Careers

Current Employment Opportunities

Equal Employment Opportunity Policy: Family & Children’s Service provides equal opportunity employment to all employees and applicants for positions with the organization. No individual will be discriminated against in application, hiring or employment on the basis of race, age, culture, ability, ethnicity or nationality, gender identity and expression, sexual orientation, marital status, religious affiliation, and socioeconomic status.  Additionally, Family & Children’s Service’s policies and practices in application, hiring and employment are developed to be consistent with all applicable local, state and federally mandated obligations imposed through regulation or statute, which govern employment practices. This policy applies to all agency positions.

 

Benefits offered by Family and Children’s Service:

  • Generous Paid Time Off (PTO) and holiday schedule.
  • Medical, Dental, and Vision coverage options for employees and eligible dependents.
  • Option to create a hybrid office/home work schedule.
  • Pre-tax savings options: FSA, self-funded; HSA, employer contribution (depending on medical plan participation.
  • Enhanced Short Term Disability, Free Basic Life and AD&D.
  • 403(b) Retirement Plan with employer contributions after one year of employment.

Title: Behavioral Health Care Coordinator
Status: Non-Exempt/ Full-Time (37.5 Hours Per Week)                                        
Responsible To: Clinic Office Manager
Salary: $26.00-$28.00 per hour
          

The Behavioral Health Care Coordinator provides critical administrative support to the psychiatric team, including medication workflows, scheduling, follow-ups, and scripted risk triage. This role does not involve clinical judgment.

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Responsibilities

  • Manage medication refill requests and route appropriately.
  • Complete I-STOP checks and prepare documentation.
  • Process prior authorizations and coordinate with pharmacies.
  • Track labs and follow-up testing as directed by providers.
  • Schedule psychiatric appointments and manage provider calendars.
  • Provide follow up client calls according to prescriber requests.
  • Conduct scripted risk screens (e.g., C-SSRS) and escalate concerns.
  • Assist with filling out releases of information and coordinating records exchange with others as needed.
  • Conduct records reviews of outside records received and/or past histories of client’s care and summarize for prescribers based on template provided for review.
  • Document all client interactions in the EHR.
  • Communicate with therapists, prescribers, pharmacies, and external providers.
  • Complete caseload reviews to ensure scope of care being provided in psychiatry matches specialty care level and facilitates transition to PCP/Pediatrician when appropriate.
  • Provides back up support for other support team functions as required.
  • Other duties as assigned.

 

Required Qualifications 

  • High school diploma or GED.
  • Strong administrative and communication skills.
  • Ability to work professionally with individuals experiencing mental health symptoms.
  • Familiarity with healthcare or willingness to be trained.

 

Preferred Qualifications

  • Bachelor’s in psychology, social work, or related field; or MA/LPN Certification
  • Experience in behavioral health or medical office settings.
  • Experience with electronic health records.

 

How to Apply 

Email cover letter and resume to: Dr. Alecia Sundsmo, Executive Director, asundsmo@fcsith.org

Title: Intake Clinician
Status: Exempt/ Full-Time (37.5 Hours Per Week)                                               
Responsible To: Director of Clinical Services
Salary: $70,000-$80,000 annually
          

We are currently seeking multiple full time therapists who can provide comprehensive initial assessments to help evaluate the needs of clients seeking mental health services, provide professional consultation to clients about possible options for meeting their mental health care needs, and supporting clients successfully through the referral to treatment process, whether that be internal or external to the agency. Intake clinicians will spend about one half of their time in this evaluative and consultative role, and the remainder will be as a generalist mental health clinician providing evidenced-based, culturally responsive mental health treatment across the lifespan. The successful candidate for this position will have experience assessing and treating individuals and families in an outpatient setting with diagnosable mental health conditions based on DSM/ICD criteria and the corresponding interpersonal and systemic challenges that come with it. Clinicians hired into the position will have opportunities to work with a wide range of presenting concerns and acuity levels. Our agency is well known for providing clinicians with ample support including individual supervision, weekly clinical team for discussing cases with peers, as well as numerous other opportunities for case discussions and support. We are a NYS OMH licensed facility and follow all guidelines for clinical practice and documentation as set out in those regulations for MHOTRS programs. For more information on regulatory requirements in our setting please click here.

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Responsibilities

  • Conduct individual biopsychosocial and diagnostic assessments to identify client needs, including whether client meets DSM/ICD criteria for diagnoses treatable within OMH MHOTRS program and the medical necessity standard for insurance billable services.
  • Assist clients in connecting to services to meet their mental health needs, including services provided for within and outside the agency.
  • Develop treatment plans collaboratively with clients in order to help manage expectations for progress in treatment and when goals are met such that the current episode of care will end.
  • Assess ongoing risk, including but not limited to threat to self or others, and develop safety plans that mitigate risk.
  • Provide individual, couples, and/or family therapy sessions using evidenced-based interventions that are client-centered and drive toward treatment goals.
  • Adhere to agency and OMH documentation standards, including both content covered and timeliness of completion.
  • Demonstrate continued professional growth including deepening and broadening clinical practice through continuing education and supervision.
  • Effectively use peer and supervisory consultation as needed, but especially in high risk situations.
  • Respond after hours for urgent/crisis needs of agency clients as needed.
  • Maintain full caseload and meet clinical billable hour performance metrics.
  • Collaborate with internal partners, such as psychiatric team members, as well as external partners, such as PCPs and schools, in order to deliver coordinated care to clients.

 

Required Qualifications

  • Master’s or doctorate degree in psychology, social work, mental health counseling, or marriage and family therapy.
  • Ability to obtain independent clinical license to practice in the state of NY, including diagnostic privilege if required separately from standard scope of practice for license type, within three years of date of hire.
  • Previous education, training, and clinical experience in differential diagnostic assessment and evidenced-based treatment of mental health conditions.
  • Knowledge of a full range of evidence based clinical and non-clinical resources that can improve client mental health.
  • Ability to perform clinical duties from a culturally responsive lens, including incorporating aspects of client identity throughout the assessment and treatment process.

 

Preferred Qualifications

  • Independent clinical license, with diagnostic privilege if applicable for license type
  • Training and experience assessing and treating comorbid substance use disorders
  • Experience with referral coordination and/or case management
  • Capability to deliver mental health services in multiple languages
  • Additional certifications or formal training in a specific modality of evidenced-based care

Application Submission Process

Please email a cover letter and resume to: Dr. Alecia Sundsmo, Director of Clinical Services, at asundsmo@fcsith.org.

Title: Director of Finance
Status: Exempt/ Full-Time (37.5 Hours Per Week)                                               
Responsible To: Executive Director
Salary: $100,000 – $120,000 annually
          

The Director of Finance provides strategic and operational leadership for all financial functions at F&CS, establishing a single accountable leader to ensure financial integrity, compliance, and clarity for management, the Board, and external partners. The Director of Finance is responsible for managing the organization’s financial health through effective systems, processes, and reporting – balancing day-to-day accuracy with long-term sustainability.

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Responsibilities

  • Serve as part of the management team, contributing to strategic planning, budgeting, and decision making
  • Provide clear, actionable financial analysis to support agency priorities, service expansion, and resource
    allocation.
  • Attend and present at Board and Finance Committee meetings, translating financial performance into
    accessible, mission-linked narratives.
  • Maintain effective communication with funders, auditors, and external partners.
  • Prepare timely accurate monthly and annual financial statements, including statement of financial position,
    statement of activities (with YTD, prior-year, and budget comparisons), and statement of cash flows.
  • Develop and monitor annual budgets and rolling forecasts in collaboration with department heads.
  • Oversee maintenance of restricted net asset schedules and grant tracking.
  • Oversee all accounting functions including accounts payable, accounts receivable, bank reconciliation, and
    journal entries.
  • Maintain and enforce internal controls that safeguard assets and ensure compliance with GAAP, nonprofit,
    and behavioral healthcare regulations.
  • Oversee all transaction coding, reconciliations, deposits, and vendor-management.
  • Ensure timely and accurate month-end and year-end closings, including coordination with auditors.
  • Oversee cash flow management and ensure sufficient liquidity for operating needs.
  • Monitor banking relationships and investment accounts; reconcile and report on investment activity.
  • Maintain compliance with all financial, contractual, and grant reporting obligations.
  • Oversee internal monitoring for insurance audits, PCI compliance, and benefit plan filings.
  • Support preparation and review of the IRS Form 990 and related filings.
  • Hold functional accountability for the organization’s full revenue cycle, from service entry through cash
    receipt, in partnership with the clinical and billing teams, and including monitoring revenue-cycle metrics.
  • Develop, document, and maintain policies for billing, receipting, reconciliation, and write-off approvals.
  • Ensure accurate recording of earned revenue, receivables, and contractual adjustments in alignment with
    GAAP and funder requirements.
  • Reconcile billing data to the general ledger monthly, resolving discrepancies between systems.
  • Ensure compliance with payer contracts, documentation standards, and audit requirements.
  • Serve as system owner for QuickBooks Online, Bill.com, and related financial integrations.
  • Ensure proper configuration, user access, and internal documentation for all financial systems.
  • Build and maintain streamlined workflows for approvals, documentation, and reporting.
  • Partner closely with HR on payroll integration, benefits reconciliation, and compliance.
  • Assist with other assignments and tasks that may be added at the discretion of the Executive Director.

 

Required Qualifications

The Director of Finance must possess a bachelor’s degree in accounting, finance, or related field (master’s preferred).
CPA or equivalent experience a plus. Minimum 7 years of progressive nonprofit or related finance experience
including audit coordination and reporting required, with experience in healthcare environments highly preferred.
Strong understanding of GAAP, fund accounting, and nonprofit compliance. Proficiency with QuickBooks Online,
Bill.com, and Excel (experience with Paylocity a plus). Demonstrated ability to lead both strategic planning and handon financial operations. Excellent communication, organizational, and analytical skills.

Application Submission Process
Please email a cover letter and resume to: Dr. Alecia Sundsmo, Executive Director, at asundsmo@fcsith.org