Manager of Clinical Access Services

The Manager of Clinical Access Services is responsible for overseeing the clinical operations of the Access Clinician Team, a vital component of SFH’s Engagement Services within the Behavioral Health Department. This role balances direct service delivery with clinical supervision and team leadership, providing low-barrier, “on-demand” clinical access to SFH guests with complex behavioral health needs. The Manager of Clinical Access Services serves as a core part of SFH’s crisis response system and guest engagement strategy, ensuring a high-quality, trauma-informed model of care. This includes providing brief counseling, assessment, crisis stabilization, and care coordination, as well as supporting internal and external service navigation. The Manager plays a key leadership role in developing and maintaining a sustainable, person-centered model for clinical access and engagement in alignment with SFH’s values. The Manager of Clinical Access Services works collaboratively across SFH programs and with external partners to ensure seamless care for guests and supports the Associate Director of Behavioral Health in maintaining clinical standards and protocols. Behavioral Health at St. Francis House is grounded in trauma-informed, person-centered and recovery-oriented practices in order to assist guests in addressing the various and complex barriers associated with homelessness.

Supervisory Responsibilities:

• Oversees the daily workflow of assigned staff and interns within the Access Clinician Team.
• Interviews, selects, and trains staff and interns.
• Provides weekly, 1:1 clinical supervision to assigned staff and interns no less than 1 hour/week or as otherwise required for licensure.
• Facilitates weekly, group-based clinical supervision of assigned staff and interns.
• Provides constructive and timely performance communication.
• Handles progressive warning and recommends termination of employees in accordance with agency policies/procedures.
• In collaboration with the Associate Director of Behavioral Health, develops and implements protocols, workflows, and outcome tracking related to Access Services.
• Participates in the development and monitoring of recordkeeping, quality assurance, and budget planning related to program operations.

Duties/Responsibilities:

• Ensures a highly responsive model of care that welcomes people into treatment “on demand” with limited barriers to access.
• Provides brief, solution-focused counseling and crisis intervention for high-risk guests within SFH’s shelter and engagement spaces.
• Maintains a small caseload of guests with complex and nontraditional needs, engaging in flexible, trauma-informed care
• Supports SFH staff in navigating behavioral health crises, including de-escalation support, Section 12 evaluations, and coordination with emergency services (e.g. Mobile Crisis Intervention).
• Collaborates internally with all departments throughout St. Francis House to support guest stabilization and adherence to recovery goals.
• Coordinates closely with external agencies (e.g., DMH, BPHC, PSI, etc.) to case conference and facilitate continuity of care across settings.
• Conducts and documents intakes, assessments, treatment plans, and maintains timely clinical notes.
• Attends external care coordination meetings, including weekly A1 Task Force, to collaborate around shared guests with community partners.
• Integrates low-threshold case management support into clinical services when appropriate.
• Contributes to the ongoing development of a sustainable, person-centered Access Services model.
• Infuses a trauma-informed, recovery-oriented, and harm reduction approach in accordance with SFH’s Philosophy of Care.
• Adheres to agency code of conduct.
• Performs all other duties as assigned.

Required Skills & Abilities:

• Proficiency in English.
• Bilingual (Spanish or Haitian Creole) preferred.
• Excellent verbal and written communication skills.
• Excellent organizational skills with attention to detail.
• Proficiency with Microsoft Office Suite. · Ability to prioritize tasks and delegate them when appropriate.
• Ability to function well in a team within a fast-paced environment with compassion, humility, flexibility, authenticity, and professionalism.
• Basic understanding of and commitment to taking a person-centered, recovery-oriented, and trauma-informed approach.
• Commitment to harm reduction practices and values.
• Strong analytical and problem-solving skills.
• Creativity and eagerness to adapt traditional clinical approaches to a nontraditional and dynamic setting.
• Ability to network and build relationships with external organizations and strengthen internal partnerships with other SFH programs.
• Knowledge of Boston-based treatment providers and resources.
• Knowledge of and confidence in de-escalation techniques or crisis intervention.
• Strong supervisory and leadership skills

Education & Experiences:

• Master’s-level clinician with independent licensure to practice in the state of MA.
• LICSW required (will consider LCSW within 6th months of licensure).
• LMHC also needs to be considered with appropriate experience.
• Minimum of two (2) years postgraduate experience working with highly vulnerable, high-barrier individuals with complex needs.
• Experience providing clinical supervision.
• Experience working with individuals with co-occurring mental health and substance use disorders.
• Experience with crisis intervention, emergency response systems, and short-term stabilization preferred.
• Lived experience with homelessness and/or recovery a plus

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 10 pounds at times.
• Occasionally work in outdoor weather conditions.
• Prolonged standing and moving throughout multi-level buildings.
• Constantly operate computers and other office machinery, such as a calculator, copy machine, computer printer, 2-way radio.