Company Name:

Episcopal Community Services of San Francisco


San Francisco, California

Approximate Salary:

$71,138 Per Year

Job Category:

Clinical Psychology

Work Setting:


Position Type:

Full Time

Required Experience:

2 - 5 years

Required Education:

Master's Degree

Date Posted:

April 30, 2019

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Behavioral Health Clinician


The San Francisco Shelters Treatment Access and Resource Team (SF-START) is a roving team providing assessment, case management, short-term counseling, and crisis intervention to users of the SF Adult Homeless Shelter system with mental health and/or substance abuse needs. The Behavioral Health Clinicians will take referrals from the START Clinical Care Managers and will Medi-Cal bill clinical services that include professional, accessible and culturally relevant support, advocacy, information and referrals to program participants in order to guide participants through a process of self-directed goal-setting that builds upon client strengths and talents. The Behavioral Health Clinician’s caseload includes only Medi-Cal eligible clients and this position performs Medi-Cal documentation and billing to achieve Community Behavioral Health Services-contracted billing goals. This position works within and promotes the integrated services team model in an environment dedicated to harm reduction, recovery, and wellness.


  1. Work closely with the Associate Director of Clinical Services and the START Quality Assurance Manager to reach all Medi-Cal billing goals and outcomes.
  2. Maintain a regular caseload and provide professional and culturally relevant support, advocacy, information and referrals to program participants in order to guide them through a process of self-directed goal-setting that builds upon client strengths and talents.
  3. New clients will be taken from the START Waitlist and by referral from the START Clinical Care Manager team and Shelter Management.
  4. Complete initial and ongoing assessment, diagnosis and treatment planning with assigned caseload. Meet with each participant regularly and provide Medi-Cal billable mental health services including assessment, diagnosis, referral, consultation, brokerage, counseling and crisis management. Develop, review and revise treatment plans of care with clients based on individual needs. Perform all paperwork punctually, in accordance with Medi-Cal and CBHS timelines.
  5. Achieve a broad understanding of the resources and services available in the community for clients with acute behavioral health needs. Provide information and referral to clients on an ongoing basis. This may include information such as benefit entitlement, drug and alcohol treatment programs, vocational training, legal services, USCIS and immigration services, health and mental health services, housing and community resources.
  6. Will also inform Clinical Care Managers of appropriate treatment plans or care based on client needs.
  7. Provide up-to-date and appropriate documentation of plans of care, client interactions, progress toward goals, and exit plans via the Avatar electronic charting and billing system.
  8. Become ANSA (online assessment) certified annually.
  9. Ensure that there is an updated PURQC (utilization review) for every open Medi-Cal chart.
  10. Participate in weekly case conferencing and group supervision.
  11. Participate in weekly individual supervision with the Associate Director of Clinical Services.
  12. Provide crisis management and immediate therapeutic response to clients experiencing acute symptoms associated with their behavioral health issues.
  13. Perform outreach duties as requested and as appropriate to build relationship and trust with shelter-users who are eligible for START services but not yet ready to fully engage.
  14. Collaborate with outside agencies and teams (e.g. HOT Team, Citywide, host-shelter staff, etc.) on behalf of clients to support their efforts to secure benefits, housing and resources that are essential to achieving established goals. Assist clients in developing and learning appropriate methods of advocating for themselves.
  15. Participate in ongoing trainings provided by ECS, Community Behavioral Health Services, and other trainings as appropriate.
  16. Perform data management including accurate input into the START database and navigation of the HSA CHANGES system and most importantly, Avatar.
  17. Maintain confidentiality regarding patient health information and comply with all laws of confidentiality and HIPAA requirements. Consult with supervisor as needed regarding exceptions to confidentiality.
  18. Follow and make recommended changes to policies, procedures and protocols established by the Human Services Agency (citywide grievance procedure), the Department of Public Health, and Episcopal Community Services.
  19. Maintain a cooperative and collaborative working relationship with the employees, volunteers and clients of Episcopal Community Services and other host shelters.
  20. Perform other duties as required.


  1. Previous experience providing full-scope Mental Health services billing Medi-Cal utilizing Avatar is a requirement!
  2. Master’s degree in social work or related field, with LCSW, LMFT or PsyD licensure required.
  3. Experience in service delivery to homeless and other very low-income families and individuals.
  4. Knowledge of and commitment to harm reduction practices.
  5. Working knowledge of funding sources, both public and private.
  6. Ability to maintain focus on organizational vision while attending to necessary and appropriate details.
  7. Excellent written, verbal and interpersonal communication skills.
  8. Collaborative work style, initiative and flexibility.
  9. Financial management competence, personnel management skills, and computer proficiency.
  10. Commitment to ECS’s mission and to its organizational values.
  11. Highest integrity

OTHER: Must secure annual TB test. Must secure fingerprint background check.

ECS is an Equal Opportunity Employer that values diversity in the workplace. ECS will consider for employment qualified applicants with arrest and conviction records as consistent with San Francisco’s Fair Chance Ordinance.

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