Senior Mental Health Clinician

Location:

New York,New York
10004

SCOPE OF ROLE
:

Licensed Mental Health Professional to work on a new funded innovative care

transition team that serves participants transitioning to the community from a higher level of

care. The role will involve facilitating transition from one level of care to the community by

addressing the preparatory needs of participants in the early stages of recovery, discharge

planning, development of daily living skills, and coping mechanisms through team and

individual work in the community. The team will follow participants into the community using

the Pathway Home model of care to ensure that they become both linked and engaged with

identified community providers and that their support network is enough to meet their needs.

The role will require some on call coverage.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Engagement beginning from referring location with involvement in transition planning, including a needs assessment of community transition supports essential to stabilizing the individual
• Monitor appropriate discharge and ongoing care planning at pre- and post-transition for individuals transitioning to community.
• Establish collaborative working relationships and act as a liaison with community providers, Managed Care Plans, and Housing Contractors.
• Short term counseling (coping skills, trauma informed, decision making) and Risk Assessment/Safety Planning.
• Provide supervision to team members and orient new team members to policy and procedures as well as ongoing training and mentorship.
• Collects and reports data, as required while adhering to productivity standards
• Participate in both the development and implementation of a community care plan that includes formal and informal support that increase opportunities for improved quality of life. Focus is on creating meaningful and productive daily activities in the community.
• Assessing Housing Supports and Housing Assistance and Placement for those who are homeless. Services may include completing HRA 2010e, applying for housing, prepping for interviews, follow up with housing providers, and assistance with moving in (day of move) with obtaining housing supplies and learning the neighborhood.
• Work with participants and their housing providers to resolve clinical issues that are impacting on the participant’s ability to obtain, manage, and retain supportive housing.

• Foster relationship with community provides to ensure that recipients are connected with appropriate services as they transition back into the community and to share or collect collateral information.
• Appointment navigation by accompanying to first behavioral health and medical appointment-including but not limited to travel training, reengagement in community care, and ability to identify needs and barriers to services as well as making appropriate referrals.
• Review documentation and conduct comprehensive psychosocial assessments to determine the medical, psychiatric, housing and other social needs in the community.
• Obtain historical and collateral information from multiple sources as it relates to behavioral and physical health, substance use, and criminal history.
• Monitor, evaluate and record participant progress with respect to care plan goals.
• Counsel participants in individual and group sessions to assist them in dealing with substance abuse, mental and physical illness, family issues, housing problems and unemployment and other social determinants of health.
• Provide ongoing family conferences and psychoeducation to families and others within the support network.
• Provide on-call after hour crisis intervention services when needed to participants and their support network, including respite referrals and…