Licensed Professional Counselor (LPC) or Licensed Clinical Social Worker (LCSW)

Job Title:  Licensed Professional Counselor (LPC) or Licensed Clinical Social Worker

Department: Med Ops

Reports to: Practice Manager

Location:  With a mix of in-person and virtual care, this position requires travel between two (2) clinic locations on a weekly basis; Fair Oaks (IH-10 and Ralph Fair Road) and Schertz (IH-35 and Schertz Parkway).  You will not typically be traveling between locations on the same day.  

About Health by Design:

At Health by Design, we’re passionate about creating a world where everyone feels their best. Our holistic approach to wellness integrates innovative technology with personalized care, ensuring that each person we touch receives the support they need to thrive. With a focus on compassionate, evidence-based solutions, we’re not just transforming healthcare—we’re redesigning it from the ground up.

The Role:

The Behavioral Care Manager Clinician (BCM) is a key member of the Behavioral Health Collaborative Care team, is embedded in the Primary Care setting and will work with the Primary Care team and Psychiatric Consultant. The BCM will be responsible for supporting and coordinating the mental health care of patients including but not limited to individuals, couples, groups, and provide crisis intervention. They will counsel eligible patients who are experiencing depression, anxiety, addictions, substance abuse, PTSD, family, parenting, marital problems, stress management, self-esteem, and aging; to promote optimum mental and emotional health.

What You’ll Do:

Will support and coordinate the mental health care for retired San Antonio Police, Fire Fighters, other First Responders and their dependents including providing crisis intervention.  Will counsel eligible patients who are experiencing depression, anxiety, addictions, substance abuse, PTSD, family, parenting, marital problems, stress management, self-esteem, and aging; to promote optimum mental and emotional health. This is a patient population that is extremely rewarding to care for and appreciative; not to mention responsible when it comes to keeping their appointments!  Monday - Friday, 8:00am - 5:00pm.  

Completes comprehensive screening and assessment within program guidelines and formulates a diagnostic impression by conducting client and /family interviews and identifying strengths, weaknesses, problems, and needs for the development of a treatment plan.

Prepares individualized treatment plan, in accordance with established standards and deadlines, consistent with assessment and in conjunction with clients, to include goals, intervention, necessary support or referrals

Coordinates care with the patient’s medical provider and other mental health providers through weekly scheduled caseload consultations.

Consults monthly with the Psychiatric, and Collaborative Care team to include meetings with the PCP. Communicate treatment recommendations to the patient’s medical provider (PCP) where necessary.

Conducts individual counseling sessions using evidence-based treatment in accordance with treatment plan, or as necessary for crisis intervention; provides clients with feedback and support or encouragement to address behaviors and attitudes, or family, social or personal problems.

Provides patient education regarding common mental health and substance use disorders and available treatment options to enable patients to understand and accept responsibility for the recovery process and acquire necessary coping and behavior management skills.

Systematically track treatment response and monitor patients for changes in clinical symptoms, treatment side effects and complications

Consults with medical provider and the Psychiatric Consultant to facilitate treatment plan changes for patients who are not improving as expected, and who may need more intensive or more specialized mental health care

Tracks patients follow up and clinical outcomes using a registry.

Documents in the registry in-person and telephone encounters to identify and re-engage patients.

Maintains documentation in accordance with HIPAA, organizational regulatory accreditations, and contractual standards. This includes but is not limited to treatment plans, narrative progress notes, discharge summaries, treatment plan.

Review and maintain client’s records and charts in accordance with HIPPA, contractual standards, organizational accreditations.

Maintains regular communication verbally and in written form with insurance providers and others that are authorized to provide continuity of care

Facilitate referrals for clinically indicated services outside of the organization (e.g., social services, housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment).

Develops client discharge and relapse prevention plans which integrates aftercare treatment and the use of appropriate referral resources.

What You’ll Bring:

Education: Master’s Degree in Counseling or Clinical Psychology or a related field of study

Experience: Completion of degree and all post-degree supervision for licensure and at least two years of post-degree experience

Certificates, Licenses, Registrations:

Must be currently licensed in the state of Texas as a Licensed Professional Counselor (LPC) or a Licensed Clinical Social Worker (LCSW).

Must stay up to date and current on requirements to practice with license in the state of Texas.

Required Skills:

Thorough understanding of the 12-Step and Relapse models

Knowledge of Social Learning Theory, Cognitive Restructuring, Behavioral Therapy models and/or Therapeutic Community Model and working with different counseling styles

Experience in assessment and treatment of PTSD including CBT and exposure therapy

Working understanding of the unique needs/dynamics of the client population

Possess excellent writing skills

Willingness to work with a collaborative care team approach and to learn new skills pertaining to this treatment model

Ability to communicate effectively with treatment staff

Ability to collaborate with physicians and staff on individualized patient action plans

Understanding of the requirements of supervision, including meeting individual and program goals

Excellent organizational skills to track and coordinate collaborative care

Must be trained in Cardiopulmonary Resuscitation (CPR) and First Aid

Desired skills:

Prior experience of delivery of mental health treatment in the Primary Care setting or the Collaborative Care Model

Basic knowledge of psychopharmacology for common mental health disorders that is within appropriate scope of practice

Experience in Crisis intervention and/or Emergency psychiatry

Experience in delivery of trauma-informed care

Experience with elderly population

Physical Requirements:

While performing the duties of this job, the team member is regularly required to use hands to grasp, handle, or feel; talk; and hear

The team member is frequently required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, or crouch.

The team member may regularly lift and/or move up to 10 pounds, with occasional lifting of up to 25 pounds.

Why Join Us?

At Health by Design, you’ll be part of a dedicated team committed to making a difference. We offer a collaborative work environment where innovation is encouraged, and your contributions are valued. Competitive compensation, comprehensive benefits (including health insurance, vision, dental, generous PTO, etc.), and opportunities for professional growth are just the beginning. Join us and help shape the future of wellness.

How to Apply

Ready to make an impact? Come join our team!  Apply directly for immediate consideration. 

Health by Design is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.