Residential Therapist/LPHA - WRA-Elms/San Mateo County

Job Overview

Elms House, a residential substance use recovery program for female identified clients, is currently looking to hire a full-time Residential Therapist/LPHA who is currently registered (or licensed) AMFT/ACSW/APCCs and completing hours towards becoming Licensed MFT/CSW/PCCs.  The Elms House program is committed to working with underserved communities from a variety of backgrounds. We strive to meet the needs of individual adults and youth struggling with mental health issues, substance use disorders, and dual diagnoses.  We proudly serve lesbian, gay, bisexual, transgender, and gender nonconforming individuals.  We happily accept clients from The BHRS ACCESS Call Center who have Medi-Cal in San Mateo County.

Utilizing a gender responsive, trauma informed approach, therapists have clinical responsibilities and LPHA (Licensed Practitioner of the Healing Arts) assessment responsibilities. This position will have the ability to carry a caseload of individual clients in in the residential substance use disorder program.  As a therapist, this person will provide individual and group therapy/counseling, collaborate with other providers both internal and external to HR360 to assist clients in completing their treatment plan goals and participate in discharge planning. In addition, this individual will provide crisis management as needed and handle all necessary follow-up.  As LPHA, this person will administer intake and admission assessments, create comprehensive treatment plans, sign off on treatment plans and other required drug Medical documentation. The expected weekly productivity rate of this position is 60% which is 24 direct client hours.

Key Responsibilities

Individual Treatment Responsibilities: Provides weekly individual therapy and counseling to clients in the residential treatment facility. Maintains confidentiality while working as part of a treatment team and adhering with program norms. Participates in case conferences, treatment planning and clinical discussions to provide holistic care. Communicates with prescribing psychiatrists regarding psychotropic medication compliance, side effects, and follow up appointments. Coordinate discharge planning in collaboration with the rest of the treatment team. Participate in the development of treatment plans and assessments and complete all assigned documentation in a timely manner.

Treatment Setting Responsibilities: Facilitates evidence-based psycho-education groups on a variety of core curriculum topics including CBT, Seeking Safety, DBT, Grief and Loss, etc. Coordinates discharge planning with client’s Care Coordinator. Provides consultation to staff regarding symptom management, mental health conditions and crisis intervention strategies.  Attends individual and group supervision, attends staff and agency meetings. Participates in agency trainings as required. Complies with Board requirements for license registration/renewal.

Participate in the on-call therapist rotation.

Documentation Responsibilities: Daily maintenance of monitoring of EMR report, to prevent and clear any compliance errors in records. Conducts assessments, develops treatment plans, completes release and consent forms, and other required documentation in various electronic systems. In addition, completes Managed-care, MediCal and Drug MediCal documentation and billing requirements. Documents individual and group services delivered in various electronic systems in accordance with guidelines established by HealthRIGHT 360 to satisfy internal and external evaluating requirements.

Education and Knowledge, Skills and Abilities

Education and Experience Required:

  • Licensed or Board Registered MFT or AMFT, LCSW or ASW, LPCC or APCC.
  • Minimum two years of experience in dual diagnosis substance abuse treatment in an inpatient or outpatient community mental health setting.

Desired: Bilingual


Background Clearance Required:

  • Ability to obtain and maintain background clearance with DOJ and FBI.

Knowledge Required:

  • Culturally responsive and able to work with a diverse population.
  • Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications.
  • Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency.


  • Knowledge and experience with DBT, CBT, MI, assessment tools, and trauma based treatment highly desirable

Skills and Abilities Required:

  • Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data.
  • Professionalism, punctuality, flexibility and reliability are imperative.
  • Excellent verbal, written, and interpersonal skills.
  • Integrity to handle sensitive information in a confidential manner.
  • Action oriented.
  • Strong problem-solving skills.
  • Excellent organization skills and ability to multitask and juggle multiple priorities.
  • Outstanding ability to follow-through with tasks.
  • Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility.
  • Strong initiative and enthusiasm and willingness to pitch in whenever needed.
  • Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations.
  • Able to work within a frequently changing project scope while maintaining overall direction and structured priorities.


  • Knowledge of trauma, co-occurring disorders and substance abuse treatment.
  • Knowledge of Clinical documentation (treatment plans, progress notes etc.).
  • Experience working with criminal justice population.
Compensation: $60,000.00-$61,200.00
Type: Salary/ Exempt
Benefits: HealthRIGHT 360 offers a competative benefits package.
City: San Mateo, CA
Hours/wk: 40

Job Location