Sr Clinical Therapist

Provides crisis intervention and symptom stabilization emergency evaluation care coordination consultation and education to consumers of all ages who present with behavioral health needs. Services will be coordinated with family and other professionals or concerned parties. Conduct substance abuse treatment with clients in need according to the 12 core functions of substance abuse counseling as defined by the �ICRC.�



Provides Screening Evaluation on the Telephone and Face to Face

Provides emergency assessments to consumers.

Ability to use assessment tools for proper diagnosis.

Assess consumers for risk of harm to self or others.

Recommends disposition and plan for stabilization and offer treatment options and recommendations that are least restrictive alternatives appropriate to level of risk.

Consults with all relevant parties to seek out necessary clinical information.

Facilitates involuntary/voluntary hospitalizations of consumers at risk while at the ER and also in the community.

Provides emergency case management for consumers until they are no longer in crisis.

Identifies and offers referral assistance and coordination to consumers who do not meet criteria of Gateway Healthcare Inc. treatment programs.

Schedules and participates in psychiatric/ medication evaluations with psychiatrist as needed.

Evaluates medication side effects and reports results to psychiatrist and RN as needed.

Possesses current job knowledge of all agency programs their functions and is able to access these programs effectively.

Coordinates and consults with ER staff while performing an intervention and acts as liaison between the hospital and referral resources.

Ensures that contact with consumers involved in the agency is communicated to the primary clinician and physician.

Consults with all relevant parties to seek out necessary clinical information.

Provides emergency services at the consumer�s home and in the community in coordination with others such as peers police hospitals and social service or medical agencies.

Participates in treatment planning meetings and difficult case conferences when necessary for specific consumers.

Initiates calls or home visits to monitor a consumer�s progress and revises the stabilization plan as needed.

Available by telephone to discuss treatment issues monitor consumer�s response to treatment and provide support and direction.

Adheres to documentation standards in accordance with Gateway Healthcare Inc. policy and procedure in accordance to program standards.

Documentation of clinical work submitted according to program guidelines.

Obtains past records in order to substantiate and/or support diagnoses for treatment.

Accurately completes Service Activity Log daily.

Obtains proper authorization from insurers as needed.

Has consumer complete and sign GHI insurance forms or seeks out other appropriate signatures when the client is unable to sign.

Functions as a resource for clients ER and Gateway staff about behavioral health care issues and resources through consultation and educational activities.

While at the ER provides education for ER staff as needed for behavioral care issues.

Rotates with other clinicians the duties of conducting telephone screenings and face to face assessments.

Provides intensive services to active ES clients while working cooperatively with the primary clinician.

Participates in treatment plan meetings when necessary for specific consumers.

Schedules duties in coordination with other ES team members and modifies work schedule as needed in order to ensure that the department is able to be responsive to consumers needs.

Will rotate the role of administrator on-call on a weekly basis with other qualified ES staff.

Is reliable and available by pager and/or at home during the performance of duties.

Will respond to all requests for consultation by the staff on-call and the answering service.

Will have final decision making responsibility for involuntary hospitalization and will ensure all alternatives are explored and ruled out.

Will take full responsibility in handling requests for services from the GHI Community Disaster Team. This includes assessing the need for a team response calling team members to organize and activate a response and notifying management according to Disaster Team Response Policy.

Will provide direct service backup coverage to other ES staff as needed.

Participates in all necessary meetings as required.

Performs other duties as assigned.


Other information:

Masters degree (MA) MSW M.Ed. LCSW or LICSW preferred. Must be eligible for �Qualified Mental Health Professional� status.


No professional license required.

Valid driver�s license.

CPR and First Aid certification.


Effectively present information and respond to questions from professionals managers clients family and the general public.

Read analyze and interpret professional journals policy and procedures and governmental regulations.

Write reports and general correspondence.

Analyze client and system information identify problems establish facts draw valid conclusions develop options and strategies for resolving problems monitor implementation and evaluate the problem solving process for effectiveness.

Deal with several abstract and concrete variables concurrently.

Ability to successfully complete all required training and certifications

Oral and written communication skills including speech grammar spelling and legibility are at sufficient level to ensure effective and appropriate communication.

Ability to add subtract multiply and divide in all unites of measure using whole numbers common fractions and decimals either manually or by use of a calculator.


Uses and accesses information in client�s health information record or about a client only as necessary to actual duties and then only in accordance with access levels assigned to this position by Gateway Healthcare Inc. from time-to-time and in accordance with Gateway Healthcare Inc. policies rules and procedures as adopted by Gateway Healthcare Inc. from time-to-time.

Comply with agency ethics and codes of conduct in all contacts with clients co-workers and the community

Observe all agency policies and procedures.


Must be able to appreciate the sensitive/private nature and legal status of information about individual clients obtained maintained or used by Gateway Healthcare Inc. and to not access use disclose or request such information about a client unless necessary to the performance of his/her job.


The physical demands described here are representative of those that must be met by an employee to successfully perform the main duties and responsibilities of this job. Other duties with different demands may also be assigned by the employee's supervisor. Gateway complies with the Americans with Disabilities Act and analogous state statutes. Therefore to the extent required by law Gateway will make reasonable accommodations to allow qualified individuals with disabilities to perform the essential functions duties and responsibilities of their positions. Employees and applicants should discuss requests for reasonable accommodations with Human Resources at any time.

While performing the duties of this job the employee is regularly required to use hands to finger handle or feel objects office equipment or controls and talk or hear. The employee frequently is required to walk sit reach with hands and arms and climb. The employee is occasionally required to stand; stoop kneel crouch or crawl; and taste or smell. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision distance vision peripheral vision depth perception and the abilities to adjust focus. The employee occasionally works in outside weather conditions.

The noise level in the work environment is usually moderate.


Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status.   Lifespan is a VEVRAA Federal Contractor.


Location: Gateway Healthcare Inc. USA:RI:Pawtucket


Work Type: Full Time


Shift: 1


Union: Non-Union