I. SCOPE OF ROLE:
Licensed Mental Health Professional to supervise a NY State Office of Mental Health (OMH) funded
hospital-based care transition team that exclusively serves individuals inpatient at Bronx Psychiatric
Center (BPC) and 730.40 designees at Metropolitan Hospital Center (MHC). The team’s work will
involve addressing the preparatory needs of participants in the early stages of discharge planning,
development of daily living skills, and coping mechanisms through group and individual work on the
hospital units. The team will follow individuals into the community using the evidence-based Critical
Time Intervention model of care to ensure that they become both linked and engaged with identified
community providers and that their support network is sufficient to meet their needs. The role will
require some on call coverage.

II. ESSENTIAL DUTIES & RESPONSIBILITIES:
• Management and oversight of the day to day activities of two Pathway Home Hospital Embedded
teams;
• Counsel in individual or group settings with emphasis on prevention and preparing for independent
community living and to promote optimum mental and emotional health. May help individuals deal
with issues associated with addictions and substance use; family and social relationships; stress and
symptom management; activities of daily living; medication management; and housing readiness;
• Participate in case conferences to help identify community health needs and tailor services to meet
these needs;
• Ensures that programmatic systems are in place and functioning to meet member needs;
• Ensures that internal and external regulatory agency standards and requirements are met;
• Provide regular individual and group supervisory support to a multi-disciplinary team and orienting
new team members to policy and procedures as well as ongoing training and mentorship;
• Assists with the identification, development, implementation, and completion of quality
improvement projects and plans to solve problems/issues;
• . Facilitate and monitor the organizing of team member’s schedule; as well as leading weekly staff
meetings;
• Perform chart reviews and ensure completion of appropriate and timely documentation;
• Collect, analyze and report data, as required, and specifically regarding metrics outlined in the
proposal, including but not limited to:
o Frequency of enrollee contact
o Frequency of enrollee hospitalizations and ER visits
o Behavioral Health and Physical Health Appointments
o Staff productivity

• Manage recruitment of staff, as well as addressing staff performance-related issues in accordance
with salient policies and procedures, specific to the organization of hire;
• Develop relationships with providers to facilitate successful transition for individuals and to expedite
and solidity placement in community housing;
• Mange teams on-call duties;
• Screen candidates for program and determine eligibility. Assign caseloads to team members;
• Work with all stakeholders (members, network, families, and government staff) in a caring and
respectful manner, and with due understanding of and consideration for cultural differences.
• Additional responsibilities as assigned

III. REQUIRED EDUCATION AND EXPERIENCE
• Master’s degree or higher in Social Work, Mental Health Counseling, , Public Administration, Nursing,
Public Health, Public Policy or a related field.
• Minimum of 5 years post-masters work experience in the mental health and criminal justice field
with progressively increasing responsibilities, preferably with the target population.
• 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;
• Ability to develop, evaluate, implement and modify a clinical treatment intervention to meet the
needs of individual recipients;
• Ability to prepare accurate and timely reports;
• Ability to manage multiple projects and ask for help when needed;
• Knowledge of Microsoft office applications, including Excel;
• Ability to communicate effectively with stakeholders;
• Competency in written, interpersonal, verbal and computational skills to present and document
records in accordance with program standards

PREFERRED QUALIFICATIONS & SKILLS
• Professional experience working in a multi-disciplinary mobile team.
• Bilingual English/Spanish

S:US IS AN EQUAL OPPORTUNITY EMPLOYER 

Join a team of employees who cares about the wellbeing of others. We’re proud to offer a comprehensive benefits package designed to support your wellbeing and development. From health and wellness resources to generous PTO, professional development, and more, explore all that we offer on our Benefits Page and see how S:US invests in you. 

We believe in fostering a culture built on our core values:  respect, integrity, support, maximizing individual potential and continuous quality improvement.  

S:US is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. S:US is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities, including allowance of the use of services animals. To request reasonable accommodation or if you believe such a request was improperly handled or denied, contact the Leave Team at MyMedicalLeave@sus.org.