Supervising Mental Health Clinician - Older Adult System Integrated Services (Open & Promotional)

County of San Mateo (CA)•San Mateo, CA

53d

About The Position

San Mateo County Behavioral Health and Recovery Services (BHRS) is seeking an experienced and compassionate Supervising Mental Health Clinician to lead the Older Adult System of Integrated Services (OASIS) team. This is a unique opportunity to make a meaningful impact in the lives of homebound older adults living with serious mental illness. As a Supervising Mental Health Clinician, you'll oversee a dedicated, multidisciplinary team of clinicians, nurses, psychiatrists, peer specialists, interns and vocational rehabilitation trainees who deliver field-based, recovery-oriented care throughout San Mateo County. You'll provide clinical supervision, guide daily operations, coordinate new referrals, and ensure timely documentation and service delivery. In this leadership role, you'll balance program management with direct clinical work, maintaining a small caseload and supporting staff through complex client situations and field-based crises. You'll also play a vital part in shaping the next generation of providers by orienting resident physicians and mentoring licensed and pre-licensed staff. This position is ideal for a collaborative leader with at least two years of post-licensure experience providing direct mental health services, who thrives in dynamic, community-based environments and is passionate about supporting older adults with behavioral health needs and medical fragility. Rewarding Aspects of the Role Directly improving the lives of homebound older adults with serious mental illness. Leading a field-based multidisciplinary team that delivers highly impactful, recovery-oriented services. Challenging Aspects of the Role Managing increasingly complex clinical needs among older adult clients. Coordinating care across multiple agencies, providers, and support systems to meet the needs of medically fragile, homebound individuals. The ideal candidate will have: At least two (2) years of post-licensure clinical experience providing direct mental health services. Expertise in clinical work with older adults with serious mental illness, including clients with co-occurring mental health and substance use disorders. Strong clinical skills, including psychosocial assessment, client-centered treatment planning, and clinical case management focused on initiation and engagement with medically fragile, homebound older adults. Knowledge of system-of-care principles, evidence-based practices (e.g., Trauma-Focused CBT, Motivational Interviewing, Harm Reduction, DBT, Solution-Focused Treatment), and Medi-Cal/Medicare regulations and managed care requirements. Experience supervising and leading multidisciplinary teams (licensed and unlicensed clinicians, psychiatry residents, nurses, peers, vocational trainees) and providing leadership in multicultural, multidisciplinary workforce environments. Experience working with diverse cultures, conducting community outreach, and applying trauma-informed and recovery-oriented approaches to treatment. Ability to process new and transfer cases, including entry-to-care and no-wrong-door policies. Experience collaborating with a wide range of older adult service partners, including residential care providers, healthcare and insurance entities, advocacy programs, social services, and community-based organizations. Experience supporting clients who receive services through programs for individuals with developmental disabilities. Ability to participate in interdisciplinary meetings and coordinate complex case conferences with medical and behavioral health providers. Experience conducting utilization review and contributing to quality improvement activities. Ability to use data to analyze service delivery and maintain accurate records for annual reporting. Experience planning and implementing clinical projects and coordinating/supervising master's-level trainees. Strong decision-making and crisis-management skills, with the ability to respond effectively to field-based crises. Skills working with families and caregivers and providing leadership in collaborative relationships with internal teams and external referral sources. Ability to perform related duties as assigned.

Requirements

At least two (2) years of post-licensure clinical experience providing direct mental health services.
Expertise in clinical work with older adults with serious mental illness, including clients with co-occurring mental health and substance use disorders.
Strong clinical skills, including psychosocial assessment, client-centered treatment planning, and clinical case management focused on initiation and engagement with medically fragile, homebound older adults.
Knowledge of system-of-care principles, evidence-based practices (e.g., Trauma-Focused CBT, Motivational Interviewing, Harm Reduction, DBT, Solution-Focused Treatment), and Medi-Cal/Medicare regulations and managed care requirements.
Experience supervising and leading multidisciplinary teams (licensed and unlicensed clinicians, psychiatry residents, nurses, peers, vocational trainees) and providing leadership in multicultural, multidisciplinary workforce environments.
Experience working with diverse cultures, conducting community outreach, and applying trauma-informed and recovery-oriented approaches to treatment.
Ability to process new and transfer cases, including entry-to-care and no-wrong-door policies.
Experience collaborating with a wide range of older adult service partners, including residential care providers, healthcare and insurance entities, advocacy programs, social services, and community-based organizations.
Experience supporting clients who receive services through programs for individuals with developmental disabilities.
Ability to participate in interdisciplinary meetings and coordinate complex case conferences with medical and behavioral health providers.
Experience conducting utilization review and contributing to quality improvement activities.
Ability to use data to analyze service delivery and maintain accurate records for annual reporting.
Experience planning and implementing clinical projects and coordinating/supervising master's-level trainees.
Strong decision-making and crisis-management skills, with the ability to respond effectively to field-based crises.
Skills working with families and caregivers and providing leadership in collaborative relationships with internal teams and external referral sources.
Ability to perform related duties as assigned.
Possession of a current California license in at least one of the following: Clinical Psychology, Clinical Social Worker or Marriage and Family Therapy.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is a Master's degree in a mental health specialty, such as social work, nursing, or clinical counseling and two years of professional post-graduate experience in a mental health setting.
Basic program management techniques and practices.
Principles and practices of supervision and training.
Human and health services system in the county including private agencies and their community resources.
Current philosophy, principles and practices for services to clients with serious mental illness.
Legal and policy aspects of community mental health methods.
Techniques of family, individual and group counseling and diagnosis.
Individual, group and family psychodynamics.
Current principles and practices of psychiatric casework.
Mental health consultation and education.
Problems, needs, attitudes and behavior patterns of patients/clients.
Supervise, train and evaluate inter-disciplinary staff.
Work collaboratively with other senior professionals in planning and developing programs of a geographic or service unit.
Prepare and deliver written and oral reports.
Plan, implement and evaluate all operations of a geographic or service unit.
Provide treatment to adults and/or children/adolescents with various dysfunctions.
Establish and maintain objective working relationships with clients/patients, other professionals, and the public.
Evaluate degree of mental disability or emotional distress of patients/clients.

Responsibilities

Serve as Unit Supervisor, planning, assigning, training, and supervising interdisciplinary clinical staff, interns, and trainees.
Complete annual evaluations and address personnel concerns.
Plan, implement, and coordinate all unit activities and ensure program procedures comply with federal, state, and local regulations.
Participate in administrative and leadership meetings to develop program plans and review operations.
Maintain unit records, collect statistical data, and prepare annual program reports.
Lead clinical meetings, coordinate complex case conferences, and ensure documentation is accurate and timely.
Facilitate training programs for staff, resident psychiatrist, interns, and vocational rehabilitation trainees, including collaboration with the Human Services Agency on Vocational Rehabilitation Services (VRS) trainee hiring, training, and supervision.
Coordinate clinical resident rotations with the attending psychiatrist and residency director and collaborate with the OASIS medical director.
Provide individual, couples, and family therapy; conduct diagnoses; and perform clinical case management when needed.
Provide crisis services in the field, conduct screenings for new clients and families, and assist with discharge planning and follow-up care.
Serve as liaison for hospitalized or residential clients and collaborate with conservators when applicable.
Maintain client documentation consistent with state and division policies.
Process new and transfer cases, including entry-to-care and no-wrong-door procedures.
Collaborate with Adult Residential Facilities, Residential Care Facilities for the Elderly (RCFE), assisted living facilities, and other older adult residential providers.
Work with Health Plan of San Mateo, Ombudsman, Conservatorship, Rep Payee Services, Adult Day Programs, Institute on Aging, Bridges to Wellness, Upward Health, and other community providers serving older adults.
Partner with Facilities Utilization Management, Aging and Disability Services, Adult Protective Services, Adult & Senior Programs and other service providers.
Attend multidisciplinary meetings, including with Ron Robinson Senior Care and other assigned committees or workgroups.
Collaborate with service providers supporting older adults connected with the Golden Gate Regional Center.
Monitor and consult with contract providers to ensure compliance and resolve service issues.
Provide both client-centered and program-centered consultation and community education to external agencies.
Ensure coverage for Officer of the Day assignments.
Perform related duties as assigned.