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Community Embedded Social Worker II

Job in Brattleboro, Windham County, Vermont, 05304, USA
Listing for: Brattleboro Retreat Healthcare
Full Time position
Listed on 2026-02-17
Job specializations:
  • Healthcare
    Mental Health, Psychology, Clinical Social Worker
Job Description & How to Apply Below
NOTE:

This is position is embedded in primary care at BMH and works collaboratively as part of integrated mental and physical health team.

Job Summary:

The community embedded social worker provides clinical services/counseling, screening, and case management services to patients/clients/participants in one or more specific embedded community setting (distinct jobs in which services are provided at primary care or specialty medical practice offices; or working with persons who are unhoused; or working to provide team-based care to a specific population or setting) as an independently licensed practitioner.

This work is typically as a part of an interdisciplinary team that could include medical providers (doctors, nurses, etc.), case managers, peer support services, housing advocates, and/or others. The work is often fast paced, and involves on-the-fly pivots according to the needs of the team, and the clients served.

QUALIFICATIONS:

* Master's degree in social work or other behavioral health discipline required. Master's degree in clinical social work preferred

* Substance use counseling experience and expertise required.

* If unlicensed, must be willing to work toward licensure.

* Knowledge of and experience with population being served

* Possession of a valid driver's license and access to a private vehicle for day-to-day job performance.

* Working knowledge of computer skills

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Core Competencies

Engagement, Screening, and Assessment

Assesses patients comprehensively, according to needs of embedded team and agency needs;
Clinicians should be proficient in diagnosis, formulation, risk assessment, level of care assessment, identifying strengths and areas of ongoing challenges, etc.

Assesses patient/client/participant's social and family structure in context of patient/client/participant's presenting problems

Assesses and plans for the patient/client/participant's aftercare needs

Conceptualizes patients and systems in their social context, taking into account systems stressors as well as intra- and interpersonal problems and strengths

Demonstrates understanding of addiction and recovery, including as it relates to screening, assessment, engagement, clinical interventions and approaches, and ASAM criteria for referrals and placement

Synthesizes and conveys relevant information, include clinical and case formulations, orally and in writing.

Formulates understandings of case material, using all data available as well as understanding of interplay

between stressors and vulnerabilities and presenting problems.

Understands best practices for assessment and treatment of clients with diverse backgrounds and cultural experiences, including intersectionality and the impacts of systemic oppression and marginalization

Assesses and diagnoses patients, using DSM 5 criteria, consulting with team members as necessary

Demonstrates the ability to form a therapeutic relationship with the patient/client/participant and families.

Contacts the patient/client/participant's providers and referral sources to obtain collateral information for assessment, and to coordinate treatment

Uses standardized assessment and screening tools as necessary, including for depression, anxiety, substance use, and suicide and violence risk

Must be able to use in-person, telephonic, and two-way video telehealth to engage client as needed

Treatment

Demonstrates the ability to provide direct clinical care to patients in order to promote change according to

the patient/client/participant's treatment plan.

Individual Psychotherapy:
In a manner appropriate to the setting and frame, meets with patient/client/participant in a therapeutic relationship to address clinical and psychosocial issues relevant to the patient/client/participant's diagnosis and presenting problems, and promotes change according to treatment goals.

Family work/family therapy:
Engages therapeutically with client family and systems to further client's treatment and progress toward goals, indicated

Supportive therapy:
Meets with patient/client/participant as necessary to provide support and resolve specific task-oriented problems that may have an impact on treatment.

Group therapy:
Meets with patients in psycho educational or psychotherapeutic group sessions to promote,

through the group process, individual growth according to treatment goals.

Demonstrates the ability to integrate theoretical knowledge of clinical practice, group dynamics and individualized biopsychosocial assessment effectively and ethically in treatment.

Attends and participates in treatment planning/ team planning sessions of assigned patients on a regular basis. Reports

consistently to the treatment team with regard to assessments and the content and focus of therapy.

Documents all interactions with patient/client/participant(s) in progress notes in the electronic medical record.

Documentation will adhere to any policies of embedded agency, as well as Retreat policies where appropriate.

Maintains contact with referral…
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