The Bridge, an innovative and well respected mental health agency serving adults with serious mental illness, substance abuse, co-occurring mental health and substance abuse disorders, and co-morbid medical conditions is seeking a Licensed Mental Health Professional to work on a newly funded innovative care transition team that exclusively serves individuals identified by Mt. Sinai PPS as high utilizers of emergency and behavioral health service.
- Coordinate clinical and programmatic activities of the team and the collaborative relationship between The Bridge and Mt. Sinai Hospital. Intensive outreach in the community including inpatient and outpatient behavioral health facilities, community-based social service provider sites, participants’ homes/residences, and street/neighborhood. Finding and engaging participants will be first step to building a trusting relationship. Once the participants are engaged, a needs assessment of community supports will be conducted with a goal to identify and refer participants to community-based providers; Short term counseling (substance use, coping skills, trauma informed, decision making) and risk assessment/safety planning; Participate in both the development and implementation of a community care plan that includes formal and informal supports 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 recipients and their housing providers to resolve clinical issues that are impacting on the recipient’s ability to obtain, manage, and retain supportive housing; Foster relationship with treatment teams, community providers, and other partners to ensure that recipients are connected with appropriate services; Patient navigation by accompanying to behavioral health and medical appointments (as needed), travel training, re-engagement in community care, referral to services with ability to identify and address potential services and barriers to obtain and maintain such services. Develop short-term person centered treatment plans to assist recipients’ towards achieving their goals and modify treatment plans according to changes in recipients’ status. Monitor, evaluate and record recipient progress with respect to treatment goals; Provider short-term counseling in individual sessions to assist with dealing with substance abuse, mental and physical illness and ensure referral to any needed services;
- Provide ongoing psychoeducation to families and assistance with developing or repairing recovery and support networks; Provide out of hours crisis intervention services to recipients and their support network, including respite referrals and other diversion and stabilization services; Participate in the recruitment, hiring, evaluation and direction of team members.
- Attend and participate in team meetings and supervisory sessions;
- Perform other related duties as assigned;
Essential Knowledge, Skills and Abilities:
- Knowledge of mental illness and serious emotional disturbances and substance abuse disorders. Knowledge of treatment, rehabilitation, and community support programs as they relate to consumers/residents, families, and staff.
- Knowledge of techniques for identifying and preventing potentially violent behavior, including crisis management techniques. Training and experience in the delivery of Evidence-Based/Trauma Informed outreach, engagement and treatment strategies.
- Ability to develop, evaluate, implement and modify a clinical treatment intervention to meet the needs of individual recipients. Ability to use agency Electronic Health Record to document services. Ability to prepare accurate and timely reports
- Excellent verbal and written communication skills. Ability to work collaboratively with a variety of disciplines and providers. Ability to use electronic data bases to track services received and make referrals
Minimum Education and Experience Requirements: Master’s degree or higher in social work with license (LCSW/LMSW) or mental health counseling (LMHC). A minimum of 2 years post-masters work experience in the mental health, substance abuse and/or homeless services.
Excellent compensation package.
Minimum Education Required