You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.


And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!


You can make a difference here.


About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.



Your Benefits

We provide a comprehensive and competitive benefits package to all permanent full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide.


Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!



Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!


Case Manager II or Therapist (.01)

I/P PSYCH ADULT (Billings Clinic Main Campus)

req8734



Shift: Varies

Employment Status: Per Diem
Hours per Pay Period: 0.01 = per diem (Non-Exempt)
Starting Wage DOE



The Therapist/Social Worker is an integral part of a multidisciplinary team working with patients in an acute inpatient mental health setting. While promoting the health and wellness of patients, Therapist/Social Work staff provide comprehensive services, which include therapy (individual, group and family), discharge planning, case management, care coordination, crisis intervention as well as addressing psychosocial and other needs of patients and their families.Under the direction of department leadership, therapist/social work staff provides services consisting of therapy, comprehensive case management, care coordination, continuing care services, and clinical social work services including crisis intervention. In addition, the Therapist/Social Worker is responsible for providing education addressing physical, psychosocial, financial, environmental and other needs of patients and families and/or significant others. The Therapist/Social Worker is part of an interdisciplinary team who promotes health and addresses medical and non medical barriers.



Essential Job Functions



• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.
• Assesses patient medical records for treatment plan, identifies actual and potential discharge needs at the time of admission for assigned patients.
• Identifies, screens and assess patients, families and/or significant others who require therapy/social work services in a timely manner.
• Integrates social work plan into overall patient care plan through participation in interdisciplinary team collaboration may include RN care management, physicians, nurses and other members of the health care team as service area dictates. Promotes collaboration and communication among team members.
• Provides patient, family, significant other education, and emotional support utilizing individual, family and group modalities (care conferences).
• Meets with patient, family, significant other as appropriate to develop plan of care taking into consideration choice, support network(s), resource needs (financial, housing, transportation, etc.), and appropriate level of care.
• Provides crisis intervention, therapeutic support and coping skills on adjustment to illness/disability.
• Identifies physical, psychosocial, and spiritual needs and incorporates them into the plan of care.
• Demonstrates sensitivity and awareness about population specific needs or special issues related to culture, race, gender, age religion, sexual orientation, etc.
• Demonstrates the ability to identify symptoms/indicators of abuse, neglect, and exploitation in specific patient populations and provide appropriate interventions, including mandated reporting.
• Assess and responds to legal issues such as Living Wills, Durable Power of Attorney, guardianship, etc.
• Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition. Provide education and information to patient's identified support systems.
• Supports patients to stabilization using individual and group therapy techniques.
• Utilizes interviews and patient medical record reviews to identify actual or potential barriers and care needs.
• Interacts with patients, support systems, healthcare professionals, community, and state agencies. Serves as a liaison between hospital, clinic, and community agencies to facilitate the exchange of clinical and referral information.
• Identifies high-risk patients from a medical/psychosocial/financial perspective, assesses the needs of patients and support systems.
• Discusses evaluations, goals and treatments with patients and support systems to enhance patient and support system engagement.
• Collaborates with the multidisciplinary team to identify needs of patients and their support systems.
• Understands and utilizes hospital and community based financial resources and entitlements such as SSD, SSI, Medicaid, charity care, mental health, HCFS, Patient Financial Representatives, Public Health and other outside resources as needed.
• Coordinates and implements discharge/transitional planning activities within expected length of stay in collaboration with the multidisciplinary team.
• Accountable for appropriate and patient focused discharge planning; including placement in alternative living environments.
• Advocates on behalf of patients and takes a lead role assisting patients with complex psychosocial needs.
• Keeps supervisor informed of barriers to discharge, patient/family dissatisfaction, and/or agency conflicts.
• Coordinates with referral agencies as indicated to ensure services are in place before discharge. This includes providing necessary paperwork in a timely manner to process the referral and enhancing positive working relationships with community agencies.
• Demonstrates and utilizes knowledge of internal and external agency services/resources related to the needs of specific patient populations and the ability to be creative in coordinating services.
• Refers patients, families, and significant others to appropriate services to ensure continuity and quality of care (information and referral).
• Monitors the need for revisions in the care plan and makes recommendations to physician(s) and interdisciplinary team when indicated. Demonstrates resourcefulness when collaborating with the interdisciplinary team.
• Modifies treatment plans to reflect changes in patients or their support system status and needs.
• Demonstrates the ability to evaluate compliance with medical/psychiatric treatment protocols and intervene to address barriers.
• Helps navigate patient through the healthcare system.
• Provides timely referral and coordinates with agencies/facilities to ensure services are in place to meet the patient's and organizational needs to achieve continuity and quality of care.
• Demonstrates and utilizes knowledge of services/resources related to the needs of specific patient populations.
• Maintains current knowledge regarding insurance benefit reimbursement, community resource and ancillary clinical services to meet the needs of internal and external customers.
• Serves as a resource to staff on psychosocial needs of patients and families, resources, and discharge/transitional planning.
• Documents care management interventions in medical record including patient, family and/or significant other communication, discharge/transition plan, support system and disposition status.
• Documentation is timely, reflects professional practice and is consistent with departmental/organizational policy.
• Monitors, evaluates and documents patient progress related to the plan of care.
• Maintains data and reporting information as required by department and other programs.
• Provides utilization review functions as required by the department.
• Identifies service gaps and participates in hospital and departmental programs to address and improve quality of care.
• Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety.
• Maintain competency in organizational and departmental policies/processes relevant to job performance.
• Adheres to regulatory, legal, compliance, and professional licensure/certification requirements in day-to-day practice.
• Participates in continuing education, department planning, work teams, and process improvement activities.
• Demonstrates the ability to be flexible, open minded and adaptable to change
• Maintain competency in organizational and departmental policies/processes relevant to job performance.
• Performs other duties as assigned or needed to meet the needs of the department/organization.



Minimum Qualifications




Level II



• Masters degree in social work preferred; Masters degree in a related field may be considered
• Three (3) years of clinical experience preferred



Therapist/Social Worker III



• Masters degree in Social Work, preferred; other comparable clinical Masters program may be considered
• Current Montana Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LCPC), or if entering from a different state, must be licensed in practicing state
• Three (3) years experience in a clinical setting with the same or similar duties and expectations of this position, preferred


Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.