Demo

Community Embedded Social Worker II for ACT Program

Brattleboro Retreat
Brattleboro, VT Full Time
POSTED ON 10/18/2025
AVAILABLE BEFORE 12/18/2025

Job Summary: The community embedded social worker provides clinical services/counseling, screening, and case management services to patients/clients/participants in one or more specific embedded community setting (distinct jobs in which services are provided at primary care or specialty medical practice offices; or working with persons who are unhoused; or working to provide team-based care to a specific population or setting) as an independently licensed practitioner. This work is typically as a part of an interdisciplinary team that could include medical providers (doctors, nurses, etc.), case managers, peer support services, housing advocates, and/or others. The work is often fast paced, and involves on-the-fly pivots according to the needs of the team, and the clients served.


QUALIFICATIONS:

  • Bachelor’s degree in social work or other behavioral health discipline required. Master’s degree in clinical social work preferred
  • Substance use counseling experience and expertise required. CDAC, LACD, or comparable certification in the state of Vermont is required.
  • If unlicensed, must be willing to work toward licensure.
  • Knowledge of and experience with population being served
  • Possession of a valid driver’s license and access to a private vehicle for day-to-day job performance.
  • Working knowledge of computer skills

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Core Competencies


Engagement, Screening, and Assessment


Assesses patients comprehensively, according to needs of embedded team and agency needs; Clinicians should be proficient in diagnosis, formulation, risk assessment, level of care assessment, identifying strengths and areas of ongoing challenges, etc.


Assesses patient/client/participant’s social and family structure in context of patient/client/participant’s presenting problems


Assesses and plans for the patient/client/participant’s aftercare needs


Conceptualizes patients and systems in their social context, taking into account systems stressors as well as intra- and interpersonal problems and strengths


Demonstrates understanding of addiction and recovery, including as it relates to screening, assessment, engagement, clinical interventions and approaches, and ASAM criteria for referrals and placement


Synthesizes and conveys relevant information, include clinical and case formulations, orally and in writing.


Formulates understandings of case material, using all data available as well as understanding of interplay

between stressors and vulnerabilities and presenting problems.


Understands best practices for assessment and treatment of clients with diverse backgrounds and cultural experiences, including intersectionality and the impacts of systemic oppression and marginalization


Assesses and diagnoses patients, using DSM 5 criteria, consulting with team members as necessary


Demonstrates the ability to form a therapeutic relationship with the patient/client/participant and families.


Contacts the patient/client/participant’s providers and referral sources to obtain collateral information for assessment, and to coordinate treatment


Uses standardized assessment and screening tools as necessary, including for depression, anxiety, substance use, and suicide and violence risk


Must be able to use in-person, telephonic, and two-way video telehealth to engage client as needed


Treatment


Demonstrates the ability to provide direct clinical care to patients in order to promote change according to

the patient/client/participant’s treatment plan.


Individual Psychotherapy: In a manner appropriate to the setting and frame, meets with patient/client/participant in a therapeutic relationship to address clinical and psychosocial issues relevant to the patient/client/participant’s diagnosis and presenting problems, and promotes change according to treatment goals.


Family work/family therapy: Engages therapeutically with client family and systems to further client’s treatment and progress toward goals, indicated


Supportive therapy: Meets with patient/client/participant as necessary to provide support and resolve specific task-oriented problems that may have an impact on treatment.


Group therapy: Meets with patients in psychoeducational or psychotherapeutic group sessions to promote,

through the group process, individual growth according to treatment goals.


Demonstrates the ability to integrate theoretical knowledge of clinical practice, group dynamics and individualized biopsychosocial assessment effectively and ethically in treatment.


Attends and participates in treatment planning/ team planning sessions of assigned patients on a regular basis. Reports

consistently to the treatment team with regard to assessments and the content and focus of therapy.


Documents all interactions with patient/client/participant(s) in progress notes in the electronic medical record.

Documentation will adhere to any policies of embedded agency, as well as Retreat policies where appropriate.


Maintains contact with referral sources and involved community agencies according to the aftercare needs of the patient/client/participant, using professional judgement and according to the patient/client/participant’s treatment plan, as coordinated with other treatment team members.


Demonstrates an understanding of evidence-based practices for the populations served, and maintains competency in these areas.


Engages actively with community support systems, health care and human service resources, courts and

police, etc., to coordinate care and treatment, when appropriate


Professionalism and Team Engagement


Demonstrates strong interpersonal skills and the ability to work within a multidisciplinary team.


Maintains effective working relationships with program staff as indicated by direct observation of

supervisor


Supports program policies and priorities relating to patient/client/participant care, workflow, and productivity


Demonstrates good organizational and time management skills and ability to work in a fast-paced setting.


Adheres to the Brattleboro Retreat’s code of ethics, standards for service delivery, policies and procedures

as well as the State of Vermont mental health code.


Demonstrates adherence to professional standards and values according to NASW Code of Ethics or other applicable professional Codes of Ethics to assure the provision of ethical care.


Represents the Retreat professionally in all interactions will providers and community members

Salary.com Estimation for Community Embedded Social Worker II for ACT Program in Brattleboro, VT
$59,924 to $78,680
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