Brattleboro Retreat jobs in Brattleboro, VT - 29 jobs

Job Summary: Under the general guidance of the Patient Access Services Manager and Revenue Cycle Director, the PAS Representative performs financial screening and admission functions necessary to assist patients to access services at Brattleboro Retreat and ensure funding is obtained for all services. The PAS Representative provides excellence in customer service to the Retreat patients and referral agencies, and represents the Retreat in our objectives to respect the patients, families, and communities we serve. Interact with Retreat departments such as Utilization Review, Referral & Evaluation Services, and Patient Financial Services to ensure correct and timely reimbursement. QUALIFICATIONS: * Associate Degree or above in a related health care field is preferred. High School diploma or equivalent (GED) is required. Strong and relevant customer service backgrounds will also be considered. * A minimum of three (3) years previous admission/registration experience in a large, complex psychiatric, acute care, or multi-physician group healthcare setting preferred. * A minimum of two years experience working in a behavioral health environment preferred. * A strong, out-going, empathic presentation with the ability to obtain sensitive information from patient's in crisis is an absolute must. ESSENTIAL DUTIES AND RESPONSIBILITIES: Varies Per Diem

Mental Health Techs at the Brattleboro Retreat help meet the needs of children, adolescents and adults who have been hospitalized for mental health issues. For example, Mental Health Techs will: provide direct supervision and patient support engage patients in therapeutic activities organize and run group programs. NON-ESSENTIAL RESPONSIBILITIES: May be required to perform duties of lesser, equal or greater responsibility. QUALIFICATIONS: 1. Bachelor's degree in a human service related field with an emphasis on behavioral sciences OR high school diploma and preferably 2 years (minimum1 year) related experience, preferably in a psychiatric setting. 2. Excellent interpersonal skills to relate effectively with co-workers and all members of the treatment team. 3. Current active VT Nursing Assistant licensure preferred. 4. Must have valid driver's license without any record of motor vehicle violations or convictions limiting driving privileges. (See Human Resource Employment Policy for further details.) ADDITIONAL QUALIFICATIONS FOR RESIDENTIAL AND ARCC Mental Health Tech POSITIONS: Bachelor's degree and 21 years of age and experience working with children and youth; OR High School Diploma or GED and 21 years of age and two years' experience interacting with children and youth. Must have valid driver's license without any record of motor vehicle violations or convictions limiting driving privileges for day or evening shifts. Valid unrestricted driver's license is preferred for overnight shifts. (See Human Resource Employment Policy for further details.)

Job Summary: The community embedded social worker provides clinical services/counseling, screening, and case management services to patients/clients/participants in one or more specific embedded community setting (distinct jobs in which services are provided at primary care or specialty medical practice offices; or working with persons who are unhoused; or working to provide team-based care to a specific population or setting) as an independently licensed practitioner. This work is typically as a part of an interdisciplinary team that could include medical providers (doctors, nurses, etc.), case managers, peer support services, housing advocates, and/or others. The work is often fast paced, and involves on-the-fly pivots according to the needs of the team, and the clients served. QUALIFICATIONS: Bachelor's degree in social work or other behavioral health discipline required. Master's degree in clinical social work preferred Substance use counseling experience and expertise required. CDAC, LACD, or comparable certification in the state of Vermont is required. If unlicensed, must be willing to work toward licensure. Knowledge of and experience with population being served Possession of a valid driver's license and access to a private vehicle for day-to-day job performance. Working knowledge of computer skills ESSENTIAL DUTIES AND RESPONSIBILITIES: Core Competencies Engagement, Screening, and Assessment Assesses patients comprehensively, according to needs of embedded team and agency needs; Clinicians should be proficient in diagnosis, formulation, risk assessment, level of care assessment, identifying strengths and areas of ongoing challenges, etc. Assesses patient/client/participant's social and family structure in context of patient/client/participant's presenting problems Assesses and plans for the patient/client/participant's aftercare needs Conceptualizes patients and systems in their social context, taking into account systems stressors as well as intra- and interpersonal problems and strengths Demonstrates understanding of addiction and recovery, including as it relates to screening, assessment, engagement, clinical interventions and approaches, and ASAM criteria for referrals and placement Synthesizes and conveys relevant information, include clinical and case formulations, orally and in writing. Formulates understandings of case material, using all data available as well as understanding of interplay between stressors and vulnerabilities and presenting problems. Understands best practices for assessment and treatment of clients with diverse backgrounds and cultural experiences, including intersectionality and the impacts of systemic oppression and marginalization Assesses and diagnoses patients, using DSM 5 criteria, consulting with team members as necessary Demonstrates the ability to form a therapeutic relationship with the patient/client/participant and families. Contacts the patient/client/participant's providers and referral sources to obtain collateral information for assessment, and to coordinate treatment Uses standardized assessment and screening tools as necessary, including for depression, anxiety, substance use, and suicide and violence risk Must be able to use in-person, telephonic, and two-way video telehealth to engage client as needed Treatment Demonstrates the ability to provide direct clinical care to patients in order to promote change according to the patient/client/participant's treatment plan. Individual Psychotherapy: In a manner appropriate to the setting and frame, meets with patient/client/participant in a therapeutic relationship to address clinical and psychosocial issues relevant to the patient/client/participant's diagnosis and presenting problems, and promotes change according to treatment goals. Family work/family therapy: Engages therapeutically with client family and systems to further client's treatment and progress toward goals, indicated Supportive therapy: Meets with patient/client/participant as necessary to provide support and resolve specific task-oriented problems that may have an impact on treatment. Group therapy: Meets with patients in psychoeducational or psychotherapeutic group sessions to promote, through the group process, individual growth according to treatment goals. Demonstrates the ability to integrate theoretical knowledge of clinical practice, group dynamics and individualized biopsychosocial assessment effectively and ethically in treatment. Attends and participates in treatment planning/ team planning sessions of assigned patients on a regular basis. Reports consistently to the treatment team with regard to assessments and the content and focus of therapy. Documents all interactions with patient/client/participant(s) in progress notes in the electronic medical record. Documentation will adhere to any policies of embedded agency, as well as Retreat policies where appropriate. Maintains contact with referral sources and involved community agencies according to the aftercare needs of the patient/client/participant, using professional judgement and according to the patient/client/participant's treatment plan, as coordinated with other treatment team members. Demonstrates an understanding of evidence-based practices for the populations served, and maintains competency in these areas. Engages actively with community support systems, health care and human service resources, courts and police, etc., to coordinate care and treatment, when appropriate Professionalism and Team Engagement Demonstrates strong interpersonal skills and the ability to work within a multidisciplinary team. Maintains effective working relationships with program staff as indicated by direct observation of supervisor Supports program policies and priorities relating to patient/client/participant care, workflow, and productivity Demonstrates good organizational and time management skills and ability to work in a fast-paced setting. Adheres to the Brattleboro Retreat's code of ethics, standards for service delivery, policies and procedures as well as the State of Vermont mental health code. Demonstrates adherence to professional standards and values according to NASW Code of Ethics or other applicable professional Codes of Ethics to assure the provision of ethical care. Represents the Retreat professionally in all interactions will providers and community members

Job Summary: Under the supervision of the Vice President of Operations, the Project Manager coordinates the activities of projects, including readiness assessment, budgeting, vendor interactions, testing, and implementation. Projects will include a mix of Information Systems projects and other operational initiatives that support the strategic initiatives of the Brattleboro Retreat. The Project Manager manages all aspects of the project life cycle including creating project schedules, establishing benchmarks, tracking the progress of deliverables, and communicating statuses to all levels of management. The Project Manager will act as a primary point of contact for the project and will work with internal and external stakeholders to understand department needs and organizational impacts of the project. This position requires at least 50% onsite presence. QUALIFICATIONS: Bachelors' Degree in related field required Minimum of 3 years' experience project management is required Minimum 2 years experience in the healthcare industry strongly preferred PMP Certification preferred Familiarity with IT infrastructure/network environment and IT application implementation project life cycle strongly preferred In depth knowledge of project management methodology and tools Experience with project management tools that integrate with the Microsoft365/Teams application suite Core Competencies: Manage the definition, design, oversite and implementation of medium to complex projects. Manage the project intake, approval and prioritization process through applicable Steering committees. Facilitates gathering project requirements and specifications. Collaborate with the department leadership and stakeholders to create/maintain project resource allocation estimates. Develop, plan and track detailed project plans, including schedules, resource needs, communication plans, decisions made and issue resolution plans. Facilitates the identification of project risks and creates mitigation plans. Facilitate project meetings to efficiently move through agendas, track open issues and decisions made. Works with Finance resources to develop and track project budgets. Develops and maintains the portfolio of all projects in the planning and implementation stages. Provide project leadership, work direction, and feedback to ensure project milestones and deliverables are met. Coach and train project team members on project management processes and best practices. Oversee work output of project team members. Communicate and report status to executives, business partners and other stakeholders. Deliver formal presentations to senior management on project status updates and recommendations. Conduct project postmortems to identify successful and unsuccessful project elements. Maintain project documentation archives.

Great Benefits Medical, Dental and Vision 403(b) with employer match Basic Life, Accident, Short term disability, long term disability coverage Work/Life Balance Paid Holidays Generous Paid Time Off Flexible Leave Policies Employee Fitness Room The Brattleboro Retreat is among the most respected psychiatric hospitals in the northeast. We're also a place where staff can make a lasting impact on their patients' lives. People who are struggling with their mental health need compassionate Healthcare Workers now more than ever ! Job Summary: This fellowship in clinical practice will give experience to and will fulfill post-masters supervision and licensure requirements for, a new-career professional in the outpatient levels of care at the Brattleboro Retreat - primarily in the Virtual Adolescent IOP program, but with optional experience in other Outpatient programs. Building also on training offerings in the Psychology training program, there will be opportunities for honing techniques, especially in evidence-based practices and interventions. This position will support patients' continued well-being by providing direct clinical services promoting optimal individual, interpersonal, and social functioning through individual, group, and family therapy. QUALIFICATIONS: 1. Has completed a Masters' degree in clinical social work practice (MSW or equivalent) from an ASWB accredited program 2. Preference given to interns who completed internship at Brattleboro Retreat in past 3 years. 3. Must be on VT roster of unlicensed psychotherapists 4. At least two years of work experience in mental health or human services, including internship experiences Provides direct collaborative clinical care (individual psychotherapy, supportive therapy, family, and/or group therapy) to patients to promote change according to patient's treatment plan. Demonstrates a sophisticated and an appropriate professional level of clinical independence. Provides quality service to patients, including clinical care and documentation. Adheres to agency's code of ethics, standards, policies and procedures as well as the state mental health code. Provides direct service in accordance with department's productivity and other performance standards. Consistently demonstrates high levels of responsibility. Provides independent patient/family assessments and treatment as needed and collaborates with hospital multidisciplinary teams as clinically determined. Forms therapeutic relationships with patients integrating theoretical knowledge effectively and ethically in treatment. Collaborates in program development and evaluation in specified areas. Develops and recommends changes to improve service delivery as needed. Implements changes and new programming to meet both clinical and fiscal standards as determined by the program director. Coordinates and communicates with other providers and service components to assure continuity of care and the provisions of comprehensive services. Provides clinical services or referrals to patients' families to enhance adaptive functioning as needed, including family therapy and supportive family contacts using knowledge of evidence-based practices. Assists in receiving authorization from managed care/insurance companies. Makes skilled judgments regarding clinical risk assessments. Provides mentoring to interns and under the directive of the program director and clinical manager. Provides casework services to a caseload of clients including, but not limited to, program intake, assessments, treatment plans, progress notes, aftercare plans, discharge summaries, collateral contacts, etc. Cooperates in marketing of BR corporate and departmental services and acts as an ambassador to all potential customers. Provides excellent customer service to patients, their families, and significant stakeholders; referral sources, payers, local, state and federal regulatory agencies; hospital staff and the general population at large. Assumes responsibility for continuing education and professional development in designated field and attends ongoing professional trainings pertinent to the program. Maintains a high profile through speaking engagements ensuring that the program continues to grow and maintain a reputation for outstanding clinical services and treatment.

Job Summary : Promotes patients' continued well-being through providing direct psychological services promoting optimal individual, interpersonal, and social functioning. Responsible for evaluating psychological services to patients. Conducts ongoing clinical research evaluating the program's overall effectiveness and acceptability to patients, referral sources, and staff. KNOWLEDGE, SKILLS AND ABILITIES REQUIRED: 1. Clinical expertise in psychotherapeutic processes, crisis intervention, skills in working with the chronically mentally ill population as well as with individuals and families undergoing acute episodes of psychiatric distress; skills in diagnosis and assessment in a hospital setting. 2. Ability to work with community support systems, health care, and human service resources, courts and police, etc. as part of a comprehensive community mental health team and to represent the Retreat in the community. 3. Recognizes and appropriately evaluates and responds to crisis and risk situations. 4. Knowledge of and ability to adhere to the professional code of ethics and the state mental health code. 5. Ability to work as part of a comprehensive mental health team and to represent the agency in the community. 6. Good organizational skills and administrative abilities: must be computer literate. 7. Flexibility in days and hours available for scheduled work. 8. Knowledge of specialty populations and treatment modalities, as appropriate to individual programs. QUALIFICATIONS: 1. Completion of degree requirements for licensing as a Psychologist - Doctorate in the state of Vermont by the beginning of the Fellowship 2. If not otherwise licensed as a therapist in State of VT (as LCMHC, for example), must be on VT roster of unlicensed psychotherapists 3. Has completed a supervised and structured APA accredited doctoral internship training program in professional psychology by the beginning of the Fellowship. The program satisfies licensure requirements in Vermont 4. At least two years of work experience in mental health or human services Overview: Fellows in this track split their time (approximately equally) between two programs: Abigail Rockwell Children's Center (ARCC) is a multi-track residential treatment center providing expert care for children ages 6 to 14. Located in a home-style dwelling that accommodates up to 8 children, this setting is ideal for specialized programming to help children who are transitioning from childhood to adolescence. Operating under a biopsychosocial model, the Abigail Rockwell Children's Center uses several therapy modalities including: individual therapy group therapy family/sibling therapy milieu therapy (ongoing teaching in a safe environment) recreation/team building groups. Emphasizing a family-oriented approach, the Center also offers family outreach therapy. Together with local agency representatives, we work with the family to provide in-home parent training, crisis planning, family and sibling therapy, and home visits to practice family work. Adolescent Inpatient Program offers crisis stabilization, specialized treatment, and aftercare planning for young people ages 12 to 18. The Adolescent Inpatient Program employs a multidisciplinary team approach that is short-term, strengths-based, and skills oriented. Time in the hospital varies, and our team helps provide as safe and responsive return to the community as is reasonable and supported by caring adults involved in the teenager's treatment and aftercare planning. During their stay, patients are provided with the following treatment opportunities; Psychiatric assessment and treatment Individual and family meetings with a Social Worker and Psychiatric Provider DBT Skills Groups to learn effective ways of coping with difficult emotions and problems Group Psychotherapy Milieu Support from nursing staff to coach and practice positive coping skills as challenges arise Ongoing case management toward coordinating services with the providers in the community. Job Responsibilities: Abigail Rockwell Children's Center (ARCC) Psychotherapy group facilitation (1-2 groups per day) Individual therapy (caseload of 3-6 children) Family meetings Daily treatment team meetings Collaborate on program design Coordination of care with psychiatry, social work, occupational therapy and external providers and agencies Adolescent Inpatient Program Group facilitation (2-3 groups per week for patients awaiting placement) Psychotherapy group coverage (as needed when regular group facilitators are not available) Substance use treatment - individual and group Individual therapy (caseload of 2-4 children) Core Competencies Provides direct collaborative clinical care (individual psychotherapy, supportive therapy, family/marital, and/or group therapy) to patients to promote change according to patient's treatment plan. Demonstrates a sophisticated and an appropriate professional level of clinical independence. Provides quality service to patients, including clinical care and documentation. Adheres to agency's code of ethics, standards, policies and procedures as well as the state mental health code. Provides direct service in accordance with department's productivity and other performance standards. Consistently demonstrates high levels of responsibility. Provides independent patient/family assessments and treatment as needed and collaborates with hospital multidisciplinary teams as clinically determined. Forms therapeutic relationships with patients integrating theoretical knowledge effectively and ethically in treatment. Collaborates in program development and evaluation in specified areas. Develops and recommends changes to improve service delivery as needed. Implements changes and new programming to meet both clinical and fiscal standards as determined by the program director. Coordinates and communicates with other providers and service components to assure continuity of care and the provisions of comprehensive services. Provides clinical services or referrals to patients' families to enhance adaptive functioning as needed, including family therapy and supportive family contacts using knowledge of evidence-based practices. Assists in receiving authorization from managed care/insurance companies. Makes skilled judgments regarding clinical risk assessments. Provides clinical supervision to interns and under the directive of the program director. Will contribute to the design, statistical analysis, and write-up of research projects as needed Provides casework services to a caseload of clients including, but not limited to, program intake, assessments, treatment plans, progress notes, aftercare plans, discharge summaries, collateral contacts, etc. Cooperates in marketing of retreat corporate and departmental services and acts as an ambassador to all potential customers.

Job Summary: Under the supervision of the Manager of Health Informatics, the Revenue Cycle Application Analyst coordinates and provides support on software applications, primarily focusing on revenue cycle workflows, systems, and stakeholders. Provides system support, workflow integration, training materials, and troubleshooting to ensure the successful implementation and ongoing stability and functionality of software systems. Coordinates with the clinical and business teams to facilitate standardization of system processes to streamline clinical care, data, and revenue cycle integrity. QUALIFICATIONS: 2 or more years of healthcare revenue cycle experience. 2 or more years of supporting software systems or relevant experience. Experience using and supporting multiple aspects of electronic health systems, such as revenue cycle aspects of clinical documentation, registration, utilization management, health information management, billing, claiming, finance, etc. Knowledge of Meditech Expanse MaaS EHR and Microsoft systems preferred. Strong analytical ability. Ability to use critical thinking to prioritize assignments and resolve open issues. Ability to collaborate between revenue cycle and technical stakeholders on projects and initiatives. Proficient with office suite applications. Exceptional customer service and relationship management orientation. Excellent oral, written, and communication skills ESSENTIAL DUTIES AND RESPONSIBILITIES: Core Competencies Provides revenue cycle support for the electronic capture of required data elements for mandated reporting. Collaborates effectively between end-users and IS staff/technology vendors to promote effective process design, development, and implementation to enhance the organization's use of software technologies. Participates in the testing and validation of upgrades and new system functionalities. Provides troubleshooting and coordinates resolution of workflow and application problems and information technology issues related to applications used by revenue cycle stakeholders. Identifies and coordinates new processes, system functionality, system changes, and enhancements to support revenue cycle practice and increase compliance. Collaborates with operational leadership to understand current workflows, interpret the best method to optimize and appropriately configure the EHR and administrative systems to design and/or improve current workflows. Participates in the creation and management of project plans supporting department initiatives. Helps develop processes to promote and communicate the integration of new systems. Configures, updates, and customizes revenue cycle modules using information services and change management best practices. Assists in developing, implementing, and maintaining education programs for staff pertaining to the revenue cycle aspects of software systems; identifies areas predisposed to problems and provides coaching and training materials to increase knowledge and skills. Coordinates and provides support for developing training materials pertaining to revenue cycle systems with Application Support Specialist(s). Provides administrative support to the Manager of Health Informatics.

Job Summary: The Insurance Eligibility and Benefits Specialist maintains a vital role in ensuring timely and accurate verification of insurance coverage for mental health services before services are rendered. This position is responsible for confirming patient eligibility, obtaining benefit information, and assisting patients and clinical staff in understanding insurance requirements and financial responsibilities. QUALIFICATIONS: * High school diploma or GED required, associate degree in healthcare administration or related field preferred. * Minimum of 2 years of experience in medical or mental health insurance verification, billing, or patient access required. * Experience working with mental health payers (e.g., Commercial, Medicaid, Medicare, Medicare Advantage) strongly preferred. * Experience with MS Office products and other spreadsheet applications. * Ability to coordinate workflow and train other employees. ESSENTIAL DUTIES AND RESPONSIBILITIES: Core Competencies Verifies insurance eligibility and benefits for all new and returning mental health patients prior to appointments, including outpatient therapy, psychiatry, and intensive programs. Obtains detailed benefit information such as copays, coinsurance, deductibles, visit limits, and authorization requirements. Accurately documents verification results in the electronic health record (EHR). Communicates insurance coverage details and estimated out-of-pocket costs to patients and/or Practice Management in a clear and confidential manner. Obtains prior authorization, pre-certification, and referral requirements from payers. Collaborates with the clinical, scheduling, and billing teams to ensure insurance information is accurate and up to date before services are rendered. Monitors and follows up on changes in insurance status, denials related to eligibility, and authorization expirations. Maintains current knowledge of payer requirements specific to mental health coverage, including telehealth policies and visit limitations. Assists patients in understanding insurance terminology and benefits related to mental health services. Supports the billing team with insurance-related claim resolution when eligibility or benefit issues arise. Handles sensitive patient information in accordance with HIPAA and organizational confidentiality standards. Communicates in a professional manner with all levels of staff, insurance companies, patients, families, and vendors with courtesy and respect. Departmental Competencies Understands and uses AVATAR and Meditech to efficiently perform job. Strong understanding of mental health insurance benefits, including therapy and psychiatry coverage, telehealth, and utilization review processes. Proficient in interpreting Explanation of Benefits (EOBs), verification reports, and payer correspondence. Excellent communication and interpersonal skills, with the ability to interact compassionately with patients seeking mental health services. Strong organizational skills, attention to detail, and accuracy in data entry. Ability to manage multiple verifications in a fast-paced environment while maintaining accuracy and professionalism. Understands and uses clearinghouse software and provider websites to perform accurate and timely insurance eligibility & verification inquiries Performs additional department tasks, as assigned by Supervisor/Manager timely and accurately.

The Clinical Nurse Manager (CNM) provides strategic, clinical, and operational leadership for the Adolescent Inpatient Unit, an acute psychiatric stabilization program serving youth experiencing significant mental health crises. The CNM is responsible for daily operations, staff management, and coordination of nursing services in alignment with the Hospital's mission, values, and evidence-based practices for trauma-responsive adolescent mental healthcare. The CNM ensures a safe, developmentally appropriate, and therapeutically structured treatment environment and fosters a cohesive, culturally respectful workforce that includes staff from diverse professional backgrounds and levels of experience. In collaboration with interdisciplinary leaders, the CNM upholds quality care standards, promotes patient and staff safety, supports continuous performance improvement, and engages in hospital-wide initiatives. Qualifications Required: Registered Nurse with Vermont licensure (or eligibility for licensure). Minimum two years of leadership experience in a hospital or inpatient healthcare setting. Demonstrated two years of experience working directly with adolescents in a mental health, social services, or related healthcare environment. Demonstrated ability to supervise, mentor, and support staff with diverse backgrounds, training levels, and roles. BLS- CPR certified (or ability to obtain) CPI certification (or ability to obtain) Preferred: BSN or MSN (or equivalent experience combined with education). Prior leadership experience in an adolescent psychiatric or acute behavioral health program. Certification in Psychiatric-Mental Health Nursing (or willingness to pursue). Essential Duties & Responsibilities Leadership & Management Develops and executes unit-specific goals aligned with organizational priorities for quality, safety, patient experience, and fiscal responsibility. Provides leadership that promotes a therapeutic milieu tailored to the developmental needs of adolescents in acute psychiatric crisis. Creates and sustains a positive work culture that supports inclusivity, professional respect, teamwork, and equitable treatment for staff from a wide range of cultural, educational, and experiential backgrounds. Demonstrates effective personnel management, including recruitment, selection, coaching, mentoring, performance management, corrective action, and retention. Ensures appropriate staffing levels and staff skill mix based on clinical acuity, regulatory standards, and patient safety needs. Conducts timely and comprehensive performance evaluations and supports staff growth through ongoing feedback and development planning. Leads, supports, and communicates organizational initiatives related to trauma-informed care, patient safety, quality improvement, and evidence-based adolescent psychiatric treatment. Leads unit-level cultural and operational change initiatives, ensuring transparent communication and staff engagement. Clinical & Operational Oversight Directs nursing care practices consistent with trauma-responsive, recovery-oriented, non-coercive approaches to adolescent inpatient psychiatry. Ensures adherence to all clinical policies, procedures, regulatory requirements, and documentation standards. Maintains responsibility for the physical environment, including safety standards, infection prevention, equipment needs, and risk mitigation. Collaborates with interdisciplinary partners (psychiatry, psychology, social work, milieu staff, education services) to support coordinated and developmentally informed care. Oversees unit-level quality and performance improvement initiatives, including data collection, analysis, reporting, and implementation of corrective action plans. Prepares, manages, and monitors the annual operating budget, ensuring efficient use of staffing and resources. Conducts routine staff meetings, ensures transparent communication, and escalates significant issues to senior leadership as appropriate . In the absence of the Service Administrator or Director of Nursing, the CNM may assume expanded administrative responsibilities. Education, Training & Staff Development Plans, implements, and evaluates staff education activities relevant to adolescent mental health, crisis intervention, safety practices, and clinical skill development. Works closely with the Nursing Education Department to ensure staff competency, including orientation, mandatory trainings, and age-specific clinical proficiencies. Promotes staff participation in internal and external continuing education programs.

Sign on bonus: $7,000 Weekend differential: $3/hr Night shift differential: $4.25/hr Great work/life balance - earn over 5 weeks of PTO a year! Culture of compassion and teamwork Job Summary: Contributes to the multidisciplinary team assessment, planning, implementation and evaluation of nursing care under the direct supervision of a Registered Nurse. QUALIFICATIONS: 1. Graduation from an accredited school of practical nursing. 2. Current Vermont license as a Licensed Practical Nurse. 3. At least one year of clinical nursing experience is preferred. ESSENTIAL DUTIES & RESPONSIBILITIES: Core Leadership Standards & Competencies Administers medications correctly within the parameters of the Brattleboro Retreat policies and procedures. Demonstrates knowledge of all medication used on the unit as evidenced by med/ed documentation. Observes for side effects of medications and documents. In collaboration with RN, contributes to reinforcing education with patients on benefits/risks of medication. Provides nursing care to meet patients' needs under the supervision of RN. Assists in management of the milieu in accordance with policy and procedure to ensure safety and therapeutic environment. Exhibits initiative and independence in identifying and intervening as problems arise. Demonstrates ability to intervene in crisis situations: •Monitor the milieu, reports potential crisis situations to RN and intervenes in a calm, supportive manner.•Utilizes the an integrated experience to prevent crisis or behavioral emergencies.•Demonstrates ability to physically intervene in crisis utilizing non-violent interventions when performingapproved holding skills.•May lead a show of support, directing others in their roles.•Provides information to the RN to ensure complete and timely documentation regarding the crisis. Performs constant observations, intermittent observations, safety checks or other forms of patient safety and environmental checks as assigned. Responsible for sharing accurate, precise and relevant information (in SBAR formate) with other members ofthe multidisciplinary team through verbal reports and documentation. Accountable for unit and patient safety in accordance with policy and procedures to ensure patient safety.

About the Role: The Staff Accountant II plays a critical role in maintaining the financial integrity and accuracy of the organization's accounting records. This position is responsible for preparing, analyzing, and reconciling financial statements and reports to ensure compliance with accounting standards and company policies. The role involves collaborating with various departments to support month-end and year-end close processes, as well as assisting with audits and regulatory filings. The Staff Accountant II will also contribute to process improvements and help implement best practices in accounting procedures. Ultimately, this position ensures that financial data is accurate, timely, and supports strategic decision-making across the organization. Minimum Qualifications: Bachelor's degree in Accounting, Finance, or a related field. At least 2 years of professional accounting experience. Proficiency in accounting software and Microsoft Excel. Strong understanding of GAAP (Generally Accepted Accounting Principles). Excellent attention to detail and organizational skills. Preferred Qualifications: Experience with ERP systems such as SAP, Oracle, Meditech, or NetSuite. Knowledge of tax regulations and compliance. Previous experience in a corporate accounting environment. Strong analytical and problem-solving skills. Responsibilities: Prepare and review journal entries, account reconciliations, and financial statements to ensure accuracy and completeness. Assist with month-end and year-end closing processes, including accruals, deferrals, and account analysis. Collaborate with internal teams and external auditors to support audit activities and ensure compliance with regulatory requirements. Maintain and update accounting records, ensuring adherence to company policies and accounting standards. Identify opportunities for process improvements and assist in implementing accounting best practices. Skills: The Staff Accountant II utilizes their accounting knowledge daily to prepare accurate financial reports and ensure compliance with GAAP. Proficiency in accounting software and Excel enables efficient data analysis, reconciliation, and reporting. Strong organizational skills help manage multiple deadlines during month-end and year-end close processes. Communication skills are essential for collaborating with internal teams and external auditors to resolve discrepancies and support audits. Analytical and problem-solving abilities allow the accountant to identify process inefficiencies and contribute to continuous improvement initiatives.

Provide the best, high-quality psychotherapy for a broad range of clients in an outpatient setting. Build a caseload of individual clients with opportunities to provide couples, family and group therapy based on training and interest. Work independently and collaborate with a dynamic team of experienced Psychotherapists and Psychiatrists with a variety of backgrounds and treatment modalities. Engage in regular Peer Consultation groups and have access to Clinical Supervision and in house Continuing Education as needed. Flexible schedules Monday-Friday. Hybrid work possible with a combination of in person and remote. No on call, no weekends or evenings (after 6). QUALIFICATIONS: Master's degree in a mental health discipline. MSW preferred. Must be licensed with 3rd party reimbursable approval. At least three years of supervised and/or independent professional experience in mental health or human services. A minimum of one year of outpatient experience preferred. At least two years of experience providing direct supervised and/or independent clinical care as a psychotherapist. Core Competencies Provides direct collaborative clinical care (individual psychotherapy, supportive therapy, family/marital and/or group therapy) to patients to promote change according to patient's treatment plan. Provides quality service to patients, including clinical care and documentation. Adheres to agency's code of ethics, standards, policies and procedures as well as the state mental health code. Provides direct service in accordance with department's productivity and other performance standards. Provides independent patient/family assessments and treatment as needed and collaborates with the outpatient multidisciplinary team as clinically determined. Forms therapeutic relationship with patient integrating theoretical knowledge effectively and ethically in treatment. Assesses and evaluates outpatients. Evaluation will include psychosocial evaluation, level of clinical care required, mental status exam, diagnostic formulation and initial treatment plan. Provides program development and evaluation in specified area. Develops and recommends changes to improve service delivery as needed. Implement changes and new programming to meet both clinical and fiscal standards as determined by the clinical and administrative program director. Coordinates and communicates with other providers and service components to assure continuity of care and the provisions of comprehensive services. Provides clinical care or referral to patients' families to enhance adaptive functioning as needed, including family therapy and supportive family contacts using knowledge of systems theory, family dynamics and pathology. Assists in receiving authorization from managed care/insurance companies. Makes skilled judgement regarding clinical risk assessments in an outpatient setting. Diagnoses and treats psycho-physiological disorders in an outpatient setting. Familiar with theory and psychodynamic and behavioral interventions with medically related physiological disorders. Advances knowledge, skill, and professional development through participation in clinical supervision and /or peer consultation groups, offered on site, a minimum of twice/month for first year of employment. Day shift 40 hours / 1 FTE

Job Summary: The Admissions Bed Placement Nurse plays a key role in the intake and referral process by triaging psychiatric referrals and determining appropriate placement within the facility's units. This role requires strong medical-surgical nursing skills to assess medical stability and ensure the safe admission of patients with complex mental health needs. The Admissions Bed Placement Nurse collaborates closely with referral sources, physicians, and internal teams to support timely, clinically appropriate admissions across child, adolescent, and adult programs. This role is crucial in triaging incoming patients, conducting psychiatric and medical assessments, and collaborating with clinical and medical staff to determine appropriate level of care. The ideal candidate is confident, organized, and comfortable working in a fast-paced, high-acuity psychiatric environment requiring strong emotional resilience and sound clinical judgment. QUALIFICATIONS: Vermont RN licensure or eligibility for Vermont licensure and three years of experience in mental health preferred. Two years of recent (within the last 4 years) experience in clinical nursing are required, preferably in a medical-surgical, or emergency room setting. Ability to assess and triage patients with co-occurring medical and mental health needs. Experience working with patients across child, adolescent and adult age spectrum. Proficient in using electronic health record systems; understanding of HIPAA and patient confidentiality requirements. Proven ability to problem solve and evaluate appropriate patient placement. Proven competence with physical assessment, nursing care and theory, as well as level of care criteria and nursing management of medical comorbidities. ESSENTIAL DUTIES AND RESPONSIBILITIES: Core Competencies Reports to the Clinical Nurse Manager of Admissions. Reviews and triages psychiatric referrals to assess medical stability and determines appropriate unit placement. Conducts initial clinical assessments to evaluate physical and mental health status. Determines level of care and unit assignment based on clinical presentation, age group and facility capabilities. Communicates clearly and effectively with all referral sources, physicians, intake staff, families, and internal staff. Ensures complete and accurate documentation of clinical findings and decisions in the electronic health record. Collaborates with interdisciplinary teams to ensure safe and smooth patient admissions. Maintains working knowledge of mental health criteria, medical screening protocols, and facility-specific admissions guidelines. . Provides crisis intervention and de-escalation when necessary. Supports family involvement, when appropriate, during the admissions process. Reviews incoming referrals for clinical appropriateness, completeness, and urgency, ensuring all admissions align with facility criteria and patient safety standards. Completes required mandatory education, e-learning courses assigned to improve skills and professional development courses required to maintain competency. __________________________________________________________________________________ Other nursing duties as assigned.

Job Summary : The Risk & Regulatory Specialist serves as a key member of the Quality & Patient Safety Department at the Brattleboro Retreat, a Joint Commission-accredited psychiatric hospital. This role is responsible for supporting organizational compliance with all applicable federal, state, and local regulatory requirements, including those from The Joint Commission, Centers for Medicare & Medicaid Services (CMS), and the Vermont Department of Mental Health (DMH). The Specialist will proactively identify and mitigate organizational risks, support accreditation and licensure readiness, lead or support event investigations, and partner with leadership to build a culture of safety, accountability, and continuous improvement. QUALIFICATIONS: Bachelor's degree in Nursing, Healthcare Administration, Risk Management, or related field required. Master's degree preferred. Current Vermont RN license preferred but not required. Certification in Healthcare Quality (CPHQ), Patient Safety (CPPS), or Risk Management (CPHRM) strongly preferred. Minimum 3 years of experience in healthcare risk management, compliance, quality, or regulatory affairs. Experience in mental health/psychiatric hospital setting strongly preferred. Demonstrated knowledge of Joint Commission accreditation standards, CMS Conditions of Participation, and Vermont DMH regulatory requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES: Regulatory Compliance & Accreditation Monitors, interprets, and disseminates updates to regulatory requirements from Joint Commission, CMS, DMH, OSHA, and other relevant agencies. Coordinates and supports ongoing accreditation readiness, including leading tracer activities, maintaining evidence of standards compliance (ESC), and organizing mock surveys. Supports DMH licensing requirements, including timely submission of reports, corrective action plans, and follow-up documentation. Assists departments in developing and maintaining policies and procedures that meet regulatory standards. Risk Management Conducts proactive risk assessments across clinical and non-clinical areas to identify potential patient safety, compliance, or organizational risks. Tracks, trends, and analyzes incidents, near misses, and sentinel events; prepares reports for leadership and governing bodies. Leads and/or supports event investigations, including Root Cause Analyses (RCA), apparent cause analyses, and sentinel event reviews. Partners with leaders and frontline staff to develop and monitor corrective action plans to mitigate identified risks. Supports the RCA process and ensure timely closure of risk events. Assists in developing and maintaining the Patient Experience Program. Patient Safety & Quality Support Collaborates with the Quality Department to align risk and regulatory initiatives with organizational safety and performance improvement priorities. Assists with the management of the patient safety program, including integration of Vermont's Six Core Strategies for restraint/seclusion reduction and workplace violence prevention standards. Supports the hospital's risk and quality dashboards with accurate, timely data. Reporting & Governance Prepares regular reports and presentations for the Quality Council, Patient Safety Committee, Medical Executive Committee, and Board of Trustees. Maintains documentation for state and accreditation surveyors and ensures timely submission of required regulatory reports (e.g., DMH, CMS). Supports the hospital's risk and quality dashboards with accurate, timely data.

Job Summary: Facilitates development and rehabilitation of patients with mental, emotional, and physical disabilities by planning and administering medically prescribed occupational therapy. KNOWLEDGE, SKILLS AND ABILITIES: 1. Proven ability to work cooperatively as a team member 2. Health Promotion and Maintenance, Creating a Safe, Effective Environment, Motivating Others, Medical Teamwork, Mental Health, Pain Management, Listening, Analyzing Information , Quality Focus QUALIFICATIONS: 1. Degree in Occupational Therapy from accredited program. 2. Licensed by the NBCOT (National Board for Certification in Occupational Therapy). 3. Licensed in Vermont, or license-eligible 4. 3-5 years of experience in behavioral health or with specific age group; this position open to qualified entry-level practitioners ESSENTIAL DUTIES AND RESPONSIBILITIES: Core Competencies Demonstrates service competency in the administration of standardized assessments. Meets the patient's goals and needs and provides quality care by assessing and interpreting evaluation and assessment results; determining occupational therapy treatment plans in consultation with physicians or by prescription. Documents results according to Brattleboro Retreat policy. Helps patient develop or regain physical or mental functioning by implementing programs involving manual arts and crafts, practice in functional, prevocational, vocational, and homemaking skills, activities of daily living, and sensorimotor, educational, recreational, movement/exercise, and social activities. Promotes maximum independence by selecting and constructing therapies according to individual's physical capacity, intelligence level, and interest. Obtains and utilizes patient's occupational profile of baseline roles, habits, and routines. Evaluates results of occupational therapy by observing, noting, and evaluating patient's progress; recommending and implementing adjustments and modifications on ongoing basis. Completes discharge planning by consulting with physicians, nurses, social workers, and other health care workers; contributing to patient care in collaborative manner. Documents patient care services by charting in patient and department records. Maintains patient confidence and protects hospital operations by keeping information confidential. Maintains safe and clean working environment by complying with procedures, rules, and regulations. Protects patients and employees by adhering to infection-control policies and protocols. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Complies with federal, state, and local legal and certification requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions. Utilizes an approach that encourages patients' participation in the least restrictive environment. Maintains accurate complete and correct records as required by law, Brattleboro Retreat Policy and administrative regulation. Maintains and improves professional competence. Assists with maintaining and organizing supply closets, unit activity spaces, and other storage areas. Maintains ethical practice in accordance with AOTA standards. Uses Evidence-Based Practice to inform clinical decisions. Adheres to and applies concepts from the OT Practice Frameworks. Demonstrates knowledge base relevant to population including relevant theories and approaches (CBT, ACT, DBT, IMR) Educates and promotes understanding of OT Theory. Complies with AOTA regulations regarding supervision of interns. Supervises interns and provides consistent and appropriate feedback to students and volunteers.

Job Summary: Performs a variety of technical (including EKG, EEG and Phlebotomy), clerical and communicative tasks for the effective operation of the Medical Clinic. QUALIFICATIONS: High school graduate or equivalent. Six months to one year patient contact experience required. National Phlebotomist certification required. Training in CPI required, Brattleboro Retreat will Provide Must have valid driver's license without any record of motor vehicle violations or convictions limiting driving privileges CPR certification required One year on the job experience for phlebotomy, to be approved by the Brattleboro Retreat's Neurologist consultant. Clerical Experience preferred Organized and flexible; ability to set priorities and multitask. ESSENTIAL DUTIES AND RESPONSIBILITIES: Core Competencies Performs correct venipuncture of patients and staff to ensure the accurate collection of specimens as ordered by staff M.D./N.P. and as per Personnel policy for staff screening Performs electrocardiograms on patients as ordered per staff M.D./N.P. ensuring accurate and consistent techniques Prepares all lab specimens in a timely manner for safe transport to BMH lab. Obtains results from laboratory on the Internet/telephone for M.D. /N.P./ unit staff as necessary. Keeps accurate files of all types of records housed in the clinic, correctly maintaining different systems of filing and retrieving. Transfers immunization records on Adolescent patients to Retreat Form for Infection Control Dept. Maintains employee health files and enters appropriate data into computer. Xeroxes records and forms according to procedure standards ensuring quality copies. Tracks Medical Clinic inventory and orders supplies as needed. Sorts and sends lab, EKG, medical consults, other forms, test results, and copies to appropriate department/units in a timely fashion, as necessary, ensuring rapid delivery of information to appropriate persons for efficient care decisions. Schedules appointments on AVATAR Scheduler for M.D. consultants and N.P.'s, and X-Ray ensuring timely, appropriate care and attention for patients and staff. Organizes and monitors the flow of the Clinic workload. Maintains flexibility based on clinic needs. Transmits Clinic daily schedule to each patient care unit in a timely manner. Edits schedule as needed and enters pertinent data after clinic visit. Triages telephone call and conveys unit needs/concerns to N.P. Assists with triage of patients insuring that compromised patients receive appropriate care quickly. Relays test results and messages to the appropriate people following established Retreat polices as requested, ensuring effective communication and confidentiality. Patient Care Role Model Presents with a calm, therapeutic presence Consistently connects and engages patients in a proactive manner Uses models and coaches others in therapeutic communication, while demonstrating appropriate boundaries Asserts a positive tone, provides anticipatory positive engagement strategies and participates in the development of ma management plan. Leadership Orients and re-orients new and present staff to the proper procedures of lab requests, consult requests, and any other judged needed, thus ensuring proper and consistent operating procedures of the departments. Demonstrates initiative and productivity by identifying and addressing patient and staff issues in a timely manner, while suggesting and/or implementing solutions. Demonstrates behaviors that encourage cooperation, support and teamwork with other employees Anticipates issues and provides pro-active solutions. Mentoring Oversees department based orientation and mentorship of new staff. Trains and credentials new phlebotomists on the staff, ensuring consistent high standards of technique and procedure. Provides input to performance evaluations Provides education to others, both formally and informally Optimizes staff strengths/weaknesses taking into account the broader clinical picture of patients and their needs

Job Summary: Under the general guidance of the Patient Access Services Manager and Revenue Cycle Director, the PAS Representative performs financial screening and admission functions necessary to assist patients to access services at Brattleboro Retreat and ensure funding is obtained for all services. The PAS Representative provides excellence in customer service to the Retreat patients and referral agencies, and represents the Retreat in our objectives to respect the patients, families, and communities we serve. Interact with Retreat departments such as Utilization Review, Referral & Evaluation Services, and Patient Financial Services to ensure correct and timely reimbursement. QUALIFICATIONS: Associate Degree or above in a related health care field is preferred. High School diploma or equivalent (GED) is required. Strong and relevant customer service backgrounds will also be considered. A minimum of three (3) years previous admission/registration experience in a large, complex psychiatric, acute care, or multi-physician group healthcare setting preferred. A minimum of two years experience working in a behavioral health environment preferred. A strong, out-going, empathic presentation with the ability to obtain sensitive information from patient's in crisis is an absolute must. ESSENTIAL DUTIES AND RESPONSIBILITIES: Varies Per Diem

Job Summary : Responsible for clinical management and coordination of patients, supervision of staff, provision of treatment in accordance with established philosophy, objective and policies of the hospital to ensure safe, high quality and therapeutic patient care within a residential setting. The Abigail Rockwell Children's Center is a residential treatment center consisting of 8 beds that provides mental health care for children ages 6 to 13. QUALIFICATIONS: 1. Master's degree in Social Work required or Master's credentials in related field 2. Must be current LICSW, LMFT or LCMHC in the State of Vermont. 3. Minimum of five years professional experience in the mental health field. 4. Previous supervisory experience required. __________________________ Employee ESSENTIAL DUTIES AND RESPONSIBILITIES: Core Leadership Standards & Competencies Establishes and achieves goals and objectives for the department consistent with organizational goals. Assures a workplace environment and culture that optimizes patient care and patient safety to reduce the likelihood of health care errors. Promotes and encourages a workplace environment that embraces a customer service philosophy in interactions with all patients, visitors, staff and vendors. Demonstrates a workplace that is committed to the Brattleboro Retreat's mission and core values as outlined in the strategic plan. Fosters a teamwork approach when problem solving. Effectively hires, retains, motivates, praises and disciplines staff as appropriate. Insures appropriate staffing levels with competent, team-oriented employees. Performs effective and timely annual performance evaluations of staff. Provides ongoing coaching, mentoring, recognition and feedback to all staff. Plans and implements staff development activities. Provides education to staff on performance improvement plans and patient safety initiatives. Ensures that staff is competent and up to date with required mandatories. Responsible for effectively supporting, championing and communicating strategic organizational initiatives to staff, particularly in the area of quality service and patient safety. Demonstrates an ability to lead cultural change for staff. Maintains performance improvement activities for department/unit and collaborates as necessary with hospital leadership in developing, implementing, reviewing, revising and monitoring performance improvement activities. Identifies, collects, and reports relevant statistical data to reflect the activities of the department and staff. Establishes and maintains policies, procedures and documentation standards for the department. Follows all organizational policies and procedures outlined in the Policies and Procedures Manual of the Brattleboro Retreat. Works with Director to develop and adhere to an annual operating budget for department/unit and supervises the staff and department consistent with budgetary goals. Attends required management meetings and in-services. Completes required mandatory education, e-learning courses assigned to improve skills and professional development courses required to maintain competency.

Job Description Job Summary: Under the supervision of the Vice President of Operations, the Project Manager coordinates the activities of projects, including readiness assessment, budgeting, vendor interactions, testing, and implementation. Projects will include a mix of Information Systems projects and other operational initiatives that support the strategic initiatives of the Brattleboro Retreat. The Project Manager manages all aspects of the project life cycle including creating project schedules, establishing benchmarks, tracking the progress of deliverables, and communicating statuses to all levels of management. The Project Manager will act as a primary point of contact for the project and will work with internal and external stakeholders to understand department needs and organizational impacts of the project. This position requires at least 50% onsite presence. QUALIFICATIONS: Bachelors' Degree in related field required Minimum of 3 years' experience project management is required Minimum 2 years experience in the healthcare industry strongly preferred PMP Certification preferred Familiarity with IT infrastructure/network environment and IT application implementation project life cycle strongly preferred In depth knowledge of project management methodology and tools Experience with project management tools that integrate with the Microsoft365/Teams application suite Core Competencies: Manage the definition, design, oversite and implementation of medium to complex projects. Manage the project intake, approval and prioritization process through applicable Steering committees. Facilitates gathering project requirements and specifications. Collaborate with the department leadership and stakeholders to create/maintain project resource allocation estimates. Develop, plan and track detailed project plans, including schedules, resource needs, communication plans, decisions made and issue resolution plans. Facilitates the identification of project risks and creates mitigation plans. Facilitate project meetings to efficiently move through agendas, track open issues and decisions made. Works with Finance resources to develop and track project budgets. Develops and maintains the portfolio of all projects in the planning and implementation stages. Provide project leadership, work direction, and feedback to ensure project milestones and deliverables are met. Coach and train project team members on project management processes and best practices. Oversee work output of project team members. Communicate and report status to executives, business partners and other stakeholders. Deliver formal presentations to senior management on project status updates and recommendations. Conduct project postmortems to identify successful and unsuccessful project elements. Maintain project documentation archives.