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House Calls Behavioral Health Specialist

United States, Philadelphia Employment contract 60522.00 - 129615.00 USD / Year · Job Posted August 28, 2025
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Job Description

The House Calls Behavioral Health Specialist is a key resource for the At-Home Care Teams. The At-Home Care Teams deliver high-touch, high-quality primary care to our Oak Street Health's highest risk patients. In this role, the LCSW will coordinate, support and perform community based, behavioral healthcare for these patients and will be a key contributor and collaborator within the care team to support care coordination and all other needs.

Job Responsibility

  • Collaborate with OSH At-Home providers and Psychiatric Consult to identify and intervene with patients with psychosocial, community resource, and/or behavioral health needs
  • Function as the behavioral health and community resource expert on the OSH At-Home care team
  • Facilitate goals of care and advance care planning discussions with patients and families
  • Manage referrals for patients requiring specialized services through resource connections
  • Actively manage the shared BH registry to track individual patient progress
  • Prepare and attend weekly registry review sessions with Psychiatric consult
  • Screen and assess patients for common mental health and substance use disorders
  • Develop care plans and facilitate referrals to external resources
  • Provide short-term counseling and evidence-based treatments within the Collaborative Care Model
  • Accurate and timely documentation of patient encounters

Requirements

  • LCSW (Licensed Clinical Social Worker) license
  • Comfort and ability to work in a variety of environments, including patients' homes
  • Demonstrated ability to collaborate effectively in a team setting
  • Comfort supporting patients who are facing significant health, psychosocial and/or mental health issues
  • Experience with performing comprehensive biopsychosocial health, mental health and substance abuse disorder assessments
  • Experience with assessment and treatment planning for those with common mental health and/or substance use disorders and complex psychosocial needs
  • Working knowledge of differential diagnosis and psychosocial treatments of common mental health and/or substance use disorders
  • Familiarity with brief, structured intervention techniques (e.g., Motivational Interviewing, Behavioral Activation)
  • Proficient PC skills
  • US work authorization

Nice to have

  • Someone who embodies being 'Oaky' (Radiating positive energy
  • Assuming good intentions
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and delivering results)

What we offer

  • Paid vacation and sick time
  • Generous 401K match with immediate vesting
  • Health benefits
  • Affordable medical plan options
  • Employee stock purchase plan
  • No-cost wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling
  • Financial coaching
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

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