Emergency Department Based Clinician, Greenfield

CSO is looking for an Emergency Room based Clinician in Greenfield. 

This Clinician will provide behavioral health services including consultation, support, assessment, intervention and discharge planning to individuals and families in the Emergency Department. The position is primarily based at the hospital and works to fulfill the requirements of the CSO contract with Hospital. The Supervisor represents CSO in providing clinical services and advocates for the behavioral health needs of clients.


  • Provide intake, psychiatric assessment services, and appropriate dispositions for clients experiencing a mental health emergency.  Use the least restrictive services possible when intervening in an emergency.
  • Assist patients/families through coordination of referrals and assist in resource linkage to maximize patients' abilities to be treated in the least restrictive setting.
  • Provide any documentation required by the Emergency Department to client medical record.
  • Seek external information to supplement clinical assessments.  This includes contacting providers, family, friends and significant supports of the individual being evaluated.
  • Request expert consultations including supervisors, psychiatrists, hospital staff and CSO staff that are available for specialized consultation. Examples include consults to assess acuity, medication needs, resolve ethical conflicts, cultural questions and risk management.
  • As hospital-based clinicians, HS Supervisors will intervene primarily in the Hospital but may provide follow-up care in the community.
  • Facilitate admissions to local inpatient psychiatric hospitals following established procedures.
  • Consult with a CSO Supervisor or Director on assessments to determine most appropriate disposition using the least restrictive services possible.
  • Consult with a Psychiatrist (either CSO psychiatrist or psychiatrist treating client) on: Patients evaluated under a section 12 who will be discharged to the community, patients for whom medical staff have requested a psychiatric consult, other concerns as needed.
  • Comply with JCAHO, DMH, DPH and other licensing authorities, hospital, and third-party payor regulations regarding record keeping, reimbursement and pre-authorization requirements.
  • Complete all initial and ongoing credentialing requirements for those hospitals where employee will be providing services including obtaining required vaccinations, tox screens, and safety/health education competencies. (Agency to facilitate titres and screens; any necessary vaccinations/x-rays to be employee's responsibility.)
  • Maintains established hospital policies and procedures, objectives, confidentiality, quality improvement program, safety, infection control, compliance and environmental standards
  • May occasionally be assigned shift duties at the CSO community based site when needed as long as it does not deter from hospital shift.
  • Perform Site-based supervisory and clinical duties when assigned. Site-based functions will be conducted as described in the Crisis Supervisor job description.
  • Attend regular supervision with supervisor, and attend supervisory and management meetings as a member of the management team.

Clinical Master's degree required and independent license (LICSW or LMHC) preferred, with five years' or more experience treating individuals with mental illness in outpatient, residential, crisis intervention, or psychiatric inpatient setting post-Masters degree experience preferred. In some cases, an LCSW or significant experience may be acceptable while working towards independent licensure. Ability to work with computers using Microsoft software, Adobe Acrobat, and web-based programs including basic data entry skills. Must be experienced in assessing individuals and managing appropriate dispositions.  Must be able to triage and direct workflow, be familiar with community resources and possess strong organizational, interpersonal, communication, computer and phone counseling skills. 

Bilingual candidates are strongly encouraged to apply, (English/Spanish speaking.)


We provide our employees with competitive salaries and a generous benefits package, including full coverage health and dental insurance and ample paid time off (vacation, personal, sick, and holidays). Additionally, we offer a 403B retirement savings plan, an employee referral bonus program, regular in-house training and professional development opportunities with free CEUs, and voluntary supplemental insurances at group rates, including short and long-term disability, cancer, accident and life. We also offer a premier employee assistance program (EAP) and personal cell phone plan discounts. Our work environment is flexible and supportive, with ample opportunities for collaboration within and across departments, programs and locations. 

Our Agency

Clinical & Support Options, Inc. is a behavioral health organization serving individuals and families across Western Massachusetts. From our early days as a child guidance clinic, we have expanded into a full service behavioral health agency, committed internally to excellence while we collaborate externally with community partners to participate in a comprehensive system of assistance and resources for the residents of our communities. We employ over 650 multi-disciplinary staff, helping thousands of families over the past 50 years. We have community based office locations throughout Western Massachusetts, including Springfield, Northampton, Greenfield, Orange, Athol, Gardner and Pittsfield.

Our expertise, in a nutshell, is to support people in their progress towards self-sufficiency, no matter what challenges they face on that journey. EOE/AA