The Psychotherapist will follow the Patient Centered Medical Home (PCMH) model of care. The Psychotherapist will work with health center staff to promote team-based care as appropriate, specifically the center’s care team(s), to develop a goal oriented, systematic method for the coordination of the patient’s clinical, social and behavioral health care needs and will document the information in the patient’s health record. The Psychotherapist will provide input into identifying areas of improvement and help to develop and implement processes for improvement. The social worker will also carry a clinical caseload and provide psychotherapy, psychological consultations, and intake evaluations to patients as a professional member of interdisciplinary clinical staff. 

• Work as a member of a multi-disciplinary treatment team and practices team-based care that is patient centered.
• Coordinate warm handoffs between medical staff and Behavioral Health staff.
• Participate in quality improvement initiatives to assure process improvement and compliance within the Behavioral Health Department.
• Engage patients’ families, significant others, and/or caregivers, as appropriate.
• Acts as liaison between patient, caregivers, and providers.
• Follows up with patients who fail to show for appointments and/or are not in compliance with their care plan to determine social needs/barriers to care.
• Develop relationships with potential community referral sources, represents and advocates for the services of Advantage Care Health Centers through community outreach and education.
• Coordinate referrals to external behavioral health providers and follows up with patients and providers to ensure appointment attendance.
• Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment members.
• Maintain a comprehensive working knowledge of community resources and network services for target population.
• Maintain current, accurate, and timely documentation on assigned caseload related to but not including session notes, initial and 90-day treatment plans, collateral contact with other professionals and caregivers.
• Conduct bio-psycho-social intake evaluations for new and existing behavioral health patients.
• Provide weekly individual therapy to children adolescents, and adults diagnosed with range of intellectual disabilities and mental illness.
• Develop diagnostic formulation and treatment recommendations in collaboration with multi-disciplinary treatment team.
• Maintain current and accurate documentation.
• Attend team meetings regarding clinical concerns and individualized treatment.
• Act as a mandated reporter; Report incidents and suspicions of abuse or neglect to the relevant authorities.
• Compliance with social distancing, adherence to PPE and infection protocols.

• New York State License in Psychology or New York State Licensed Clinical Social Worker
• Preferably 1 year experience supporting children and adults with autism and/or developmental disabilities.
• Familiarly with EHR preferred.
• Bi-lingual (English/Spanish) a plus.

Knowledge, Skills and Competencies Required:

• Broad knowledge of community resources
• Ability to work collaboratively with primary care staff and other clinicians
• Excellent written and verbal communication skills
• Attention to detail