Licensed Clinican- Case Manager III
First-Step-Communities
Job Title: Licensed Behavioral Health Clinician Alternate Title: Case Manager III Program: All FSC Programs Reports To: Chief Operating Officer FLSA Status: Exempt Revision Date: June 2026 Shift: Day, as scheduled Summary The Case Manager III (Licensed Behavioral Health Clinician) provides clinical assessment, psychotherapy, crisis intervention, and treatment planning for individuals experiencing homelessness in First Step Communities’ shelter programs. Using a trauma‑informed, culturally responsive, and client‑centered approach, the clinician delivers individual and group behavioral health services, collaborates closely with shelter case managers, and ensures coordinated care across medical, mental health, and substance use systems. This position requires active licensure (LCSW, LMFT, or LPCC) issued by the California Board of Behavioral Sciences. Essential Duties and Responsibilities Clinical Assessment & Treatment Conduct comprehensive biopsychosocial and diagnostic assessments, including mental status exams, risk assessments, and DSM‑5‑based clinical formulations. Provide individual psychotherapy, group therapy, and short‑term clinical interventions using evidence‑based modalities appropriate for individuals experiencing homelessness. Develop, implement, and regularly update individualized treatment plans that integrate behavioral health goals with shelter case management goals. Deliver crisis intervention, safety planning, and de‑escalation support for clients experiencing acute mental health symptoms. Collaboration & Integrated Care Work in close partnership with shelter case managers to coordinate behavioral health treatment with housing navigation, benefits enrollment, and case planning. Participate in multidisciplinary team meetings to review client progress, identify barriers, and align clinical and case management strategies. Serve as a clinical consultant to shelter staff, providing guidance on trauma‑informed approaches, behavioral health symptoms, and client engagement strategies. Coordinate care with external providers, including mental health, primary care, substance use treatment, and psychiatric services. Client Support & Advocacy Advocate for client access to appropriate behavioral health, medical, and social services. Provide psychoeducation on mental health, coping skills, medication adherence, and wellness strategies. Support clients in navigating complex systems, including Medi‑Cal behavioral health plans, county mental health access lines, and specialty mental health services. Documentation & Compliance Maintain accurate, timely, and clinically appropriate documentation in accordance with BBS standards, HIPAA, and program requirements. Complete HMIS entries, treatment plans, progress notes, and discharge summaries within required timelines. Uphold all mandated reporter responsibilities and document/report concerns in compliance with state law. Shelter‑Based Clinical Support Provide on‑site clinical presence to support a safe, therapeutic shelter environment. Offer consultation and brief interventions during behavioral escalations or crises. Assist with client transitions, including hospitalizations, psychiatric evaluations, and re‑entry to shelter. Training & Staff Development May provide training to shelter staff on trauma‑informed care, mental health symptoms, de‑escalation, and best practices for working with individuals experiencing homelessness. Qualifications Education and/or Experience Master’s degree in Social Work, Counseling, or Marriage & Family Therapy from an accredited institution. Experience providing clinical services to individuals experiencing homelessness, severe mental illness, co‑occurring disorders, or trauma histories strongly preferred. Experience working in field‑based, shelter‑based, or community mental health settings preferred. Interpersonal Skills and Professional Conflict Resolution Exceptional communication skills – able to convey information clearly, listen actively, and adapt communication style to diverse audiences and situations. Professional conflict resolution abilities – able to de‑escalate tense situations, mediate disagreements, and address challenging behaviors using trauma‑informed, culturally responsive approaches. Emotional intelligence and self‑regulation – able to remain calm, grounded, and solution‑focused during high‑stress interactions or crises. Collaborative problem‑solving – able to work constructively with shelter case managers, clinical staff, and external providers to resolve issues and support client progress. Respectful boundary‑setting – able to maintain appropriate professional boundaries while fostering trust, rapport, and therapeutic engagement. Ability to give and receive feedback – open to coaching, able to provide constructive input to colleagues, and committed to maintaining a positive, professional team environment. Commitment to non‑retaliatory, civil workplace interactions – able to navigate disagreements or misunderstandings in a manner consistent with FSC’s values and expectations for workplace civility. Language Skills English language ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization. Ability to provide training to large groups of clients and employees. Fluency in a language other than English is not required, but preferred. Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute means, median, ratio, and percent and to draw and interpret bar graphs. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills Proficient in electronic documentation and digital communication tools essential for behavioral health practice. Ability to accurately complete assessments, progress notes, and treatment plans in an Electronic Health Record (EHR) and enter required data into HMIS. Strong working knowledge of the Microsoft Office Suite – particularly Word, Excel, and Outlook. HIPAA‑compliant communication platforms, telehealth systems, and secure email usage while maintaining strict confidentiality of Protected Health Information. General digital literacy such as navigating cloud‑based systems, organizing electronic files, and using basic office technology. Licensure Requirement Must hold an active, unrestricted license issued by the California Board of Behavioral Sciences as an LCSW, LMFT, or LPCC. Registration as an associate (AMFT/ASW/APCC) does not meet the requirements for this position. Driver’s License Valid California Driver’s License required. Out‑of‑state license must be obtained within 60 days of hire. Proof of acceptable driving record and current auto insurance must be provided and maintained. Other Position Requirements A background check is required. A TB test is required. Ability to get along and work effectively with others. Ability to work outdoors in varying weather conditions. Other Skills and Abilities Ability to maintain clinical and professional boundaries while working in a non‑traditional, fast‑paced shelter environment. Ability to provide clinical services outdoors or in non‑office settings when needed. Demonstrated knowledge of Sacramento community organizations and community resources. Strong verbal communication and listening skills. Ability to exercise extreme patience. Ability to think quickly and respond calmly to stressful/emergency situations. Good time management skills, able to prioritize and multitask. Able to stand, walk, and be on your feet throughout the workday. Physical and Emotional Demands Must occasionally lift or move up to 25 pounds. Specific vision abilities required by this job include: close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Work Environment First Step Communities operates emergency shelter environments, including some that are outdoors. Exposure to heat, cold, and rain are commensurate with the weather. The noise level in the work environment is usually quiet to moderate. Supervisory Responsibilities This position has no staff supervisory responsibilities. #J-18808-Ljbffr First-Step-Communities
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