non-frequent services - 50% of Insurance Payment.
Medicaid Intake Assessments (for Licensed Specialists) - $100 per assessment.
When do I get paid?
Your note (or claim) must pass these 4 requirements in order to be payable to you. In order to be payable, your note:
Every Monday, we pull a report with all the notes (or claims) that were paid by the insurance company during the past week. Then, we match those notes or claims to the clinician, so we know who to pay.
We also verify that points (a), (b), and (c) above are met.
Most insurance companies pay claims within 10-20 days (this of course, can vary, depending if there is an issue with the claim).
Every Monday/Tuesday we send out a Report, which lists which notes were payable on that coming Wednesday via Direct Deposit. That way, when you see an email from Quickbooks Payroll for $X amount, you can figure out which notes were paid this week, and check them off on your own spreadsheet accordingly.
How much do i get paid for intakes (therapists)?
50% of whatever the insurance company paid.
What if I live in Alabama, or somewhere outside of Florida?
Then please wait to apply until you reside in FL. Even though we use telehealth, we cannot contract with you if you reside out of state.
Will I receive cases to start with, or am I responsible for self-referring all clients?
In the counties that we serve (Orange and Seminole), most of the time you can expect to receive cases assigned to you, although the number of cases is never guaranteed.... Case Managers outside of Orange/Seminole are expected to self-refer clients to build a caseload... if you are not able to do this... please do not apply.
Do I need liability insurance?
Yes! You should always have this, regardless of your job. It protects you in case something bad happens. You can get it after you have one client, if you want to wait. It costs approx. $100 per year, and we'll give you a couple of companies people use.
Do I have to get fingerprinted?
Maybe. In the HR process, you will give us permission to look you up in Medicaid's system. If you prints are active, then no, you don't need to redo them. But if your prints are not active, or not there, you will have to do it, and they will serve you for ANY job you have now or in the future. We do not pay or reimburse for this cost, since you are an independent contractor.
Do I have to do the Local Background Check Form if I already have a Level-2?
Yes! They are completely different things.
What if my Sheriff's office takes a long time in getting my local background check form back to me.... can I still complete the rest?
Yes, just click on the form where it says No, that you don't have the form yet, and that you will email it to Max later on (see the application).
What if I signed the Affidavit of Good Moral Character on both lines?
You will need to re-do it. Please only sign it on one line.
Can I do this if I have another full time job?
Yes. Most people do it part time.
Can I do this if I only want to work weekends?
Yes. You would just tell client you are available weekends.
Is there a specific therapy modality I have to use?
Are there caseload minimums or maximums?
What about scheduling clients, how does that work?
You keep your own schedule of when you work, meaning you arrange the session times with your clients. It is between you and the client.
Do my Registered Intern hours count? Can I do telehealth?
Yes, and yes. I have been doing this for 15 years, and all hours that our registered interns did, as long as you have a qualified supervisor in place of course, counted for the Board's requirements since we are a community mental health agency, and not simply a private practice.
I don't want to work with adults.
That's fine. When you come on board, we'll ask you what type of clients you prefer to work with, if any, so that we know.
When do I get paid?
Take a look at all the information above. It tells you exactly what four (4) steps need to happen for your note to be paid. We don't have a "calendar". Every week we see which notes were paid by the insurance company, and we match those payments to the notes you performed. There are NO pay delays (as soon as the claim is paid, so are you!)
How come I complete the HR process first. Is there no interview?
This is not a W2 9-5 position, therefore there is never an interview. However, we DO want to make sure you are a right fit for this type of job. Therefore, we have put all the information you need to know on this page, plus you are welcome to email us and ask any additional questions you may have for us. Once the HR paperwork is turned in, we will schedule a time to chat to get to know you. Completing the onboarding paperwork right now shows us that you are committed to the process.
HERE'S THE PROCESS:
1. You complete the HR Paperwork below. Download the PDFs in the next section, you will need some of them to upload them later on in the application.
2. If you have questions for us? Do you want to chat beforehand? Email me at email@example.com and we'll set up a time to chat. Please beware most of the time, the answers to your questions is right here on this page.
3. Max will review the HR documents, and once on board, we will call you to chat, get you the orientation link, and send you some marketing materials if you want them.
Download the following 2 documents (they're on 1 file called "Affidavit & Local"), print them, and sign/complete them.
(1) Affidavit of Good Moral Character - Have it notarized at your bank (probably free) or UPS Store (approx $8)
(2) Local Background/Records Check - Take this form, to the Sheriff's office in the county where you live, and have them run a local records check on you. This is NOT fingerprinting, and is different from a Level-2 Background Screen; it's just a records check.
This usually involves $5-10 in cash, beware. - With COVID-19, some Sheriff's offices require doing it online, please check in your county - if that's the case, you MAY send-in all of the other documents below, and THEN email us the local records check (simply attach a blank document in the form below).
When you have both completed, scan them to your computer. You will need to upload them later on. If you don't know how to scan something back into your computer, we suggest you download an app on your smartphone that lets you scan to PDF. There are many options.
We need you to gather the following documents:
@ If you have an NPI, get an NPI printout from this site: https://npiregistry.cms.hhs.gov/ (see PDF below for more info). See page 4 or 5 if you've never had one before, you will be required to have one eventually, so you might as well get one now.
@ For Therapists - College diploma (with conferred degree) or transcripts
@ For Case Managers - College diploma AND transcripts
@ For Licensed or Registered Intern Therapists - License (LMHC, LMFT, LCSW, Reg interns) - copy of license (okay) OR printout from the Board's site (preferred).
@ For Registered Interns - You will need the phone number, email, and name of your Qualified Supervisor when you fill out the forms. If you don't yet have one, that's okay, leave blank, but make sure you get one within 90 days.
@ Any specialty Certifications, if applicable (TCM, CAP, CANS, play therapy, sex therapy, etc.)
@ Copy of driver’s license (current & valid)
@ Proof of auto insurance (current & valid)
@ FARS and CFARS certificates (if you do not have FARS/CFARS numbers, please take the trainings here: http://outcomes.fmhi.usf.edu/ and submit your certificates)
@ Two (2) reference letters or forms. Please note these must be forms or letters of recommendations, not simply emails of references.
@ Training Certificates for DCF General Information courses. Certificates are only valid for one year and all Big Bear contractors are required to renew every July. If you have certificates from another employer, we will accept them if they were completed AFTER July 1st.
· Service Delivery for the Deaf & Hard of Hearing - Modules 1-3
· Security Awareness
· Identifying and Reporting Abuse and Neglect