Work ShiftsHours per Week: 359:00 A.M - 5:00 P.MSchedule: Monday - FridayDuties & ResponsibilitiesSUMMARY OF ESSENTIAL DUTIES AND RESPONSIBILITIES:
The Associate Director, Housing for Health (HfH) Clinical Assessments (LCSW) will provide clinical assessment, consultation, and operational support across HfH programs, including medical respite, housing navigation, and supportive housing initiatives such as Project ASAP. The Associate Director will work with hospital and ambulatory clinical teams, HfH staff, community-based organizations, housing providers, and city agencies to assess patient needs, identify appropriate housing pathways, support clinical documentation, and facilitate transitions to housing.
The Clinical Assessor conducts assessments and clinical reviews for patients with complex medical, behavioral health, and social needs; provides clinical guidance regarding housing options and levels of care; prepares Mental Health Reports (MHRs) for supportive housing applications; and contributes to training, technical assistance, quality improvement, and workflow development to strengthen access to appropriate housing and clinical services.
General tasks and responsibilities will include:
Clinical Assessment
- Conduct clinical reviews of medical respite and HfH housing navigation referrals, assessing clinical needs, level of care, housing options, prioritization, and required medical, behavioral health, and social supports.
- Conduct on-demand clinical assessments and prepare Mental Health Reports (MHRs) and other clinical documentation required for supportive housing applications.
- Recommend appropriate housing pathways and individualized supports based on the patient's clinical, functional, behavioral health, and social needs.
- Identify clinical risks, gaps in care, and barriers to housing placement; coordinate with various NYC H+H facility-based care teams and escalate complex cases to various NYC Housing for Health team members, as appropriate.
- Support safe transitions to medical respite, housing, and other community-based services through care coordination, warm handoffs, and individualized transition plans.
Consultation - Provide clinical consultation to NYC H+H social workers, behavioral health providers, care managers, and other clinical staff regarding MHRs, supportive housing applications, clinical documentation, and housing pathways.
- Provide case-based guidance, training, and technical assistance to NYC H+H providers, HfH vendors, community-based organizations, and housing partners.
- Collaborate with Human Resources Administration and other city, state, and community partners to address clinical documentation, eligibility, referral, and housing placement issues.
- Support complex case escalations and provide clinical guidance to promote continuity of care and appropriate supports following housing placement.
Operational Support
- Support quality improvement activities related to clinical assessment quality, referral processes, housing placement, residential stability, and patient outcomes.
- Identify trends, documentation gaps, and workflow issues and contribute to practical solutions and process improvements.
- Support program data tracking, reporting, and monitoring of key metrics and outcomes.
- Participate in meetings, case conferences, workgroups, and other forums related to housing, clinical operations, and care coordination.
- Maintain current knowledge of supportive housing, homelessness, behavioral health, medical respite, housing navigation, and relevant program requirements.
Minimum Qualifications1. Possession of a valid license and current registration to practice in a mental health discipline issued by the New York State Education Department (NYSED); and
2. Three (3) years of progressively responsible experience in a health care setting or regulatory agency administration, with an emphasis on development and evaluation of mental health delivery services; one (1) year of which must have been in an administrative, managerial or supervisory capacity.
Department PreferencesAt least 6 years of satisfactory, full-time experience in clinical social work, including at least 2 years of experience working with patients experiencing homelessness in a clinical or programmatic context.
Experience in supportive housing, homelessness services, medical respite, housing navigation, behavioral health, or related services preferred
Clinical Knowledge and Expertise
- Advanced clinical social work assessment and care planning skills for individuals with complex medical, behavioral health, and social needs.
- Knowledge of homelessness, supportive housing, medical respite, housing navigation, behavioral health, and community-based services.
- Knowledge of supportive housing application processes, including MHRs and related clinical documentation.
- Knowledge of care transitions, discharge planning, and coordination of services for complex populations.
- Understanding of social determinants of health, health equity, and trauma-informed care.
Consultation and Collaboration
- Ability to provide clinical consultation and technical assistance to multidisciplinary providers regarding supportive housing applications, MHRs, clinical documentation, and housing pathways.
- Ability to collaborate effectively with NYC H+H providers, HRA, housing providers, community-based organizations, and other partners.
- Strong written, verbal, interpersonal, and presentation skills.
Quality Improvement and Operations
- Ability to identify clinical and operational gaps, analyze trends, and contribute to workflow and quality improvement initiatives.
- Ability to support data tracking, reporting, and performance improvement activities.
- Strong organizational skills and ability to manage multiple priorities independently.
Professional Judgment
- Demonstrates sound clinical judgment, initiative, analytical and problem-solving skills.
- Ability to work effectively across disciplines and with diverse stakeholders.
- Ability to apply trauma-informed and equity-based approaches when working with patients experiencing homelessness.
BenefitsNYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
- Retirement Savings and Pension Plans
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- Loan Forgiveness Programs for eligible employees
- College tuition discounts and professional development opportunities
- College Savings Program
- Union Benefits for eligible titles
- Multiple employee discounts programs
- Commuter Benefits Programs
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