Therapist (Licensed or Associate)

Lyon-Martin Community Health Services•San Francisco, CA
•Hybrid

About The Position

Lyon-Martin Community Health Services seeks a licensed or associate Therapist to provide clinically appropriate outpatient mental health and co-occurring substance use disorder services. The role primarily provides psychotherapy and may also include crisis intervention, brief behavioral interventions, psychosocial assessments for gender-affirming surgery, group psychotherapy, referrals, and clinical case management. Therapists are expected to bring experience and commitment to LGBTQIA+ community health care, maintain professional and ethical standards, and collaborate as part of an integrated health care team. The position is based at Lyon-Martin Community Health Services, 1735 Mission Street, San Francisco, California. Depending on FTE, the role is 40%–100% in person and may require some evening work. The position reports to the Mental Health Director. Hours are 4–40 per week. Pay is $38.82 per hour ($80,760.16 annually at 40 hours per week) for associates (AMFT, ACSW, APCC) and $49.18 per hour ($102,294.40 annually at 40 hours per week) for licensed therapists (LMFT, LCSW, PsyD, LPCC). Certified bilingual employees in Spanish, Chinese, or Tagalog receive a $1-per-working-hour differential. Employees regularly scheduled for 16 or more hours per week are eligible for full benefits. The organization’s mission is to provide compassionate, trauma-informed medical, gynecological, and mental health care to trans, non-binary, gender non-conforming, and intersex communities and cisgender women, with sensitivity to sexual orientation, disability, size, race, ethnicity, and language, regardless of immigration status or ability to pay. Its approach centers anti-racism, self-determination, harm reduction, reproductive and disability justice, community outreach, engagement, leadership development, provider education, and policy advocacy.

Requirements

  • Graduation with a master's degree from an accredited school of social work, marriage and family therapy, or licensed professional clinical counseling, or a PsyD. or PhD. from a school of psychology.
  • Associate therapists must be licensed in California as an ASW, AMFT, or RPA.
  • Licensed therapists must hold a California license as an LCSW, LMFT, LPCC, or Psychologist.
  • Demonstrated experience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex communities.
  • Cultural sensitivity and humility, and the ability to work with a diverse population.
  • Experience working with people with varying disabilities and racial, ethnic, cultural, and economic backgrounds.
  • Experience working with people who do sex work; people experiencing homelessness; people with mental illness and/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.
  • Strong proficiency with Microsoft Office applications, especially Word, Outlook, internet applications, Zoom, computer technology, and phone use.
  • Ability to maintain professional and ethical standards, confidentiality, and appropriate client boundaries.
  • Ability to collaborate effectively with colleagues and supervisors, communicate clearly, meet deadlines, and respond to requests for assistance.

Nice To Haves

  • Bilingual Spanish/English fluency; other bilingual or multilingual fluency.
  • EMDR training.
  • DBT training.
  • CBT training.

Responsibilities

  • Under the supervision of the Mental Health Director, evaluate, diagnose, and treat mental health and substance use disorders in individual client sessions.
  • Provide clinically appropriate outpatient mental health and co-occurring substance use disorder services, primarily psychotherapy.
  • Complete gender-affirming procedure assessments and write letters of support for insurance and surgeon approval in a timely manner.
  • De-escalate clients experiencing mental health emergencies or high emotional distress.
  • Facilitate group therapy to foster safety, consistency, and socialization.
  • Use appropriate referral and collateral sources to support clients.
  • Maintain appropriate boundaries with clients, including when experiencing countertransference.
  • Provide some clinical case management, including assistance accessing benefits or support services.
  • Attend weekly mental health team meetings, weekly individual supervision meetings with the Mental Health Director, and monthly Collaborative Care meetings.
  • Reserve one appointment per week for gender-affirming letter assessments and facilitate one group per week.
  • Meet assigned benchmarks for visit numbers and quality indicators; the stated expectation is three scheduled visits per half day.
  • Complete surgery support letters within one month after the assessment is complete.
  • Respond to in-basket messages and close visit notes within 72 hours.
  • Contribute to ongoing quality improvement through problem and needs identification and problem solving, and, when requested, champion change and lead improvement activities.
  • Pitch in as needed and perform other duties as assigned.

Benefits

  • Employees regularly scheduled for 16 or more hours per week are eligible for full benefits.
  • A $1-per-working-hour language differential is available to employees certified bilingual in Spanish, Chinese, or Tagalog.
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