Therapist (Licensed), EDO Program Lead (Licensed or Associate)

Lyon-Martin Community Health Services•San Francisco, CA

just now•$40 - $50•Onsite

About The Position

Lyon-Martin Community Health Services is hiring a Therapist, Eating Disorder Lead to provide outpatient mental health and co-occurring substance use disorder services, with a focus on queer, trans, and intersex (QTI) care. The role primarily provides psychotherapy and maintains a caseload focused on clients engaged in eating disorder recovery or considering recovery. Other clinical services may include crisis intervention, behavioral interventions, psychosocial assessments for gender-affirming surgery, group psychotherapy, referrals, and clinical case management. The Eating Disorder Lead also helps build and strengthen the eating disorder program through capacity building, policy and procedure development, continuous quality improvement, evaluation, resource development, and external partnerships. The lead participates in a weekly multidisciplinary eating disorder team that includes at least one medical provider, a psychiatrist, and a dietitian. The position is supervised by the Mental Health Director and includes weekly one-on-one supervision with the Therapist Supervisor – EDO Specialist. The position is based at Lyon-Martin Community Health Services, 1735 Mission Street, San Francisco, California. The schedule is 16–40 hours per week, and at least one in-person clinical day per week is required. Pay is $39.82 per hour ($82,840.16 annually at 40 hours per week) for associate-level clinicians (AMFT, ACSW, APCC), or $50.18 per hour ($104,374.40 annually at 40 hours per week) for licensed clinicians (LMFT, LCSW, PsyD, LPCC).

Requirements

Graduate from an accredited school of social work or marriage and family therapy with a master’s degree, or from a school of psychology with a PsyD or PhD.
Hold a California LCSW, LMFT, or PsyD/PhD license, or be working toward licensure in one of these disciplines and registered with the appropriate board.
Clinical experience working in the eating disorder field.
Interest in and commitment to participating in a multidisciplinary team specializing in eating disorder treatment.
Cultural sensitivity and humility, with the ability to work with diverse people with eating disorders at varying levels of acuity.
Ability to maintain client boundaries given the ego-syntonic nature of eating disorders.
Strong proficiency with Microsoft Office applications, especially Word and Outlook, as well as internet applications, Zoom, computer technology, and phone use.
Experience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex communities; people with varying disabilities, racial, ethnic, and cultural backgrounds and economic statuses; people who do sex work; people experiencing homelessness; people facing mental illness or drug use; people with a history of incarceration; and people of varying ages.
Interest in and commitment to gender-affirming health care and health care access for underserved populations.

Nice To Haves

Bilingual Spanish/English fluency or fluency in another language.
EMDR training.
DBT training.
CBT training.
Familiarity with Epic.
At least two years of experience working in the eating disorder field.

Responsibilities

Evaluate, diagnose, and treat mental health and substance use disorders in individual sessions under the supervision of the Mental Health Director.
Maintain a therapy caseload of three scheduled patients per half-day session, focusing on clients in active eating disorder recovery or treatment, except for approved administrative time, meetings, and training.
De-escalate clients experiencing eating-disorder-related mental health emergencies or high emotional distress.
Facilitate eating disorder recovery group therapy focused on safety, consistency, socialization, coping skills, DBT/CBT, challenging food-related cognitive distortions and beliefs, and meal planning in collaboration with a dietitian.
Assess group dynamics and interrupt conversations when necessary to address statements that do not support eating disorder recovery.
Assess diet recalls and eating patterns for adequacy and concerns related to eating disorder presentations.
Use appropriate referral and collateral sources to support clients.
Provide clinical case management, including assistance accessing food-related benefits and programs, external support services, and higher levels of eating disorder care such as intensive outpatient, residential, or inpatient treatment.
Attend weekly mental health team meetings, weekly one-on-one supervision meetings with the Therapist Supervisor – EDO Specialist, monthly Collaborative Care meetings, and multidisciplinary eating disorder team meetings.
Maintain at least one in-person clinical day per week for clients without access to technology needed for phone or telehealth appointments.
Complete gender-affirming procedure assessments and timely letters of support for insurance and surgeon approval, as needed and mutually agreed upon.
Create eating disorder education and support resource handouts tailored especially to LGBTQIA+, BIPOC, disabled, and other marginalized communities.
Support development of eating disorder program policies, procedures, forms, and clinical guidelines, and participate in continuous quality improvement activities.
Co-facilitate meal groups with a dietitian and facilitate eating disorder groups.
Develop partnerships with external organizations and providers offering higher levels of eating disorder care.
Advocate for clients who experience homophobia, transphobia, fatphobia, racism, ableism, or other forms of discrimination during eating disorder treatment, internally or externally.
Meet applicable visit-volume and quality benchmarks, including an expectation of three scheduled visits per half-day except for approved administrative time, meetings, and training.
Complete surgery support letters within one month after assessment is complete.
Respond to inbox messages within 72 hours, address urgent messages the same day, and close visit notes the same day.
Contribute to ongoing problem and needs identification, problem solving, and quality improvement, and serve as a change champion or improvement leader when requested.
Perform other duties as assigned.