Continuity of Care (LPC, LMFT, LCSW)

Job Number: 21-801-11321

Job Summary: Continuity of Care Navigators perform moderately complex coordination work, provide preliminary assessment of a client's presenting psychiatric and/or co-occurring disorder(s), develop a plan to provide linkage to services sought or needed by the client, and to coordinate appropriate services to facilitate each client's success in achieving and maintaining the maximum possible level of independent functioning.  This position is community-based and provides short term services to both with both adolescent and adult clients admitted to/discharged from the local network private psychiatric hospitals in Travis County. The services provided will focus on linkage to resources and aftercare, decreasing re hospitalization and ensuring that contractual obligations pertaining to continuity of care are being met. 

This position serves individuals diagnosed with severe mental illnesses who may also have co-occurring substance use disorders and/or chronic health conditions utilizing a recovery based and trauma-informed perspective.  The services that Continuity of Care Navigators provide require frequent coordination with external and internal providers is necessary to support individuals in achieving independent functioning.  Continuity of Care Navigators provide coordination and discharge planning to assure that the individual is discharged to the least restrictive environment.  Services may include coordination to assist the client in obtaining or maintaining employment, housing, medical care, dental care, food, clothing, utilities, financial assistance, transportation, legal assistance, or any other basic human need.

This position will assist with community based follow up services in order to meet DSRIP and CCBHC requirements.  This position works under the supervision of the LPHA Supervisor who provides ongoing evaluation and oversight of all assessments, crisis intervention, caseloads and client coordination. This position may have additional duties associated with providing bilingual communication services and requires the completion of a language competency test. Interventions and services are typically provided in the community and require the use of a personal automobile and cell phone.  This position requires work availability for holidays and weekends on a rotational basis.

Knowledge, Skills and Abilities:

  • An employee in this position must possess knowledge of severe and persistent mental illnesses and commonly co-occurring disorders and case management/service coordination principles.
  • An employee in this position must effectively communicate their clinical impressions, assess the strengths and functional impairments of those they serve and collaborate with racially and culturally diverse individuals to achieve their goals. 
  • An employee in this position must collaborate professionally with an interdisciplinary treatment team and be adaptable to a wide variety of service environments and rapidly evolving clinical circumstances. 
  • An employee in this position must possess a beginning knowledge of the principles of psychiatric crisis intervention and be prepared to interact with emergency medical and psychiatric service providers to ensure the safety of Integral Care staff and clients.
  • An employee in this position must possess computer skills necessary to document work performed and demonstrate the ability to work efficiently to complete all assessments and documentation in a timely manner. 
  • LPHAs prioritize self-care and seek assistance to manage secondary traumatic stress and counter-transferential effects that may result from service provision with vulnerable populations.

Area Specific Duties and Skills

  • Travel to meetings and training is required.
  • May be required to accompany individuals receiving services in personal or company vehicle dependent upon unit protocols.
  • To meet compliance with Medicaid Administrative Claiming policies, is involved in program planning, policy development and interagency coordination of Medicaid and non-Medicaid service programs. Thus, the position may participate in Time Studies as appropriate.



  • Graduated from an accredited college or university with a Master's degree with a major specialization in Human/Behavioral/Social Services or related field.



  • Current and valid driver's license and a clean driving record.
  • Licensed Practitioner of the Healing Arts (LPHA), LPC, LCSW, Licensed Psychologist, or LMFT.


Preferred but not required:

  • Bilingual in English and Spanish
  • Experience as a supervisor
  • Experience in child welfare

Full-Time; Monday-Friday, 9:00 am - 5:00 pm with flexibility.  

Salary: $55,602 - $63,616 annually, depending on licensed experience.

Sign-on incentive: Integral Care looking to grow our teams with talented and caring people just like you. Currently, we are offering a $2,000 sign-on incentive for all newly hired employees! All newly hired employees will receive $1,000 on their first paycheck and $1,000 on the paycheck following their six-month anniversary.

Why join us: Integral Care has proudly served Travis County residents for the past 50 years. As the largest provider of behavioral health services in Travis County, we are dedicated to improving the lives of adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities. 

By joining our team, you will find rewarding work every day alongside people who have as much compassion as you. Join us and together we can help improve the quality of life for the people we serve. Imagine your career at Integral Care!

Employee Benefits: 

  • Medical, Dental and Vision insurance

  • Generous vacation/holiday/sick leave 

  • Life and Short-term/Long-term Disability Insurance

  • Employee Assistance Program (EAP)

  • 403(b) retirement account

  • 401(a) employer contribution retirement account

  • Gold's gym membership discount

  • Mileage reimbursement

Integral Care strives to maintain a diverse workforce. We encourage all to apply, including those who have knowledge and/or experience working with underserved populations, including Asian and Pacific Islander, Black/African American, Hispanic/Latino, and LGBTQA communities.

All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, national origin, sexual orientation, gender identity, disability, veteran status, sex or age.

For specific positions, additional compensation may be available to those who are bilingual in both English and one of the following languages:  Spanish, Chinese, Vietnamese, Korean, or Burmese. (PM16)

LPHA Keywords: Mental Health Therapist, Mental Health Counselor, Licensed Professional Counselor, LPC, Licensed Clinical Social Worker, LCSW, Licensed Marriage and Family Therapist, LMFT, Behavioral Health Therapist, Psychotherapist, Senior Clinician, Licensed Clinician, Clinical Mental Health Professional, Program Therapist, LPHA, Licensed Practitioner of the Healing Arts, Licensed Practitioner, Therapist, Counselor

QMHP Keywords: Qualified Mental Health Professional, QMHP, Case Manager, Rehabilitation Specialist, Service Coordinator, Mental Health Professional, Mental Health Specialist, Social Worker

LCDC Keywords: Counselor, LCDC Counselor, LCDC Intern, Counselor Intern, Licensed Chemical Dependency Counselor, Substance Abuse Counselor, Direct Care Staff, Caseworker