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Casa Esperanza

Bilingual behavioral health services and housing

Patient Access Clinician

Full-TimeUpdated on 10/24/2026
$70k - $72k/yr
Mid
Master's
Boston, MA, USA
In PersonOnsite Monday–Friday, with availability from 8 a.m. to 8 p.m., and Saturday 8 a.m.–2 p.m.
Medical, Clinical & VeterinaryMental & Behavioral Health

About the job

Requirements
  • A master's degree in social work, psychology, counseling, or a related field is required.
  • Spanish is required.
  • Must be independently licensed within six months of employment.
  • Experience working with a psychiatric, substance-abusing, or co-occurring population.
  • Familiarity working in a strength-based, trauma-informed environment.
  • Knowledge of appropriate community resources.
  • Knowledge of issues affecting people with HIV/AIDS in recovery from substance abuse or alcoholism.
  • Experience working with individuals dealing with homelessness, mental illness, domestic violence, and the criminal justice system.
  • Experience in crisis management and intervention.
  • Experience providing individual, family, and group interventions to target populations.
  • Strong verbal and written communication skills.
  • Ability to work effectively both as a team member and independently.
  • Ability to meet the physical and training requirements of the position.
  • Must provide proof of required COVID-19 vaccination, unless an exemption is approved.
  • Regularly required to walk, stoop, kneel, crouch, or crawl and talk or hear; occasionally lift or move up to 20 pounds; distance, peripheral, and depth perception are required.
Responsibilities
  • Conduct intake assessments to determine appropriate enrollment and level of care.
  • Complete initial treatment plans, documentation, clearly defined interventions, and measurable goals and outcomes.
  • Provide crisis intervention counseling and referrals to ongoing mental health services when needed.
  • Engage external and internal service providers to better meet clients’ needs.
  • Provide group treatment using evidence-based practices, including Motivational Interviewing, Cognitive-Behavioral Therapy, Relapse Prevention, Relational therapy, and Psychodynamic therapy, as needed.
  • Facilitate and support the Structured Outpatient Addiction Program as needed.
  • Participate in weekly clinical meetings to provide updates and assist with treatment-planning and implementation decisions.
  • Serve as a resource to the team on mental health issues and assist with program components.
  • Educate clients and families about psychiatric and substance use disorder diagnoses, recovery and wellness support services, medication including medication-assisted treatment, psychotropic medications, and medications for other physical conditions; support engagement with medication monitoring and regular health maintenance.
  • Work with the Casa leadership team to plan, implement, and maintain trauma-informed practices.
  • Ensure adherence to program treatment philosophies and policies.
  • Maintain client and program records according to agency requirements and timelines.
  • Assist with utilization management, including assessing appropriateness, effectiveness, and medical need for services.
  • Work with the Intake and Admission Manager and Director of Outpatient Services to maintain efficient workflow, meet program utilization goals and objectives, and ensure timely billing.
  • Assist with reporting as required by supervisors.
  • Attend required trainings and professional development opportunities.
  • Attend mandatory weekly multidisciplinary team meetings.
  • Maintain knowledge of current trends and developments in the field.
  • Participate in weekly programmatic and clinical supervision.
  • Complete all documentation in the electronic health record.
  • Provide weekly supervision to direct reports.
  • Work with the Medical Team to maintain and promote overall health and safety and ensure the appropriate level of care.
  • Provide backup on-call coverage as needed.
  • Work onsite Monday through Friday, with availability from 8 a.m. to 8 p.m., and Saturday from 8 a.m. to 2 p.m.
Desired Qualifications
  • Knowledge and practice of evidence-based practices, including cognitive behavioral therapy, relapse prevention, and motivational interviewing techniques.

About the company

Casa Esperanza provides behavioral health services for the Latine community in Massachusetts, including residential treatment for substance use, outpatient clinics, and 37 units of sober, affordable housing, all at no cost to clients. Its CasaCare model combines behavioral health and primary care to offer coordinated, integrated services, with programs like the Men's Program and the Latinas y Niños Center that allow mothers with young children to live on-site during treatment, plus telehealth through a CARF-accredited outpatient clinic. The organization distinguishes itself as one of the first bilingual, bicultural residential programs in the state and by offering a no-cost, no-denial policy, a broad continuum of care, and family-reunification support. Its goal is to reduce substance use and trauma-related health issues while helping clients achieve stable recovery, improve mental health, and re-enter society with housing and community resources.

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Boston, Massachusetts

Founded

1984

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Simplify's Take

What believers are saying

  • The May 2026 Roxbury open house signals active expansion and stronger community demand.
  • Same-day and next-day BHUC access supports faster patient acquisition and referral capture.
  • Leadership visibility in Massachusetts behavioral-health circles strengthens fundraising and policy influence.

What critics are saying

  • In January 2026, SAMHSA terminated $2.7 million of Casa Esperanza contracts before reinstatement.
  • Medicaid cuts already hit services, squeezing reimbursements across Casa Esperanza's free-care model.
  • Dependence on government grants makes another federal funding reversal an existential staffing risk.

What makes Casa Esperanza unique

  • Casa Esperanza opened eastern Massachusetts's only fully bilingual Behavioral Health Urgent Care in 2026.
  • Its 2024 Tewksbury ATS/CSS unit was Massachusetts's first fully bilingual, bicultural integrated program.
  • Latinas y Niños lets mothers and children stay together during residential treatment in Roxbury.

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Benefits

  • Health Insurance
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Paid Vacation
  • Paid Sick Leave
  • Paid Holidays
  • Long/Short-Term Disability
  • Life Insurance
  • Health Savings Account/Flexible Spending Account
  • Hybrid Work Options
  • Tuition Reimbursement
  • Professional Development Budget