In-home Therapy Clinician



Main office in Randolph. Offsite offices in Dorchester and Medford, Massachusetts.   Direct Care staff, based on the program they work in, are designated to regions. Travel for work at patient homes, school and within the community would be required.


The In-Home Clinician is responsible for providing community based services; working with both parent/ caregiver and children/ adolescents as a therapist to deliver services in the home and community working as a team with the In-Home Therapeutic Community Case Manager (paraprofessional) and overseeing patient’s treatment plan which direct services interventions. The In-Home Clinician also oversees the In-Home Therapeutic Community Case Manager paraprofessional, ongoing assessment, and integrates evidence based best practices methods and Dialectic Behavioral Therapy (DBT) Skills to stabilize family and care coordination and collaborate with other providers, deliver conflict resolution, using culturally linguistically competent patient-centered strength-based practices. Conducts risk management and safety planning.  This also includes coordination with School providers and State Agency Staff with patients consent – staff from the Department of Children and Families, Department of Developmental Services, Department of Mental Health, Department of Public Health, Department of Transitional Assistance, Department of Youth Services, the Commission for the Blind, Commission for the Deaf and Hard of Hearing and the Massachusetts Rehabilitation Commission. Cases are assigned within the Randolph, Dorchester and Medford areas and traveling to patients’ homes is required daily as part of duties.


Completes intake assessment, treatment plans, CANS medical necessity admission criteria, and enrollment packets for the patient to be enrolled into program services 

  • Must understand medical necessity and be able to diagnose and assess patients participating in program services
  • Must be able to utilize comprehensive, home-based behavioral health assessment inclusive of the CANS, with fidelity regarding process notes, treatment plans and assessments and discharge plan and progress note in accordance to a policy that meets the professional standards and timeframe and interdisciplinary and/or care review meetings for a plan of care
  • Completes all documentation needed and develops clearly defined interventions and measurable goals and outcomes that are consistent by a policy that meets the professional standards,
  • Conducts home visits to enroll patients into the program and for quality assurance compliance as needed.
  • Collaboration with care coordinator via collard contact (via phone, attendance at IEP meetings, hospital discharge meetings, Care Planning Team (CPT) meetings for youth enrolled in ICC services)
  • Refers patients when needed to other programs Services for  Psychological and Neuropsychological Testing,  Medication Management, In-Home Therapy Program (IHT)/ Family  Stabilization Team ( FST), Community Support Program (CSP), Dialectical Behavioral Therapy (DBT) Applied Behavioral Analysis (ABA).
  • Creativity and willingness to engage clients in treatment using non-traditional methods (understand the collaborative treatment of traumatized children and teens, multi-systemic therapy, or wrap around services).
  • Monitors patient’s progress on the implementation of the goals of the treatment plan developed by the patient and family, clinical team and supervisor.
  • Provides direct client care in 1:1 utilizing a combination of intensive teaching and natural environment training arrangements.
  • Identifies community resources and development of natural support options for patient  and parent/guardian/caregiver.
  • Direct time with providers (e.g., attendance at IEP meetings, hospital discharge meetings, Care Planning Team (CPT) meetings
  • Provides referrals and linkage to appropriate supports and services.
  • Provides coaching in support of decision-making in both crisis and non-crisis situations.
  • Connect to natural supports and build skills and work on caregiver goals for patient and parent/guardian/caregiver.
  • Ability to provide behavioral plan intervention and emotional response via telehealth
  • Coaching in support of decision-making in both crisis and non-crisis situations
  • Will be trained in DBT (Dialectical Behavior Therapy) treatment methods
  • Will provide individual case load of billable hours weekly 32 or more
  • Progress Notes Match Productivity Reports submitted on the 1st & 15th monthly as time sheet for billable hours
  • Completes Specialty Programs documentation progress notes within 24 hours and uploads to patient file cabinet in EMR
  • Verifies patients after appointment or services in EMR


  • Ability to communicate effectively in a community-based environment
  • Must be highly motivated and self-directed
  • Ability to work independently and as part of a team
  • Must possess knowledge of child development; including physical, mental, emotional
  • Must have Clinical and Psychiatric Expertise; must have Cultural and Linguistic Competence;
  • Must be computer literate; attention to detail and organizational skills are critical
  • Strong analytical skills and interpersonal skills willing to work directly with patients and clients
  • Excellent time management and organizational skills


  • Fee for services – $25 to $37 per hour depending on licensure and experience
  • Supervision provided by the clinical supervisor
  • Paid Federal holidays
  • Gas reimbursement
  • QSEHRA Health Reimbursement Plan, eligibility at 90 days of full-time employment (32 Hours a week)
  • Paid Federal Holidays
  • Paid Time Off; accrual based, eligible at 120th day of full-time employment (32 Hours a week)
    • 5 (40 Hours) Sick Days
    • 2 Personal Days
    • 5 (40 Hours) Vacation Days
  • 401k available.
  • Flexible Schedule
    • Must be willing to be on call weekdays and weekends over phone
    • Must be willing to work late afternoons and evenings, until 8:15pm 1-3 times a week.
  • Educational Stipends with partnering colleges available
  • Offers to select staff HB1 Visa sponsorship after 1 year internship and 365 day of employment after internship with excellent work history and evaluation.


Location: Randolph, Medford, Dorchester, MA

Job Type: Full-time

Program: Outpatient

Department: Direct Care Programs

Age group:


This position requires a Masters degree in a Mental Health related field. Must have over two years experience with adults, children, and families or with mentally ill populations, urban youth and crisis management, including training in family therapy, children play therapy Applied Behavior Analysis (ABA) or Substance abuse and Dialectical behavior therapy (DBT).

Must be license eligible and preferred clinicians have the following minimum qualifications & education:

  1. Psychologists
  1. Licensed Independent Clinical Social Workers (LICSW or LCSW)
  • Master’s degree or higher in social work from an accredited college or university
  1. Licensed Mental Health Counselors (LMHC)
  • Master’s degree in the mental health field (including, but not restricted to, counseling, family therapy, psychology, etc.) from an accredited college or university
  1. Licensed Marriage and Family Therapists (LMFT)
  • Master’s degree in the mental health field (including, but not restricted to, counseling, family therapy, psychology, etc.) from an accredited college or university

Candidate must be currently licensed or license eligible in the State of Massachusetts.

Must be Culturally and Linguistically competent, bilingual a plus; Haitian Creole, Portuguese Creole, Spanish, Cantonese, or Vietnamese.

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