Behavioral Health Clinician - Family Medicine

Behavioral Health Clinician

Family Medicine • Primary Care

About the Role

Are you a clinical social worker who wants to practice behavioral health the way it works best - side by side with the primary care team, not in a separate building down the street? Thundermist Health Center is looking for a Behavioral Health Clinician to embed directly within our Family Medicine practice. You’ll respond to warm hand-offs, conduct same-day behavioral health consultations, deliver evidence-based brief interventions, and carry a therapy caseload - all as a core member of the primary care team. Your patients are diverse, largely medically underserved, and many are managing mental health, substance use, and medical conditions simultaneously. No after-hours call, no hospital coverage - just meaningful, integrated clinical work in a community that needs you.

What You’ll Do

Clinical Assessment & Treatment

Respond to warm hand-offs from primary care providers for same-day behavioral health consultations, brief interventions, and triage

Conduct behavioral health assessments including biopsychosocial evaluation, risk assessment, and substance use screening

Deliver evidence-based brief and short-term interventions (CBT, DBT, Motivational Interviewing, Problem-Solving Therapy, trauma-informed approaches)

Provide longer-term individual, group, couples, and family therapy for assigned patients as clinically appropriate

Assess clinical emergencies including suicide risk and risk of harm to others; determine appropriate levels of care

Develop, review, and deliver individualized care plans designed to improve patient health outcomes

Integrated Care & Team Collaboration

Serve as a core member of the Family Medicine primary care team alongside physicians, APPs, nurses, MAs, care managers, and psychiatric providers

Support universal behavioral health screening workflows (PHQ-9, GAD-7, SBIRT, perinatal mental health screening)

Provide curbside consultation to PCPs on behavioral health presentations, risk assessment, and intervention planning

Participate in team huddles, case conferences, and complex care rounds with the Family Medicine team

Partner with psychiatric providers (PMHNPs/psychiatrists) on patients requiring medication management alongside therapy

Partner with care management for high-risk, complex, and high-utilizer patients

Documentation & Compliance

Complete same-day documentation in the EHR (eClinicalWorks) including progress notes, treatment plans, screening tools, and encounter forms

Ensure compliance with HIPAA, 42 CFR Part 2 (SUD confidentiality), Rhode Island LCSW/LICSW scope of practice, and HRSA/FQHC requirements

Support HRSA UDS reporting for behavioral health measures (depression screening and follow-up, SBIRT, tobacco cessation counseling)

What We’re Looking For

You’re a clinician who can shift from a 20-minute warm hand-off to a structured therapy session to a crisis assessment without missing a beat. You’re comfortable in a medical setting, value working as part of a team, and bring both clinical skill and genuine compassion to every encounter.

Master’s degree in Social Work (MSW) from a CSWE-accredited program

Rhode Island LCSW licensure (or scheduled to sit for the exam); LICSW accepted and preferred

Experience working on a multidisciplinary team in a medical environment

Working knowledge of DSM-5-TR/ICD-10, mental status examinations, and evidence-based treatment planning

Demonstrated ability to assess clinical emergencies including suicide risk and determine appropriate levels of care

Working knowledge of HIPAA and 42 CFR Part 2 (SUD confidentiality)

Preferred:

LICSW licensure in Rhode Island strongly preferred

Prior experience in an FQHC, community health center, or safety-net primary care behavioral health setting

Experience with integrated behavioral health / PCBH model including warm hand-offs and brief interventions

Training in SBIRT and universal screening tools (PHQ-9, GAD-7, AUDIT)

Experience with perinatal mental health, trauma-informed care, or MAT/SUD support

Bilingual (Spanish/English or Portuguese/English) strongly preferred

Schedule & Location

Full-time (40 hours/week), benefit-eligible, embedded within a Thundermist Family Medicine practice. Monday through Friday during clinic hours, with some evening sessions to support patient access. Visits are primarily in-person with telehealth available as clinically appropriate. No after-hours call or hospital coverage.

Benefits at Thundermist Health Center

Full-Time Employees Working 40+ Hours/Week

Health, Dental, and Vision Insurance

Life Insurance ($75,000) and Long-Term Disability - at no cost

Flexible Spending Accounts (Health FSA up to $3,300 / Dependent Care FSA up to $5,000)

Retirement Plan with 1:1 employer match up to 4%

Critical Illness, Accident Insurance, and Hospital Indemnity

Wellness Reimbursement up to $200/year

PTO starting at 22 days, increasing with tenure, plus 6 paid holidays

Work Environment

Onsite, embedded within a Thundermist Family Medicine primary care practice

Primarily in-person with telehealth sessions as clinically appropriate

Moderate physical activity: walking, standing, stooping, and occasional lifting

Potential exposure to blood-borne pathogens, respiratory disease, infectious diseases, and other biohazardous materials requiring universal standard precautions

Our Values

Everything we do at Thundermist is guided by five core values: Integrity, Innovation, Excellence, Community, and Caring. If those resonate with you, you’ll feel at home here.

Ready to join a team that truly cares?

Apply today.

Thundermist Health Center is an equal opportunity employer. We prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.