Job Description

• Weekly work schedule: Monday – Friday
• Hours: 8 am to 4:30 pm
• Experience: Working with people experiencing homelessness (strongly preferred)

• Clinical social work in Homeless health care experience
• Experience/expertise in assessing and managing clients with dysfunctional SUD Experience/expertise in assessing and managing clients with severe persistent mental illness.
• Experience/expertise in trauma-informed care and harm reduction principles
• Demonstrated teaching and communication skills with clinical and non-clinical staff.
• Experience providing clinical and administrative supervision to other behavioral health staff preferred.
• Familiarity with DMH, DPH and community mental health and substance use programs and resources Essential Functions
• Assesses and treats the complicated psychosocial problems of ERC patients including but not limited to medical condition and/or functional status, untreated or under- treated mental health or substance abuse condition, economic instability, legal problems, and inadequate social supports, housing and transportation.
• Work closely with the medical case workers for both low and high acuity patients and in partnership with the medical team and program managers, will assess, develop, and help implement care plans for the patients in the ERC program.
• Provides consultation to other multidisciplinary team members to support staff in delivery of care support management of chronic medical and behavioral condition.
• Help ensure high quality care by providing comprehensive assessment, conferring with program managers/nursing to help identity most appropriate placement options and most appropriate treatment plan to address the patient’s mental health, Substance abuse and Behavioral health needs.
• Conducts comprehensive behavioral health assessments and care planning of ERC patients and develops treatment plans that are sensitive to the patient’s diverse needs and abilities.
• Provides direct service and consultation to others providing services to the patients, using motivational interviewing and a trauma informed approach.
• Respond to incident reports, as needed.
• Create or update client care plan identifying wrap around supports that align with assessment.
• Participate in case conferencing with the care team, as needed.
• Coordinate SUD and/or mental health services on behalf of the client.
• Provide technical assistance and training to facility operators to better serve clients in ERC.
• Upon referral of certain high risk and complex patients, the social worker will provide direct services using behavioral health techniques including, but not limited to, motivational interviewing, cognitive behavioral therapy, relapse prevention therapy, psychotherapeutic and/or systems interventions, and trauma-informed care, delivered in an individual and/or group setting.