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This is the Career Development Guide


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Start-Up and Orientation Process




Welcome to Accend Services!

This guide walks you through the orientation process, training policies, procedures and employee expectations.

This section was first published on January 11, 2021 and may see edits even during your orientation training period. Check back often.

Send us your ideas and suggestion or questions by tapping on the Feedback or Questions about this Chapter link, below.

Getting Started

Initial Paperwork

You'll start by getting all of your new hire paperwork completed. This includes the documents listed below.

You will complete and sign all documents electronically. It is best you learn this process on your first day, as you will be required to help clients sign a vareity of pdf forms in your work with them.

After opening these forms on your laptop browser, if you cannot edit them there, tap the download button to complete them. (You can also right click (or two-finger click to download them directly). On some newer iPads, tap the elipsis button () and choose "save as" to edit a local copy. It is essential you do this, as depending on your level of access to the form, you may be editing the original form.

After completing and signing them them, tap the send button to email them to Human Resources. Depending on your device and softward you are using, these buttons are located on the top or bottom of the window and may look like one of the following:

        

For alternative instructions on how to edit and send pdf documents, visit our Technology Guide, here.

Documents Purpose Instructions
Employment Eligibility

I9 - Employment Eligibility and Verification
Establishes your legal right to work as a citizen or legal resident of the US Provide a photocopy of a single document from those listed in column A or one each from columns B and C listed on the I9 Form.
W-4s (State & Federal tax Withholding or Exemptions)

Federal W4 - Employee's Withholding Certificate

Minnesota W4 - Employee Withholding Allowance/Exemption Certificate
Establishes the amount and method by which we withhold income taxes. Complete both forms using the instructions on them.

Think carefully about withholdings. Too many exemptions may result in underpaying and potential fines or a large tax bill in the future; too few will result in overly-large withholdings from your check - cash you could have in your pocket now. Seek advice on withholdings from an independent source if you are unsure.

As your employer we have an obligation to question your claimed exemptions if they seem out-of-the-ordinary for those for which you are eligible. While we may not necessarily reject your W4 Form as completed, we may ask you to sign additional paperwork for exemptions that seem out-of-the-ordinary for your life situation.

You may change these in the future by requesting and completing a new form if your family/life situation changes.
Department of Labor and Industry Employee Notice

Employee Notice
Informs you of your pay, pay type and benefits. Sign the completed form after you have had any questions answered.
Direct Deposit Authorization
Authorizes us to directly deposit your check in your bank.

Complete this form in TabsTM at:
home > my assesssments & forms > personnel forms > hire and termination

TAP Here For HOW TO IDENTIFY Banking ROUTING & account NUMBERS   

Documents We Will Need From You

Document Purpose
Copies of forms of ID described in the I-9 form instructions, above Compliance with I-9 requirements
Driver's License You must maintain a valid driver's license if you will drive for your job
Proof Auto Insurance You must show proof of automobile insurance if you will drive for your job.
College Transcripts We may need a copy of your college transcript only if you are not licensed and your degree is not one specifically identified as qualifying you for your position.

For licensed clinicians who will provide CMDE or QSP services for EIDBI, and who do not have at least 2000 hours of experience in autism and related conditions, a transcript may be required to demonstrated qualifications by education alone.
Degree If your degree is one of the specific degrees listed in statute that qualifies you for your position, we need only proof of your degree.
License If your license qualifies you for your position (LSW, LISW, LICSW, LPC, LPCC, LMFT, etc) proof of your license all we need.

Enrollment and Credentialing

Some positions at Accend required enrollment and/or credentialing with payers (Insurance Companies). Where necessary, enrollment and credentialing should begin upon acceptance of the job offer.

If you have not already started your enrollment and credentaling on your first day, this is what we'll need from you. (If you do not see your position listed here, you will not need to complete this step.)

Position What Is Required Instructions
EIDBI Providers Enrollment with payers Start with Medical Assistance.

Once that is complete, we will enroll you with MCOs per their procedures.
Licensed Clinical Staff Enrollment with Medical Assistance Complete the Medical Assistane Provider Enrollment paperwork provided to you. We will submit it on your behalf.
Licensed Clinical Staff Credentialing with MCOs Complete credentialing applications for each payer, or
complete paperwork to affiliate you with Accend if you are already credentialed with any payer.
All others No credentialing or enrollment required at this time If you are a clinical trainee, you will complete credentialing and enrollment when licensed.

Complete paperwork to affiliate you with Accend if you are already credentialed with them.

Orientation Training Schedule

Deadline Training Topic

Where to find the training and any additional required reading
Who Should Complete This Training Online, In-Person, or Self-Guided What to do when you are done
Day 1 Orientation Guide

Guide Link - This Guide
All Staff Self-Guided Familiarize yourself with this guide on your first week, but continue to use this guide throughout the Orientation and Training process.
Day 1 Mission

Guide Link - Purpose of This Guide
All Staff Self-Guided Complete the Guide Quiz section of your General Orientation Checklist.
Day 1 TabsTM and TimeTravel

Guide Link - Technology Guide
All Staff Self-Guided Complete the Guide Quiz section of your General Orientation Checklist.
Day 1 Data Privacy

Relias Essentials of HIPAA

Guide Link: Data Privacy
All Staff Self-Guided Download Certificate of Completion and email it to training@accendservices.com

Complete the Guide Quiz section of your General Orientation Checklist.
Day 1 Client Rights

Relias: Supporting Client Rights for Paraprofessionals in Behavioral Health

Guide Link - Rights of Persons Served
All Staff Online Download Certificate of Completion and email it to training@accendservices.com

Complete the Guide Quiz section of Client Rights in your General Orientation Checklist
Day 1 Client Safety

Guide Link: Client Safety, Accidents, Incidents and Sentinel Events
All Staff Online Download Certificate of Completion and email it to training@accendservices.com

Complete the Guide Quiz section of Client Rights in your General Orientation Checklist
Day 1 Infection Control

Relias: Infection Control and Prevention

Guide Link - Health and Safety Procedures for Center-Based Services for Children
EIDBI Online Download Certificate of Completion and email it to training@accendservices.com
Day 2 Vulnerable Adult and Maltreatment of Minors Reporting

DHS Vulnerable Adult Link

Mandated Reporter Training

Guide Link - Reporting Maltreatment of Vulnerable Adults and Children
All Staff Online Complete the Guide Quiz section of Maltreatment Reporting in your General Orientation Checklist (this is a combined quiz for both adults and children).

Download the certificate of completion for the mandated reporter training and the DHS vulnerable adult training and email them to training@accendservices.com
Day 2 Boundaries and Ethics

Relias: Boundary Risks for Behavioral Health Paraprofessionals

Guide Link - Boundaries, Ethics and Scope of Practice
All Staff Online Complete the Guide Quiz section of Boundaries and Ethics in your General Orientation Checklist.

Download Certificate of Completion and email it to training@accendservices.com
Day 3 ARMHS

DHS TrainLink MA-Modules 1-6

Guide Link – ARMHS
ARMHS Online Download Certificate of Completion and email it to training@accendservices.com
Day 3 Integrated Care Management

DHS TrainLink AMH-TCM Intro and Modules

Guide Link - Integrated Care Management
Integrated Care Managers Online Download Certificate of Completion and email it to training@accendservices.com
Day 3 Fraud, Waste, and Abuse

Guide Link - Preventing Fraud Waste and Abuse
All Staff Self-Guided Complete the Guide Quiz section of your General Orientation Checklist.
Day 3 Contact and Scheduling

Guide Link - Referral, Admission and Discharge

Read specific contact expectations for the services you will be providing
All Staff Self-Guided Complete the Guide Quiz section of your Service-Specific Orientation Checklist.
Day 3 Staff Health and Safety

Guide Link - Staff Health and Safety
All Staff Self-Guided Complete the Guide Quiz section of your General Orientation Checklist.
Day 3 De-escalation Training

Powerpoint Link - De-Escalation
All Staff (except EIDBI) Self-Guided Complete the Guide Quiz section of your General Orientation Checklist.
Day 3 Service Specific

Guide Link - Services

Read the Service Category for the job you will do in the Guide
All Staff Self-Guided Complete the Guide Quiz section of your Service-Specific Orientation Checklist.
Day 7 Documentation and Electronic Health Records

Guide Link - Documentation

Guide Link - Mental Health Travel Time
All Staff Self-Guided Complete the Guide Quiz section of your General Orientation Checklist.
Day 7 Personnel Policy

Guide Link - Personnel Policy

Guide Link - Paid Time off and Leaves of Absence"
All Staff Self-Guided Complete the Guide Quiz section of your General Orientation Checklist.
Day 21 ABA Powerpoint Training

This will be scheduled for you

Guide Link - A Guide to Applied Behavior Analysis
EIDBI In-Person Be an active participant in the training and document training in a progress note (Trainee Being Trained Internal)
Day 21 TrainLink (EIDBI)

DHS TrainLink EIDBI 101 for Providers

Guide Link – EIDBI
EIDBI

Level III Providers

Or if directed
Online Download Certificate of Completion and email it to training@accendservices.com
Day 21 ASD Training

Autism Certification Center ASD Strategies in Action

Guide Link – EIDBI
EIDBI

Level III Providers

Or if directed
Online Download Certificate of Completion and email it to training@accendservices.com
Day 21 Cultural Responsiveness

Cultural Responsiveness in Autism Spectrum Disorder (ASD) Services

EIDBI

All Level of Providers
Online Download Certificate of Completion and email it to training@accendservices.com
Day 30 Functional and Health and Wellness Assessment

Your Program Manager will assist in scheduling this after prerequisites met

Guide Link - Adult Functional, Level of Care and Status Assessments

Guide Link - Person-Centered Assessment and Planning
ARMHS and Integrated Care Managers In-Person Be an active participant in the training and document training in a progress note (Trainee Being Trained Internal)
Day 30 Objective/Outcome Writing

Your Program Manager will assist in scheduling this after prerequisites met

Guide Link - Person-Centered Assessment and Planning
ARMHS, Integrated Care Managers, and Therapists In-Person Be an active participant in the training and document training in a progress note (Trainee Being Trained Internal)
Day 30 Risk Assessment and Client Incident Reporting

Guide Link - Assessment, Planning and Documentation

Guide Link - Accidents, Incidents and Sentinel Events
All Staff Self-Guided Complete the Guide Quiz section of your General Orientation Checklist.
Day 30 Health, Wellness, and Recovery

Guide Link - Health Wellness and Recovery
All Staff Self-Guided Complete the Guide Quiz section of your General Orientation Checklist.
Day 30 Caseload and Time Management

Guide Link - Time and Caseload Management
All Staff Self-Guided Complete the Guide Quiz section of your Service-Specific Orientation Checklist.
Day 45 Motivational Interviewing

Relias: Introduction to Motivational Interviewing

Guide Link - Best Practices: Motivational Interviewing
All Staff (except EIDBI) Online Download Certificate of Completion and email it to training@accendservices.com
Day 45 Trauma Informed Care

Relias: What Does Being Trauma-Informed Mean for Non-clinical Staff?
All Staff (except EIDBI) Online Download Certificate of Completion and email it to training@accendservices.com
Day 45 Person Centered Planning

Relias: Approaches to Person-Centered Behavioral Health

Guide Link - Assessment, Planning and Documentation: Principles of Person-Centered Assessment and Planning
All Staff (except EIDBI) Online Download Certificate of Completion and email it to training@accendservices.com
Day 45 Culturally Responsive Treatment Practices

Relias: Influence of Culture on Care in Behavioral Health for Paraprofessionals
All Staff (except EIDBI) Online Download Certificate of Completion and email it to training@accendservices.com
Day 45 Co-occuring Disorders

Relias: Introduction to Co-occuring Disorders
All Staff (except EIDBI) Online Download Certificate of Completion and email it to training@accendservices.com
Day 45 Child Development

Relias: Developmental Concerns Childhood to Adolescence
CTSS Online Download Certificate of Completion and email it to training@accendservices.com
Day 60 Smoking Cessation

Smoking Cessation Training-NAMI Minnesota
ARMHS and Integrated Care Managers Online Download Certificate of Completion and email it to training@accendservices.com
Day 60 Staff Benefits

HR will reach out to schedule this with you prior to your 60th day

Guide Link - Staff Benefits
All Staff In-Person Fill out applicable paperwork identifying your benefits selection and submit to HR

When all assigned TrainLinks are completed, please follow the directions below to save your transcript as a PDF and send to the email address training@accendservices.com.

  1. Log on to TrainLink.
  2. On main screen, select “View or Print Transcript” under Student Information.
  3. Once transcript is open, go to File>Print.
  4. Select “PDF” or “Save as PDF”.
  5. Title as FirstinitialLastName TrainLinke Transcript (ex: LMattson TrainLink Transcript) then select where to save.
  6. Send PDF to to yourself for record keeping.

For trainings from sources other than TrainLink, save the certificate you receive in the same manner and follow instructions 3-6 to send your certificate to training@accendservices.com.

Documenting Your Training - Core Checklists

Find Core training checklists in personnel > assesssments > Orientation and Core Training.

Position Checklist
All Positions General Core
All Positions Pass a Documentation Audit with concurrent and accurate documentation, correct use of service types, and no red flag problems.
All Direct Service Positions Progress Note Quality
ARMHS All Levels ARMHS Core
CMGT/BHH All Levels Integrated Care Core (CMGT and BHH)
CTSS CTSS Core
Clinical Professional and Psychotherapy Core Competencies - Clinical Professional
Assessment and Treatment Planning

- Case Managers and Systems Navigators
- ARMHS (full) Practitioners
- Psychotherapists (Clinical Professionals) and Trainees

Quality checklists in at least two Assessments and Service/TreatmentPlans indicate meets basic expectations or better upon submission for review (without correction).
EIDBI EIDBI Observation - Direct Service Competencies

Service-to-Work-Hours Ratios Ramp-Up Schedule

New Team Members should begin providing services during week one and meet certain minimum threshholds for direct service as a percent of work time during the first 4-7 weeks of the training period, as shown in the tables below.

Practitioners, Psychtherapists, Clinical Trainees

Week of Employment Percent Direct Service Hours at Full Time (40) Hours at 0.9 FTE (36) Hours at 0.8 FTE (32) Hours at 0.7 FTE (28) Hours at 0.6 FTE (24)
1 15% 6.0 5.4 4.8 4.2 3.6
2 25% 10 9 8 7 6
3 35% 14 12.6 11.2 9.8 8.4
4 45% 18 16.2 14.4 12.6 10.8
5 55% 22 19.8 17.6 15.4 13.2
6 65% 26 23.4 20.8 18.2 15.6
7 75% 30 27 24 21 18

EIDBI Providers

Week of Employment Percent Direct Service Hours at Full Time (40) Hours at 0.9 FTE (36) Hours at 0.8 FTE (32) Hours at 0.7 FTE (28) Hours at 0.6 FTE (24)
1 35% 14 12.6 11.2 9.8 8.4
2 50% 20 18 16 14 12
3 65% 26 23.4 20.8 18.2 15.6
4 80% 32 28.8 25.6 22.4 19.2

Housing Stabillization Services Providers

Week of Employment Percent Direct/Indirect HSS Service Hours at Full Time (40) Hours at 0.9 FTE (36) Hours at 0.8 FTE (32) Hours at 0.7 FTE (28) Hours at 0.6 FTE (24)
1 35% 14 12.6 11.2 9.8 8.4
2 50% 20 18 16 14 12
3 65% 26 23.4 20.8 18.2 15.6
4 80% 32 28.8 25.6 22.4 19.2

Case Managers and Behavioral Health Home Providers

Case Managers should have engaged a full caseload for their FTE by the end of their 2nd calendar month of employment. These are:

FTE Persons Served
Full Time 28
0.9 26
0.8 23

Benefits and Enrollment

Your enrollment in staff benefits begins in weeks 6-9 of your employment, depending on your date of hire. To better understand your benefits as an employee of Accend and to get the forms you need for enrollment in each, read the Staff Benefits Guide here:

Staff Benefits Guide

Procedures for the End of the Probationary Period

8th-Week Review

  1. Your Program Manager will confirm all of the following:
  2. If any of the above conditions are not met, we will examine the circumstance and develop a performance improvement plan. Exceptions may be made for FTE targets if a Trainee has been hired into a position where a full caseload was unavailable to start with but is developing.
  3. Prior to beginning benefits enrollment, we willdouble-check FTE and productivity
  4. If conditions are met, enrollment for health and dental insurance (if selected), life, short-term and long-term disability and voluntary insurance to be effective on the 91st day of employment.
  5. Begin work on a post-Orientation Career Plan.

12th-Week Review

  1. The Program Manager will confirm all of the following on the status change form:
  2. Our HR Department will conduct a QA on all of the above and process the status change.

When New Team Members Are Not Meeting Expectations

When a new hire is not meeting expectations...

We May Extend the Traininng Period

In rare cases, we may extend the training/probationary period for a new team member who is making significant progress on Core Competencies but still has areas needing improvement. In this case, a Performance Improvement Plan will take the place of the post-Initial Training Career Plan with specific dates by which the new Team Member is demonstrating core competencies. In these cases, the employee is eligible for post-90-day benefits, but remains in an orientation/probationary status.

Or We May Call it Quits

In even more rare cases, we may engage new hires in a conversation about whether or not the job we have hired them for is a good fit, and suggest alternatives. These alternatives may or may not include continuing employment with Accend. This is a decision we wil make prior to the 90th day of employment, and should not come as a surprise to new hires, as leading up to this, we have provided sufficient feedback and support on potential problems and given specific directions on how to improve performance/meet expectations.

We Will Always Use the Mirror/Window

In keeping with our Management Philosophy, we will always look first in the mirror to make sure we have provided new hires with all the support they need to meet expectations. We hold ourselves 1st Responsible in accountability in this regard. We will ask ourselves:

Only after this careful self-examination might we consider asking a newly-hired staff to leave because we do not think that they can meet our expectations. This is a difficult decision, but one we take seriously and will consider only rarely.

Feedback or Questions about this Chapter

This guide is a living document. We want to improve it with your help. Do you have questions? Found a typo? Find yourself wanting more information? Please send us your thoughts about anything in this chapter by tapping on the link below.

Questions, Feedback & Suggestions

Updates to this Chapter

Updates to this Chapter are listed here starting November, 2022.



April 29. 2023:Updated the order of training to comply with statute 245i where applicable.



11/10/2022: Replaced guide training, classes and outside training with a combined table. Updated training to comply with statute 245i where applicable.



9/20/2024:Mission and Philosophy removed from Orientation Sequence.