Licensed Social Worker, Hospice Home Care
Medical social worker job in New York, NY
Provides social work services to patients and families in collaboration with the health care team consistent with VNS Home Care policies. Works under general supervision.
• Assesses clients and/or family psychosocial status, social work needs and living conditions utilizing professional knowledge, skills of observations and interviewing skills.
• Establishes the social work component of the patient/family plan of care based on goals mutually acceptable to the client, family and significant others. Makes referrals to other community services, as necessary.
• Travels to patients' homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct service to the client.
• Provides psychosocial work services to patient and/or family, including short-term individual counseling, community resource planning, and crisis intervention. Responds to emergent psychosocial patient and family needs, as requested.
• Provides advocacy to patient and/or family, e.g., assistance in obtaining entitlements and community services.
• Provides social work services in accordance with VNS Health policies, practices, procedures and Standards of Social Work Practice, which may require standing, stooping, sitting, crouching, bending and stretching to deliver patient care, as needed.
• Initiates and maintains verbal and written communication according to VNS Home Care policy, including the preparation of clinical and progress notes, to ensure optimal quality care.
• Manages social work planning for a caseload of patients prescribed by the physician and other team members from assessment to discharge. Maintains productivity sufficient to meet program goals.
• Assists the physician and other team members in understanding the significant social and emotional factors related to the patient's health problems.
• Participates in the development of treatment plans and revises the goals as needed. Coordinates approaches to patient and/or family care with other team members.
• Consults with and educates the patient and family regarding the treatment plan, self-care techniques and prevention strategies.
• Utilizes appropriate community resources and serves as a liaison between VNS Health and other community agencies.
• Participates in discharge planning.
• Assumes responsibility for continued professional growth, such as in-service programs.
• Transports and utilizes VNS Health designated/supplied carrying case weighing up to 30 lbs. (as needed) to and from patient homes/care facilities, VNS Health offices and other locations.
• Acts as a resource to VNS Health staff.
• For Gender Affirmation Program only:
• Follows up with patients after discharge, as needed.
• Participates in special projects and performs other duties as assigned.
Qualifications
Licenses and Certifications:
Current registration to practice as a Licensed Social Worker in New York State required or
Current registration to practice as a Licensed Clinical Social Worker (LCSW) in New York State required
Education:
Master's Degree in Social Work after successfully completing a prescribed course of study at a graduate school of Social Work accredited by the Council on Social Work Education and the Education Dept. and who is certified or licensed by the Education Dept to practice Social Work in New York State required
Work Experience:
Minimum of one year of social work experience in a health care setting required
Pay Range
USD $70,200.00 - USD $87,700.00 /Yr.
About Us
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
Social Work Coordinator
Medical social worker job in New York, NY
Responsibilities:
Develops and maintains a therapeutic relationship with the participant to optimize participant functioning by providing quality services in conjunction with the interdisciplinary team.
Develops an individualized life plan with the participant identifying his or her goals and implementing interventions to assist with achieving their goals.
Monitors effectiveness and outcomes regularly and keeps the team informed as to participant progress and level of need. Remains alert to pertinent input from other team members, participants, and family members/caregivers.
Documents changes of a participant's condition in the participant's medical record consistent with documentation policies established by the medical director.
Manages social work planning for a caseload of participants. Maintains productivity sufficient to meet program goals.
Assists the interdisciplinary team members including the physician, as appropriate, in understanding the significant social and emotional factors related to the member's health problems.
Qualifications:
1 year of relevant experience
LMSW preferred
Education:
Master's Degree of Social Work
Licensed Social Worker
Medical social worker job in New York, NY
Licensed Social Worker - Adult Day Care
Richmond Center is actively seeking a Licensed Social Worker to work in our Adult Day Care located in Staten Island, NY!
Maintaining and/or improving resident's ability to control everyday physical needs and mental/psychosocial needs
Identifying individual social and emotional needs
Developing and maintaining individualized care plans
Participating in the planning of the resident's admission, community re-entry or transfer to another facility
Participating in interdisciplinary care plan meetings to ensure treatment of the social and emotional needs of the resident
REQUIREMENTS:
LSW - MSW
Long Term Care/ Subacute Experience Required
CentersHealthCare.com/careers
Equal Opportunity Employer -M/F/D/V
Psychiatric Social Worker-Children Mobile Crisis Team
Medical social worker job in New York, NY
Provides direct psychosocial services to mentally ill patients in the community who are experiencing psychosocial difficulties. Provides linkage, coordination with, referral to and follow-up with appropriate ongoing service providers. Provides information and consultation to other community agencies and other disciplines, including other services of the Agency. Assists in the overall functioning of the Program. Works under general supervision.
• Responsible for screening telephone referrals. • Performs psychosocial evaluation and assessment of mental health service needs of identified patients and their families through professional knowledge, skills of observation and interviewing. • Develops and implements short-term service plans for patients, in conjunction with other members of the Program. • Provides counseling, care management and appropriate referrals for long term and supplemental treatment. • Prepares case histories and prepares and maintains case records, in accordance with the Program record-keeping mechanism. • Encourages resistant clients to accept mental health services through interventions with clients and/or family members and friends concerned with the client's welfare. • Participates in interdisciplinary team meetings and case conferences of the Program. • Provides referral and provision of information to appropriate long-term mental health services and social services and social services providers, or long-term residential facilities. • Coordinates and follows up on linkages made between clients and other service agencies and mental health providers to ensure continuity of care. • Liaison with, and consultation to, community agencies. • Provides outreach services as part of the Program to mentally ill individuals in the community who are experiencing, or are at risk of, psychosocial difficulties and require mental health intervention in their home. • Serves as resource person to the program and other components of the Agency, when requested, pertaining to psychiatric nursing. • Participates with the team and other appropriate Agency staff in the development and implementation of an in-service training component. • Assists and collaborates with the Program Coordinator in the overall functioning of the service. • Assumes Program Coordinator's functions in his/her absence, as requested. • Participates in community programs and education, as requested. • Contributes to the formulation of clinical and administrative policies and procedures and the preparation of policy and procedure manuals, as required. • May provide clinical supervision for Mental Health Technician, graduate Social Worker students or junior staff Social Workers. • Monitors mental status of Senior Citizens accepted to the program. • For Mobile Crisis - Adult (4711) FLOAT Team Only: Assists other Mobile Crisis Agencies across the five boroughs with 24-hour notice. This means you'll be part of a flexible response team, ready to provide crisis intervention and psychosocial support wherever needed in NYC. This requires adaptability and strong coordination skills. • Participates in special projects and performs other duties as assigned.
Qualifications
Licenses and Certifications:
Current registration to practice as a Licensed Master Social Worker in New York State required As determined by operational/regional needs, valid drivers license may be required
Education:
Master's Degree In Social Work after successfully completing a prescribed course of study at a graduate school of Social Work accredited by the Council on Social Work Education and the Education Dept. and who is certified or licensed by the Education Dept to practice Social Work in New York State required
Work Experience:
Minimum of one year experience as a Social Worker in a health care setting required As determined by operational needs, bilingual skills may be required
Pay Range
USD $63,800.00 - USD $79,800.00 /Yr.
About Us
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
Licensed Clinical Social Worker
Medical social worker job in Newark, NJ
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Licensed Clinical Social Worker (LCSW)
Wage: Between $95-$122 an hour
Licensed Clinical Social Worker - Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required.
About you
● You're a fully-licensed Clinical Social Worker at a Master's level or above with LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.
● You're ready to launch a private practice, or grow your existing business by taking insurance.
About Headway
Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless - empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need.
How Headway supports providers
- Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.
- Built-in compliance: Stay compliant from day one with audit support and ongoing resources.
- Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.
- Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.
- Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.
- Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
- Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.
How Headway supports your clients
● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.
● Instant verification: Clients can easily check their insurance status and get the care they need without disruption.
Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license.
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LMSW - Medical Social Worker - Home Hospice
Medical social worker job in New York, NY
Compass Healthcare Consulting & Placement is conducting a search for a Full Time - LMSW Medical Social Worker, for a Home Hospice Program. Qualified candidates will have LMSW and Medical Social Worker experience within Home Health, Hospice or Hospital. This is a full time Direct Hire position, Monday to Friday with 1 weekend shift every 3 weeks on a rotating schedule. Patient visits available in the Bronx, NY or Westchester County, NY.
The Hospice Medical Social Worker provides medical social services, psychosocial and bereavement counseling to the hospice Patients and families.
Qualifications:
Minimum one (1) year bereavement counseling experience is preferred.
At least one year of Hospice or Home Care experience preferred.
New York State driver's license.
Excellent interpersonal, and communication skills.
Exhibits an ability and attitude relative to the spirit of caring as required by specific job duties and functions.
Education:
MSW from an accredited school of social work and one year related experience.
LMSW or LCSW eligible.
COVID-19 vaccination is strongly encouraged for all new hires prior to beginning employment.
Competitive Salary up to $88,000 and Excellent Benefits
Includes accrued vacation days, sick days, holidays, and free days.
Pension (vested after 5 years of full-time or part-time service)
Participation in 403 (b)
Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Flex Spending, Transit Check.
Qualified Candidates, Please Apply Now for Immediate Consideration.
Social Worker
Medical social worker job in Fort Lee, NJ
PURPOSE: The Jewish Board's Adult Residential Division supports adults with serious and persistent mental illness to live in the community with as much independence as possible. Using a non-judgmental, harm-reduction approach, staff model and guide residents to create and meet personalized recovery goals, develop independent living skills, and live in a healthy and secure manner. Our work is guided by principles that underscore the critical importance of stable housing, use a culturally competent and anti-racist lens, and respect the dignity and legitimacy of each individual's journey.
POSITION OVERVIEW:
The Social Worker is responsible for supplying necessary clinical intervention within the realm of the program. Provide cultural competent and sensitive services. As part of a therapeutic team within the Agency, work closely with the divisions' medical, psychiatric and psychology staff, to ensure the appropriate treatment interventions for the client.
KEY ESSENTIAL FUNCTIONS:
Client Engagement
• Carries a caseload of residents, and provides services to those residents within the scope of program regulations and agency mission.
• Completes client assessments to include, intake assessments, overall client assessments, risk assessments
• Evaluates and assesses clients' functioning, and supports clients in meeting individual goals.
• Practices person-centered and collaborative service planning with clients, also ensuring service plans are completed and signed by residents according to regulatory guidelines and standards.
• Interprets and explains agency policies and procedures to residents.
• Develop safety plans
• Provide individual and family counseling.
• Makes referrals and coordinates services for clients, including but not limited to, medical, mental health, substance abuse prevention and treatment
• Advocates on behalf of residents with other services providers.
• Links residents to community-based programs and collaborates with other services providers
• May run groups under supervision
• Participates in audit preparation.
• Other duties as assigned.
Team Process
• Participates in weekly case conference
• Participates in intake, assessment, discharge, and follow-up conferences.
• Participates in regular staff meetings and trainings. May be asked to travel to offsite meetings and trainings.
• Participates in planning and execution of special and holiday events.
Documentation
• Files incident reports as appropriate.
• Completes regular and timely documentation of all resident interactions, including progress and informational notes.
• Facilitates monthly roommate meetings when appropriate.RE COMPETENCIES for the position include:
• Excellent engagement and assessment skills
• Strong verbal and written communication skills
• Attention to detail
• Ability to work independently as well as with a team
CORE COMPETENCIES for the position include:
Knowledge and Attributes
• In-depth understanding of how mental illness, substance use disorders, or trauma can affect the lives of individuals in the community.
• Experience working with individuals living with serious mental illness, substance use disorders, or trauma required.
• Knowledge of local and state health and human service systems and their navigation.
• Understanding of the demanding processes of stabilization and recovery.
• Commitment to working with individuals with serious mental illness, substance use disorders, a history of trauma, and/or homelessness.
• Compassion and respect for vulnerable individuals.
• Openness to approaching the work through an anti-racist lens, engaging in continuous learning, and putting that learning into practice to support our diverse resident population.
• The ability to stay calm in a variety of situations, some of which may be stressful.
• Patience and empathy for individuals on their journey to recovery.
Skills
• Communication: Conveys information clearly and concisely, both verbally and in writing; practices
• active listening; engages residents respectfully.
• Self-sufficiency and initiative: Assesses, initiates, and completes tasks independently; contributes to the organization's mission and team's goals; researches and pursues professional development opportunities.
• Interpersonal relations: Demonstrates cultural sensitivity, interacts with colleagues and residents professionally and respectfully.
• Problem-solving: Analyzes situations objectively, generates or researches solutions independently
• Quality assurance: Attends to detail, follows standard operating procedures, and consistently produces work of high quality.
• Teamwork: Works collaboratively with teams and models collaborative teamwork, takes appropriate action on constructive feedback.
• Organizational skills: Manages time effectively; respects deadlines; prioritizes multiple, emerging, and complex demands; demonstrates flexibility.
• Crisis management: Identifies situations in the environment that can evolve into a crisis, maintains calm during a crisis, has solid crisis de-escalation skills or is willing to learn specific skills to de-escalate a crisis.
• Good judgement: Manages risk and ensures safety of residents independently recognizes and acts on situations requiring intervention by a supervisor or higher authority.
EDUCATIONAL / TRAINING REQUIRED:
• Master's degree in Social Work, LMSW or LCSW certification preferred
• A minimum of 1-year experience in Human Services preferred
Additional Qualification needed:
• Willingness to work with individuals with experiences of mental illness, and substance use.
• Compassion and respect for vulnerable individuals.
• Patience and understanding for the sometimes-slow process of stabilization and recovery.
COMPUTER SKILLS REQUIRED
• Familiarity with working in Windows environment
• Ability and willingness to learn new systems and application software
VISUAL AND MANUAL DEXIERITY:
• Able to read data and documents, including spreadsheets, reports and Electronic Health Records in printed form and on computer screens.
• Able to input data into relevant systems
• Limited applications of manual dexterity and hand-eye coordination.
WORK ENVIRONMENT / PHYSICAL EFFORT
• Travel in the community.
We are an equal opportunity employer that does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, marital status, veteran status, or any other status protected by applicable federal, state, or local law.
Social Worker
Medical social worker job in New York, NY
We are looking for a dedicated Social Worker (LMSW) to join our client's multidisciplinary team. This role is essential for supporting patients' psychosocial needs, conducting discharge planning, and coordinating care within a fast-paced hospital environment.
Key Responsibilities
Conduct biopsychosocial assessments and plan/implement appropriate patient interventions.
Provide ongoing supportive counseling and psychosocial interventions to patients and their families/significant others.
Collaborate and coordinate with the patient's family, community resources, and medical providers to ensure effective treatment and aftercare planning.
Advocate for patients with social and community agencies to secure necessary services.
Incorporate universal screening for abuse victims (including child abuse, IPV, elder abuse, sexual assault, and human trafficking) and follow all mandated reporting and hospital intervention policies.
Complete all required documentation accurately and in a timely fashion.
Comply with all department and hospital policies, understanding the responsibilities of an essential worker during extreme circumstances.
Qualifications & Requirements
Required Education: Master's degree in Social Work (MSW).
Required Certification: Valid Licensed Master of Social Work (LMSW) license issued by NYSED is mandatory.
Experience:
Minimum of 1 year of social work experience.
Hospital experience is strongly preferred.
Experience in Adult Comprehensive Psychiatric Emergency Program (CPEP) is a plus.
“We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.”
JOB-10045386
Licensed Master Social Worker
Medical social worker job in Morristown, NJ
Social Worker - Contract (Hospital Setting)
📍 100 Madison Ave, Morristown, NJ 07960
🗓 Contract: 13 weeks
🕒 Schedule: Monday-Friday, 8:00 AM - 4:00 PM (37.5 hrs/week)
💰 Pay Rate: $57/hr
About the Role
Pride Health is seeking an experienced Social Worker (MSW) for a contract assignment at a leading New Jersey hospital. This role provides therapeutic intervention, psychosocial support, and discharge planning to patients and families to ensure seamless continuity of care across the health system and community.
Key Responsibilities
Conduct psychosocial assessments for patients and families and develop treatment plans
Interview patients and family members to evaluate needs related to health, social determinants, and resource requirements
Participate in multidisciplinary rounds, offering psychosocial input
Serve as a resource and advocate for advanced care planning discussions
Provide support to patients facing challenging life transitions or crises
Coordinate discharge planning and post-hospital care services including:
Long-term and custodial care
Acute rehab, subacute/SNF
LTAC, dialysis, hospice
Homelessness support and community resources
Document all assessments and interventions per hospital, state, and Joint Commission standards
Maintain relationships with community agencies to support patient transitions
Maintain confidentiality and professional standards
Required Qualifications
Master's Degree in Social Work (MSW) from an accredited school
Medical hospital social work experience strongly preferred
Skills & Attributes
Strong communication, negotiation, and conflict resolution skills
Knowledge of healthcare regulatory standards related to social work
Familiarity with care coordination and community resource programs
Ability to support patients across diverse medical and psychosocial needs
Physical Requirements
Requires standing, walking, manual dexterity, and normal vision and hearing
Must be able to safely perform essential job functions (reasonable accommodations available)
Pride Health Benefits
Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.
Licensed Master Social Worker
Medical social worker job in New York, NY
- LMSW
Key Responsibilities
Conduct comprehensive clinical and trauma-based assessments to identify emotional and behavioral needs.
Develop and implement individualized treatment plans in collaboration with families, case planning teams, and medical providers.
Provide trauma-informed therapy to children and youth.
Support youth in developing pro-social and developmentally appropriate behaviors.
Coordinate referrals to community mental health and support services.
Participate in multidisciplinary team meetings and case conferences.
Ensure compliance with all regulatory and agency standards.
Perform other related duties as assigned.
Qualifications
Master's degree in Social Work (LMSW license required or pending within 3 months).
1-3 years of experience providing direct clinical services to children, youth, and families (preferred).
Bilingual Spanish (required).
Knowledge of trauma-informed care, including TFCBT and CPP.
Commitment to supporting children in foster care through a culturally responsive, strengths-based approach.
Compliance with all background checks and mandated trainings per NYS requirements.
Compensation & Benefits
LCSW supervision provided (clinical hours count).
Comprehensive benefits package (medical, dental, vision, PTO).
Professional development, CEU reimbursement, and training opportunities.
Loan forgiveness eligibility (for qualifying nonprofit service).
Supportive, collaborative work environment.
Four weeks' vacation, one self-care day, and 12 sick days.
Medical, dental, vision, life, and disability insurance.
401(k) with 7% employer contribution plus 2% match.
Tax-deferred health care, dependent care, and commuter plans.
Social Worker (LMSW) - Emergency Room
Medical social worker job in New York, NY
A health services network in New York City is actively seeking a Licensed Master Social Worker (LMSW) to join their growing Emergency Room team. In this role, the Social Worker (LMSW) will be responsible for ensuring all high-risk patients are provided with the appropriate social services, as needed.
About the Opportunity:
Schedule: Full time
Hours: 1pm to 9pm
Setting: Emergency Department
Responsibilities:
Interviews the patients/family to obtain relevant psychosocial information for all patients requiring social work intervention
Provides psychosocial assessments and discharge planning services as indicated
Provides concrete services, education, and linkage of patients to appropriate hospital
Provides motivational counseling, interventions and patient referrals as indicated
Provides clinical information to HMO's for authorizations Works with ACS, HMO's Foster Care Agencies, APS Shelter system and other social service agencies on behalf of patient
Back up to Inpatient Units as needed
When indicated and approved by Administrator and Supervisor, provide outreach to family via home visits with assigned coworker
Provides short term counseling and crisis intervention to all victims of domestic violence child abuse, elder abuse and sexual assault
Provide bereavement counseling to patients/families as appropriate
Fulfills departmental requirements for medical record documentation
Completes monthly statistics and other reports
Maintains records on patient care planning rounds as appropriate
Qualifications:
1+ year of Social Work experience in Adult, Child Welfare, and/or Victim Services
Master's Degree in Social Work
An active NYS Licensed Master Social Worker (LMSW) licensure
Social Work experience in a Hospital setting
Discharge Planning experience
Experience working with EPIC EMR or AllScript EMR
Desired Skills:
Working knowledge of ICARE Values
Social Worker Lvl II, Correctional Health Services
Medical social worker job in New York, NY
The Social Work Reentry Department, within the Division of Correctional Health Services (CHS), is seeking a Social Worker. The Department is comprised of 70+ healthcare professionals who are responsible for providing re-entry services to individuals detained in the NYC jail system. The Social Work Department supports patients' rights and criminal-legal advocacy efforts in collaboration with patients' criminal defense attorneys, Alternative to Incarceration (ATI) programs, and other post-release supervision providers. Additionally, our Social Workers coordinate closely with the New York State Office of Mental Health (OMH) and the NYC Department of Health & Mental Health (DOHMH) to provide robust services to our most vulnerable patients. This position reports to the Associate Director of Social Work Reentry and is responsible for collaborating with the Mental Health Service on assessing patients' appropriate level of care post-release.
Detailed Tasks
Work as part of inter-disciplinary treatment team to provide clinically driven comprehensive discharge planning to mentally ill patients in a correctional environment.
Collaborate with mental health colleagues for appropriate level of mental health care.
Assess for appropriate level of reentry mental health services and establish referrals and appointments to community mental health providers.
Help patients obtain Medicaid, Public Assistance, and Supportive Housing.
Participate in therapy rounds, team meetings, unit activities, court/diversion advocacy, and group interventions.
Ensure completion of all Brad H (court monitored) related tasks/mandates for selected patients.
Coordinate care for patients releasing from jail environment to community or to other facilities including, but not limited to, residential treatment or outpatient treatment services.
Preferred Skills:
Experience working with individuals with severe mental illness and those also involved in the Criminal-Legal System.
Individual and group therapy practice experience.
Knowledge of benefit entitlements, community-based mental health and substance use resources for the mentally ill, previously incarcerated patient population.
Job Benefits
The Social Work Reentry Department fosters opportunities for clinical hours, academic advancement, and professional growth. Moreover, Social Workers with CHS are eligible for the New York City Employees Retirement System (NYCERS) pension, affordable health care benefits, and night-time differentials for staff working evening tours. CHS Social Workers are a part of the District Council 37 (DC37) Union, NYC's largest public employee union.
Minimum Qualifications:
For Assignment to Level II
Valid license as an LMSW issued by the NYSED; or
Valid license as an LCSW issued by the NYSED.
Social Worker, MSW - LSW
Medical social worker job in Wyckoff, NJ
Salary: $57,500
We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.
Why Join Our Team
Across our four campuses, eleven communities, five service offerings, and hospital, we are ultimately one unified team. Together, we nurture a compassionate, collaborative culture that enables continuous improvement and allows our team members to learn, grow, and shine in their careers. Surround yourself with people who care about making a difference - come join us!
We have an exciting opportunity for a full-time, Social Worker to join Ramapo Ridge Behavioral Health. The Social Worker provides services to psychiatric patients and their families including individual, group and family supportive and educational counseling, care coordination and post-acute care planning. The individual is competent to care for patients ages 18 and over including older adults and those with dementia. Demonstrates an understanding of, and embraces, the mission statement of the Christian Health Care Center.
The opportunity for professional growth working at The Haven at Ramapo Ridge, New Jersey's first and only inpatient trauma- informed care program and which has received the Clinical Excellence in Behavioral Health award from the New Jersey Hospital Association (NJHA).
Clinical supervision provided on site to those seeking hours toward LCSW licensure.
Competencies:
Conducts individual, group and family psychotherapeutic counseling and may function as primary therapist in identified cases.
Completes psychosocial assessments including obtaining information for diagnosis and treatment as required by regulatory and accrediting agency requirements.
Serves as liaison to patients and families and available community partners and resources.
Maintains accurate, timely documentation as a basis for review by regulatory bodies, accrediting agencies and the interdisciplinary treatment team.
Provides support, education and assistance to families and their support system regarding community resources, course of treatment and hospitalization, and discharge planning.
Coordinates and facilitates post-acute care plan for assigned patients.
Attends and actively participates in Interdisciplinary Treatment Team Meetings, prepared to offer psychosocial assessment information to guide treatment. Participate in the development of wellness and recovery plans.
Facilitates communication among the patient/family and treatment team and holds family meetings.
Provides coverage for department colleagues.
Provides coverage for Utilization Review team as needed.
Assists in developing favorable attitudes in the community toward recognition and treatment of mental illness and the aging process through participation in community activities concerned with mental health and/or aging.
Performs other related duties as required.
Qualifications:
Minimum of one year social work experience preferred.
Master's degree in Social Work required.
Current valid New Jersey Licensed Social Work (LSW) required.
Schedule: Monday - Friday 8:00am - 4:00pm
Education: Master's degree in Social Work required.
Licensure: Current valid New Jersey Licensed Social Work (LSW) required.
Experience: Minimum of one year social work experience preferred.
Christian Health offers a wide variety of benefits to full-time employees that includes:
Discounted health insurance
Dental Program
Paid Vacation, Personal days, Holidays and New Jersey Sick leave
401k plan for all employees who are 21 years old or older
Group Life Insurance & Voluntary Life Insurance
Tuition Reimbursement
Flexible Benefit plan
Employee Assistance Program
Direct Deposit
Credit Union
Child Day Care Center on campus
Gift shop on campus
Free onsite parking on campus
Free meals for all employees
Pay differentials
Exclusive employee discounts and special offers
Access to earned wages prior to payday
If you are interested in this great opportunity, please apply today on our website listed below.
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Licensed Clinical Social Worker
Medical social worker job in New York, NY
We are seeking Clinical Social Worker III's (LCSW) to work within our VIDA Guidance Center Location in the Bronx. As the LCSW, you will utilize evidence-based approaches to provide clinical therapy to children, adults, and families.
This position is hybrid with 4 onsite and 1 remote day. Monday through Friday, 35 hour regular schedule.
Minimum Qualifications:
Master's Degree in Social Work required.
NYS Licensed Clinical Social Worker (LCSW) required.
Bilingual English/Spanish, required.
Familiarity with evidence-based modalities.
2+ years of previous experience in a mental health clinic, hospital, behavioral health, or similar setting required.
Key Duties:
Provides bio-psychosocial assessments and clinical diagnostic assessments.
Conducts individual psychotherapy and counseling services to children and/or adults and families.
Maintains skills and knowledge in clinical theory and practice to help patients overcome dependencies, adjust to life, and making changes.
Provides counseling to family members to assist with understanding and supporting patients.
Engages in crisis intervention when necessary and refers patients or family to community resources.
Provides consultation to medical providers. Collaborates with physicians to develop and implement treatment and intervention programs.
Participates in clinical team meetings.
Starting Compensation:
Minimum $85,000 per year; Maximum $94,000 per year
Work Environment Type, Location, and Schedule:
Hybrid, Bronx, NY, Monday to Friday 35 hour schedule.
As a full time associate at Urban Health Plan, you'll enjoy:
Fully funded Health Insurance for you/ 73.5% funded Health Insurance for your family
Dental, Vision, and Prescription Coverage
401(k) Retirement Savings (including 3% annual employer contribution)
Comprehensive time off including paid vacation, personal time, sick time, and paid holidays (including your birthday!)
Flex Spending Accounts (Health care, Dependent Care, and Commuter Benefits)
Entertainment Discount Programs
Employee Assistant Program
Eligibility to apply for Public Service Loan Forgiveness Program (PSLF)
Fitness Discounts and Perks through our medical plan.
$50,000 term life Insurance
About Urban Health Plan:
At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, 50 years ago. That tradition continues today by promoting excellence in everything that we do.
UHP is an equal opportunity employer. M/F/D/V. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, gender identity, gender expression, national origin/ancestry, citizenship status, disability, age, marital or family status, and military or veteran status.
Licensed Clinical Social Worker (LCSW) - Rockaway, NJ
Medical social worker job in Rockaway, NJ
We are actively looking to hire talented Licensed Therapists in the Bernardsville, NJ area who are passionate about patient care and committed to clinical excellence. *Sign-On Bonus provided***Recently licensed and experienced candidates***Flexible availability**36 hours+/week*
Is this you?
Wanting to deliver high quality behavioral healthcare.
Seeking strong work life balance.
Interested in growing professionally.
What we offer Therapists:
The ability to work closely with adults and the child/adolescent populations.
Telemedicine and in-person flexibility at the present time.
Generous ‘above market' compensation with unlimited/uncapped earnings.
Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more.
Collegial work environment.
Newly designed and modern offices.
Full administrative support.
Latest in digital technology.
Strong work/life balance.
Sign-on Bonus
Earnings in the range of $75,000 - $100,000 + annually.
Licensed Therapists are a critical part of our clinical team. We're seeking Licensed Therapists that are:
Licensed Clinical Social Worker (LCSW)/ Licensed Marriage and Family Therapist (LMFT) / Licensed Professional Counselor (LPC).
Holding active New Jersey licenses - or applied recently.
Jenni GreeneDirector, Practice DevelopmentLifeStance Health, Inc.(cell): 754-###-####(email): ...@LifeStance.com
Psychiatric Social Worker
Medical social worker job in New York, NY
VNS Health Psychiatric Social Workers provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional. As a Psychiatric Social Worker, you will develop exceptional diagnostic skills and use behavioral intervention techniques to de-escalate crisis situations. You will provide vital social services and connect clients to resources that help them remain safely in the community. Join us in building on our 130-year history and become a part of the Future of Care that is strengthening communities with high quality, integrated behavioral health programs.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals
What You Will Do
Delivers outreach services to mentally ill individuals in the community, providing in-home mental health intervention to those experiencing or at risk of psychosocial difficulties
Collaborates with another team member to perform psychosocial evaluations and assess mental health service needs of clients and their families through observation and interviewing
Creates and execute short-term service plans for clients in collaboration with an interdisciplinary team
Responds promptly to dispatch calls, traveling from the office to the clients' homes within two hours
Ensures seamless program operations as a vital liaison to community agencies and stepping in for the Program Coordinator as needed
Ensures uninterrupted comprehensive care from counseling and care management to long-term supplemental treatment referrals and follow-up
Prepares case histories and prepares and maintains case records, in accordance with the Program record-keeping mechanism
Encourages resistant clients to accept mental health services through interventions with clients and/or family members and friends concerned with the client's welfare
May provide clinical supervision for Mental Health Technician, graduate Social Worker students or junior staff Social Workers
Qualifications
Current registration to practice as a Licensed Master Social Worker in New York State Required as determined by operational/regional needs
Valid driver's license may be required
Minimum of one year experience as a Social Worker in a health care setting required as determined by operational needs, bilingual skills may be required Must be able to walk up and down steps to access patient residences
Master's degree in social work after successfully completing a prescribed course of study at a graduate school of Social Work accredited by the Council on Social Work Education and the Education Dept
Pay Range
USD $63,800.00 - USD $79,800.00 /Yr.
About Us
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
Licensed Clinical Social Worker
Medical social worker job in Jersey City, NJ
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Licensed Clinical Social Worker (LCSW)
Wage: Between $95-$122 an hour
Licensed Clinical Social Worker - Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required.
About you
● You're a fully-licensed Clinical Social Worker at a Master's level or above with LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.
● You're ready to launch a private practice, or grow your existing business by taking insurance.
About Headway
Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless - empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need.
How Headway supports providers
- Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.
- Built-in compliance: Stay compliant from day one with audit support and ongoing resources.
- Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.
- Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.
- Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.
- Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
- Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.
How Headway supports your clients
● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.
● Instant verification: Clients can easily check their insurance status and get the care they need without disruption.
Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license.
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Social Worker
Medical social worker job in New York, NY
PURPOSE: The Jewish Board's Adult Residential Division supports adults with serious and persistent mental illness to live in the community with as much independence as possible. Using a non-judgmental, harm-reduction approach, staff model and guide residents to create and meet personalized recovery goals, develop independent living skills, and live in a healthy and secure manner. Our work is guided by principles that underscore the critical importance of stable housing, use a culturally competent and anti-racist lens, and respect the dignity and legitimacy of each individual's journey.
POSITION OVERVIEW:
The Social Worker is responsible for supplying necessary clinical intervention within the realm of the program. Provide cultural competent and sensitive services. As part of a therapeutic team within the Agency, work closely with the divisions' medical, psychiatric and psychology staff, to ensure the appropriate treatment interventions for the client.
KEY ESSENTIAL FUNCTIONS:
Client Engagement
• Carries a caseload of residents, and provides services to those residents within the scope of program regulations and agency mission.
• Completes client assessments to include, intake assessments, overall client assessments, risk assessments
• Evaluates and assesses clients' functioning, and supports clients in meeting individual goals.
• Practices person-centered and collaborative service planning with clients, also ensuring service plans are completed and signed by residents according to regulatory guidelines and standards.
• Interprets and explains agency policies and procedures to residents.
• Develop safety plans
• Provide individual and family counseling.
• Makes referrals and coordinates services for clients, including but not limited to, medical, mental health, substance abuse prevention and treatment
• Advocates on behalf of residents with other services providers.
• Links residents to community-based programs and collaborates with other services providers
• May run groups under supervision
• Participates in audit preparation.
• Other duties as assigned.
Team Process
• Participates in weekly case conference
• Participates in intake, assessment, discharge, and follow-up conferences.
• Participates in regular staff meetings and trainings. May be asked to travel to offsite meetings and trainings.
• Participates in planning and execution of special and holiday events.
Documentation
• Files incident reports as appropriate.
• Completes regular and timely documentation of all resident interactions, including progress and informational notes.
• Facilitates monthly roommate meetings when appropriate.RE COMPETENCIES for the position include:
• Excellent engagement and assessment skills
• Strong verbal and written communication skills
• Attention to detail
• Ability to work independently as well as with a team
CORE COMPETENCIES for the position include:
Knowledge and Attributes
• In-depth understanding of how mental illness, substance use disorders, or trauma can affect the lives of individuals in the community.
• Experience working with individuals living with serious mental illness, substance use disorders, or trauma required.
• Knowledge of local and state health and human service systems and their navigation.
• Understanding of the demanding processes of stabilization and recovery.
• Commitment to working with individuals with serious mental illness, substance use disorders, a history of trauma, and/or homelessness.
• Compassion and respect for vulnerable individuals.
• Openness to approaching the work through an anti-racist lens, engaging in continuous learning, and putting that learning into practice to support our diverse resident population.
• The ability to stay calm in a variety of situations, some of which may be stressful.
• Patience and empathy for individuals on their journey to recovery.
Skills
• Communication: Conveys information clearly and concisely, both verbally and in writing; practices
• active listening; engages residents respectfully.
• Self-sufficiency and initiative: Assesses, initiates, and completes tasks independently; contributes to the organization's mission and team's goals; researches and pursues professional development opportunities.
• Interpersonal relations: Demonstrates cultural sensitivity, interacts with colleagues and residents professionally and respectfully.
• Problem-solving: Analyzes situations objectively, generates or researches solutions independently
• Quality assurance: Attends to detail, follows standard operating procedures, and consistently produces work of high quality.
• Teamwork: Works collaboratively with teams and models collaborative teamwork, takes appropriate action on constructive feedback.
• Organizational skills: Manages time effectively; respects deadlines; prioritizes multiple, emerging, and complex demands; demonstrates flexibility.
• Crisis management: Identifies situations in the environment that can evolve into a crisis, maintains calm during a crisis, has solid crisis de-escalation skills or is willing to learn specific skills to de-escalate a crisis.
• Good judgement: Manages risk and ensures safety of residents independently recognizes and acts on situations requiring intervention by a supervisor or higher authority.
EDUCATIONAL / TRAINING REQUIRED:
• Master's degree in Social Work, LMSW or LCSW certification preferred
• A minimum of 1-year experience in Human Services preferred
Additional Qualification needed:
• Willingness to work with individuals with experiences of mental illness, and substance use.
• Compassion and respect for vulnerable individuals.
• Patience and understanding for the sometimes-slow process of stabilization and recovery.
COMPUTER SKILLS REQUIRED
• Familiarity with working in Windows environment
• Ability and willingness to learn new systems and application software
VISUAL AND MANUAL DEXIERITY:
• Able to read data and documents, including spreadsheets, reports and Electronic Health Records in printed form and on computer screens.
• Able to input data into relevant systems
• Limited applications of manual dexterity and hand-eye coordination.
WORK ENVIRONMENT / PHYSICAL EFFORT
• Travel in the community.
We are an equal opportunity employer that does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, marital status, veteran status, or any other status protected by applicable federal, state, or local law.
Social Worker
Medical social worker job in Morristown, NJ
The Social Worker provides therapeutic interventions and social work services to patients and families to enhance comprehensive, integrated, and uninterrupted care throughout the hospital experience and ensure continuity of care in the community. The Social Worker conducts psychosocial assessments, coordinates care planning, and supports patients through adjustment to illness and major life transitions.
Essential Duties & Responsibilities
Psychosocial Assessment & Intervention
Conducts psychosocial assessments of patients and families to identify needs related to medical conditions, social determinants of health, and overall functioning.
Interviews patients, families, and significant others to determine the need for social work services and develop appropriate treatment goals.
Participates in multidisciplinary rounds, providing psychosocial context and input into patient care planning.
Serves as a resource and advocate for patients and families during discussions on Advance Care Planning.
Provides preventive, protective, and supportive services to patients facing situations detrimental to their well-being.
Patient & Family Support
Offers psychosocial support during adjustment to illness, hospitalization, and major life changes.
Collaborates with healthcare team members to address in-hospital needs and post-hospital care requirements.
Maintains up-to-date knowledge of psychosocial programs and services, providing relevant information to patients, families, staff, and community organizations.
Develops and maintains strong working relationships with community agencies.
Discharge Planning & Care Coordination
Coordinates comprehensive discharge planning to ensure continuity of care and access to appropriate aftercare services.
Arranges placements or referrals for Long-Term Care, Acute Rehab, Sub-Acute Rehab/SNF, LTAC facilities, Dialysis, Hospice, and Homelessness resources.
Ensures timely communication with patients, families, and interdisciplinary team members regarding discharge needs.
Documentation & Compliance
Completes psychosocial assessments, progress notes, family intervention summaries, and discharge planning documentation in accordance with department policy, and State, Federal, and Joint Commission standards.
Assists patients in obtaining governmental and community benefits such as food stamps, financial support, and transitional housing.
Ensures adherence to confidentiality standards and hospital policies.
Program Evaluation & Improvement
Evaluates program objectives and participates in continuous improvement initiatives aligned with hospital and departmental missions.
May accompany patients to access benefits, entitlements, or essential community services.
Required Skills & Competencies
Excellent communication, negotiation, and conflict resolution skills.
Knowledge of clinical practice trends, healthcare informatics, and relevant technologies.
Strong understanding of State and Federal regulations related to social work practice.
Ability to support rapid cycle change and participate in clinical performance improvement activities.
Ability to work effectively in a fast-paced, multidisciplinary hospital environment.
Physical Demands
This position requires full range body motion including handling and lifting, standing, walking, manual dexterity, and eye-hand coordination. Normal visual acuity and hearing are necessary. Reasonable accommodations may be made for individuals with disabilities.
Education & Experience Requirements
Required: Master's Degree in Social Work (MSW) from an accredited program.
Preferred: Previous experience as a medical or hospital social worker.
Required for Practice: New Jersey Social Work License (LSW or LCSW).
Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Outpatient Licensed Clinical Social Worker (LCSW)
Medical social worker job in Wyckoff, NJ
Salary Range: $80,000 - $100,000
When determining a base salary or hourly rate, several factors may be considered as applicable such as years of relevant experience, education, credentials.
We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.
Why Join Our Team
Across our four campuses, eleven communities, five service offerings, and hospital, we are ultimately one unified team. Together, we nurture a compassionate, collaborative culture that enables continuous improvement and allows our team members to learn, grow, and shine in their careers. Surround yourself with people who care about making a difference - come join us!
We have an exciting opportunity for Outpatient Licensed Clinical Social Workers to join our Livewell Counseling team. LiveWell Counseling offers evidence-based outpatient mental health services for individuals, couples, and families. Our services include psychotherapy, relationship therapy, cognitive-behavioral therapy (CBT), ADHD counseling, psychiatric evaluations, medication management, and group therapy.
The Outpatient Licensed Clinical Social Workers will assess and treat individuals of all ages with a variety of challenges and needs. Treatment may involve working on personal issues, goals, and problem solving strategies. Demonstrates an understanding of, and embraces, the mission statement of Christian Health.
Competencies:
Recommends therapeutic interventions that are appropriate and brings about desired results.
Prepares/updates treatment plan on an individualized basis.
Gathers intimate historical information about a patient and evaluates the mental status of an individual, couple or family.
Executes mental status of client and determines and documents attainable goals.
Performs charting and documentation of all care provided.
Maintains adequate recordings on clients charts on timely basis.
Meets with clients and/or their family members for psychotherapy.
The individual is competent to care for patients in the following age groups: child/adolescent (ages 3 - 18), adult (ages 19 - 64) and geriatric (ages 65+).
Consults with various staff members, as needed.
Attends and participates in weekly clinical/administrative staff meetings.
Completes discharge summary on a timely basis.
Qualifications:
MSW and LCSW required.
Clinical experience in a supervised setting necessary; prefer experience in team and/or interdisciplinary approach.
Post graduate experience preferred.
Experience treating clients and families struggling with Substance Use Disorder, Alcohol Use Disorder also preferred.
Additional candidates with experience working with the developmentally disabled population also encouraged to apply.
Schedule: Full-time, Flexible hours: 8am-4pm, 8:30am-4:30pm or 9am-5pm.
Education: MSW and LCSW required.
Christian Health offers a wide variety of benefits to full-time employees that includes:
Discounted health insurance
Dental Program
Paid Vacation, Personal days, Holidays and New Jersey Sick leave
401k plan for all employees who are 21 years old or older
Group Life Insurance & Voluntary Life Insurance
Tuition Reimbursement
Flexible Benefit plan
Employee Assistance Program
Direct Deposit
Credit Union
Child Day Care Center on campus
Gift shop on campus
Free onsite parking on campus
Free meals for all employees
Pay differentials
Exclusive employee discounts and special offers
Access to earned wages prior to payday