NewSocial Worker LCSW - Social Work Services Providence Non-RN - OregonSocial Worker LCSW - Social Work ServicesPortland, OR$41.63–$64.63 / hourOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.
NewSocial Worker MSW Providence Non-RN - OregonSocial Worker MSWOregon City, OR$36.99–$57.44 / hourOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.
NewSocial Worker MSW - Psych Adult Providence Non-RN - OregonSocial Worker MSW - Psych AdultPortland, OR$36.99–$57.44 / hourOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.
Licensed Clinical Social Worker - Telehealth HeadwayLicensed Clinical Social Worker - TelehealthPortland, ORHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - 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.
Licensed Clinical Social Worker (LCSW) HeadwayLicensed Clinical Social Worker (LCSW)Portland, ORHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - 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.
Licensed Clinical Social Worker HeadwayLicensed Clinical Social WorkerPortland, ORHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - 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.
NewSocial Worker - Flexible Schedule LifeStance HealthSocial Worker - Flexible ScheduleVancouver, WA$123,000–$141,000About LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. Please apply now or contact me directly: Garrett Miller Director, Practice Development garrett.miller@lifestance.com careers.lifestance.com
NewSocial Worker - Full Health Benefits LifeStance HealthSocial Worker - Full Health BenefitsVancouver, WA$123,000–$141,000About LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. Please apply now or contact me directly: Garrett Miller Director, Practice Development garrett.miller@lifestance.com careers.lifestance.com
Licensed Clinical Social Worker (Virtual) HeadwayLicensed Clinical Social Worker (Virtual)Portland, ORHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - 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.
Licensed Clinical Social Worker (Remote) HeadwayLicensed Clinical Social Worker (Remote)Portland, ORRemoteHeadway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. - 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.
Social Worker DaVitaSocial WorkerBattle Ground, WAFull timeWashington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. DaVita provides the opportunities for support for you and your family with family resources, EAP counseling sessions, access to Headspace, backup child, elder care, maternity/paternity leave, pet insurance, and so much more!
NewCare Manager RN - Social Work, Multiple FTEs and Shifts Available Providence Health and ServicesCare Manager RN - Social Work, Multiple FTEs and Shifts AvailablePortland, ORTriMet annual pass (Hop Fastpass) for benefit eligible staff who work within the Portland Service Area (does NOT include Wilsonville, Newberg, Seaside, Hood River, Washington State, or Medford) Medical Plan Assistance Program- provides free or reduced-cost coverage to caregivers and their eligible dependents who qualify based on household size and income Tuition reimbursement/education– includes 100% tuition paid program options; up to $5,250 per year for select undergraduate and masters degrees within Guild catalog. Job Category: Care Management Clinical Care Job Schedule: Part time Job Shift: Multiple shifts available Career Track: Nursing Department: 5001 PPMC SOCIAL WORK CM Providence Portland Medical Ctr-Portland Workplace Type: On-site additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Manager, Care Management Social Work Unity Center Legacy Health SystemManager, Care Management Social Work Unity CenterPortland, OR$72.54–$109.53 / hourThe ideal candidate is a collaborative healthcare leader who excels at developing high-performing teams, managing budgets and resources, driving process improvements, and partnering with multidisciplinary stakeholders to advance strategic initiatives and enhance the delivery of patient-centered care. In this dynamic leadership role, you will oversee programs that support patients with behavioral health needs through care coordination, psychosocial assessments, safety planning, utilization review, and referral management, while ensuring operational excellence, regulatory compliance, and exceptional patient outcomes.
Social Worker LCSW - Social Work Services Providence Health & ServicesSocial Worker LCSW - Social Work ServicesPortland, ORRequsition ID: 438351 Company: Providence Jobs Job Category: Social Services Job Function: Clinical Care Job Schedule: Per-Diem Job Shift: Night Career Track: Clinical Professional Department: 5002 PSVMC SOCIAL WORK ED Address: OR Portland 9205 SW Barnes Rd Work Location: Providence St Vincent Medical Ctr-Portland Workplace Type: On-site Pay Range: $41.63 - $64.63 Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Social Worker LCSW - Social Work Services Providence St. Joseph HealthSocial Worker LCSW - Social Work ServicesPortland, ORThe Licensed Clinical Social Worker (LCSW) independently provides comprehensive biopsychosocial/spiritual assessment, diagnosis and/or treatment/interventions/advocacy of patients and their support systems. The LCSW will collaborate with the patient and support system to develop and implement evidence-informed person-centered care plans across the care continuum in collaboration with the Inter/Multi-Disciplinary Team (IDT).
Manager, Care Management Social Work - Unity Center Legacy HealthManager, Care Management Social Work - Unity CenterPORTLAND, Oregon$72.54–$109.53 / hourFull timeThe ideal candidate is a collaborative healthcare leader who excels at developing high-performing teams, managing budgets and resources, driving process improvements, and partnering with multidisciplinary stakeholders to advance strategic initiatives and enhance the delivery of patient-centered care. In this dynamic leadership role, you will oversee programs that support patients with behavioral health needs through care coordination, psychosocial assessments, safety planning, utilization review, and referral management, while ensuring operational excellence, regulatory compliance, and exceptional patient outcomes.
Care Manager RN - Social Work, Multiple FTEs and Shifts Available Providence Health & ServicesCare Manager RN - Social Work, Multiple FTEs and Shifts AvailablePortland, OR$57.90–$84.50 / hourRequsition ID: 439251 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Part time Job Shift: Multiple shifts available Career Track: Nursing Department: 5001 PPMC SOCIAL WORK CM Address: OR Portland 4805 NE Glisan St Work Location: Providence Portland Medical Ctr-Portland Workplace Type: On-site Pay Range: $57.90 - $84.50 Key services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services.
Care Manager RN - Social Work, Multiple FTEs and Shifts Available Providence St. Joseph HealthCare Manager RN - Social Work, Multiple FTEs and Shifts AvailablePortland, ORKey services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services. TriMet annual pass (Hop Fastpass) for benefit eligible staff who work within the Portland Service Area (does NOT include Wilsonville, Newberg, Seaside, Hood River, Washington State, or Medford).
NewAcute Care Charge RN - Social Work Services Providence Health and ServicesAcute Care Charge RN - Social Work ServicesPortland, ORDescription Acute Care Charge, RN- Social Work Services at Providence Portland Medical Center- Full-Time, Day Schedule Providence offers a fantastic benefits package which include but is not limited to: Free, convenient, and ample parking TriMet annual pass (Hop Fastpass) for benefit eligible staff who work within the Portland Service Area (does NOT include Wilsonville, Newberg, Seaside, Hood River, Washington State, or Medford) Medical Plan Assistance Program- provides free or reduced-cost coverage to caregivers and their eligible dependents who qualify based on household size and income Tuition reimbursement/education– includes 100% tuition paid program options; up to $5,250 per year for select undergraduate and masters degrees within Guild catalog. Required books and fees are 100% covered or reimbursable for select schools in the Guild catalog up to program funding cap Paid Time Off – Benefit eligible caregivers receive up to 25 days per year Retirement - The Providence retirement program consists of employer match and discretionary contributions that work together with your pre-tax (and/orRoth aftertax) contributions to help you save for retirement.
NewAcute Care Charge RN - Social Work Services Providence Health & ServicesAcute Care Charge RN - Social Work ServicesPortland, OR$64.39–$88.50 / hourRequsition ID: 445609 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 5001 PPMC SOCIAL WORK CM Address: OR Portland 4805 NE Glisan St Work Location: Providence Portland Medical Ctr-Portland Workplace Type: On-site Pay Range: $64.39 - $88.50 Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women''s services, emergency and trauma care, pediatrics and neonatal intensive care.
NewAcute Care Charge RN - Social Work Services Providence St. Joseph HealthAcute Care Charge RN - Social Work ServicesPortland, ORTriMet annual pass (Hop Fastpass) for benefit eligible staff who work within the Portland Service Area (does NOT include Wilsonville, Newberg, Seaside, Hood River, Washington State, or Medford). Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Clinical Social Worker III Team Lead Legacy Health SystemClinical Social Worker III Team LeadPortland, OR$45.89–$65.63 / hourSkills: Broad knowledge of the principles of social work and the ability to apply them with individuals, families and/or groups integrating knowledge of normal development and the aging process, changes related to illness, and the needs of patients with acute, chronic, and terminal illness in assessment and intervention with attention to cultural and literacy implications. Key services include (but are not limited to) comprehensive evaluation of psychosocial and mental/behavioral health status, legal and safety considerations, substance use or addiction, chronic illness, or end of life issues with the use of brief counseling, transition planning, crisis management and planning and coordination with internal and community stakeholders.
Clinical Social Worker Specialist On Call Legacy Health SystemClinical Social Worker Specialist On CallPortland, OR$43.30–$61.92 / hourAbility to address the psychosocial functioning and needs of patients and their family members and to formulate and implement a treatment plan, identifying the patient's problems, strengths, weaknesses, coping skills and assistance needed, in collaboration with the patient, family and interdisciplinary treatment team. Services may also include assessment and intervention strategies to address behavioral health and addiction issues, as well as end-of-life care and informed decision making about therapeutic options and communication with surrogates, family members, caregivers and health care providers.
Elementary Counselor-Social Worker (9942) Evergreen Public SchoolsElementary Counselor-Social Worker (9942)Vancouver, WADemonstrated ability to establish effective working relationships and interact successfully with diverse instructional support services and administrative staff, including perceiving the needs and concerns of others; assisting others in resolving conflicts; motivating others; and designing programs to assist others in meeting organizational goals. Maintain a positive relationship with students, staff, parents, and community by modeling respect, cooperation, and professionalism with others, recognizing the personal achievements and professional contributions of others and demonstrating knowledge of a sensitivity toward individuals and groups from all racial, ethnic/cultural, national socio-economic backgrounds.
Social Media Manager NoGigiddySocial Media ManagerPortland, ORRemote$37,440–$56,160We connect our community with real earning opportunities — remote jobs, surveys, gig platforms, and financial tools — all in one place, free to access, no gatekeeping. As our Social Media Manager, you'll own our presence across Instagram, TikTok, X, and Facebook, building a community of people who are done with the 9-to-5 grind and ready to earn on their own terms.
Social Services Assistant GLISANSocial Services AssistantPortland, ORFull timeDevelop and maintain a good working rapport with other departments within the facility, and outside community health, welfare and social agencies, to assure that social service programs can be properly maintained to meet the needs of the residents. • Work with emotional problems including assisting resident/family with anxieties and stress caused by illness and admission to the facility, difficulties in coping with residual physical disabilities, fears related to helplessness and death, and the need for institutional and specialized care.
SENIOR SOCIAL WORKER Veterans Affairs, Veterans Health AdministrationSENIOR SOCIAL WORKERVancouver, WAAdvanced Practice Level is defined as the ability to provide independent and expert clinical psychosocial and case management services in a specialized area of practice to Veterans who tend to have serious and severe crises, may lack any familial and community support, may be poor self-monitors, may frequently fail to comply with instructions and treatment, or may have major deficits in coping skills and require continuing professional psychological support. The advanced practice or senior social worker has an increased depth and breadth of practice skills; has expertise in participating in the professional development of colleagues through mentorship and teaching; demonstrates leadership in developing and expanding professional intervention strategies; demonstrates leadership in defining and attending to professional practice issues; and has the ability to expand the conceptual knowledge of the profession.
Social Lead - Brand Initiatives eTeam Inc.Social Lead - Brand InitiativesBeaverton, OR$47.34–$50 / hourIn this role, you’ll shape the social vision for our golf and tennis initiatives, driving the creative direction, strategic planning, and day-to-day execution that bring these sports to life across platforms. This is a chance to define how our brand shows up in two of the most tradition-rich yet rapidly evolving sports, blending cultural insight, creative excellence, and strategic clarity to build a social presence that stands out.
Social Media Manager Dutch Pet, Inc.Social Media ManagerORRemoteBacked by world-class investors including Forerunner Ventures, Eclipse Ventures, and Bling Capital, our team is made-up of successful startup founders (Hims, PlushCare, Nasty Gal) with expertise in scaling enterprises (TripAdvisor, Walmart, BARK). Our mission is simple: help every pet live their happiest, healthiest life by connecting pet parents with licensed vets through seamless virtual visits.
Social Health Member Navigator Moda HealthSocial Health Member NavigatorPortland, OR$54,668.32–$68,340.67 / yearThis position fulfills the contractual obligation with the Oregon Health Authority (OHA) regarding collaboration between health plans and community partners in overseeing the utilization of services by all members, particularly those that make up the prioritized populations identified in various Oregon Administrative Rulings. Provides education to members and providers regarding Health-Related Social Needs, including how to request, criteria for coverage, availability of resources, and case management services.
Clinical Social Worker III - Team Lead Legacy HealthClinical Social Worker III - Team LeadPORTLAND, Oregon$45.89–$65.63 / hourFull timeKey services include (but are not limited to) comprehensive evaluation of psychosocial and mental/behavioral health status, legal and safety considerations, substance use or addiction, chronic illness, or end of life issues with the use of brief counseling, transition planning, crisis management and planning and coordination with internal and community stakeholders. Broad knowledge of the principles of social work and the ability to apply them with individuals, families and/or groups integrating knowledge of normal development and the aging process, changes related to illness, and the needs of patients with acute, chronic, and terminal illness in assessment and intervention with attention to cultural and literacy implications.
Senior Copywriter Social WPP PlcSenior Copywriter SocialPortland, OR$60,000–$140,000 / yearAs the Senior Copywriter focused on social media, you will help shape the creative vision and deliver content for our clients owned channels, bringing memorable insight-driven copy and a knack for storytelling on pocket-sized screens. VML is seeking a witty, tech-obsessed, socially savvy Senior Copywriter to concept and write organic social content for a high-profile tech client in our Portland office.
Social Media Manager / Content Producer / Brand Organizer SANCHEZ V HOLDING LLCSocial Media Manager / Content Producer / Brand OrganizerPORTLAND, ORYou will be responsible for filming, editing, organizing, and posting content for social media platforms including Instagram, TikTok, Facebook, and YouTube Shorts. We are looking for someone who can create engaging videos/photos, organize marketing ideas, help build our brands, and capture the energy of our businesses.
NewSocial Media Ads Manager NoGigiddySocial Media Ads ManagerPortland, ORRemote$39,520–$58,240As our Social Media Ads Manager, you'll own NoGigiddy's paid campaigns on Meta, TikTok Ads, and Pinterest, driving high-quality traffic at efficient costs. We connect our community with real earning opportunities — remote jobs, surveys, gig platforms, and financial tools — all in one place, free to access, no gatekeeping.
Social Worker Oregon Health & Science UniversitySocial WorkerPortland, ORThese clinicians will support employees by providing mental health resource navigation and bridge counseling services with the goal of reducing the psychological and emotional impact and harm from workplace events, circumstances, interpersonal/interprofessional dynamics, and culture. The Occupational Health clinician is an experienced and qualified professional able to respond promptly, ethically, and independently during complex situations and have an in-depth understanding of workplace conditions and risks impacting mental health and be able to confidently navigate internal and external resources available.
Hospice Medical Social Worker Legacy Health SystemHospice Medical Social WorkerTualatin, OR$40.06–$57.28 / hourConsistently understands and applies social work principles and ethics in addressing the physical, social, psychological, and spiritual needs of the patient in relation to the economic/ political forces affecting the care of patients/ families, (e.g., insurance benefits; diminishing resources; changes in community focus). Certification / Licensure: Licensed Clinical Social Worker (LCSW) or Clinical Social Work Associate (CSWA, working toward LCSW) required; Licensed Clinical Social Worker (LCSW) preferred.
Marketing - Social Media Strategist 3 MindlanceMarketing - Social Media Strategist 3Beaverton, ORIn this role, you ll shape the social vision for our golf and tennis initiatives, driving the creative direction, strategic planning, and day-to-day execution that bring these sports to life across platforms. This is a chance to define how our brand shows up in two of the most tradition-rich yet rapidly evolving sports, blending cultural insight, creative excellence, and strategic clarity to build a social presence that stands out.
Social Health Member Navigator Moda Partners IncSocial Health Member NavigatorPortland, OR$54,668.32–$68,340.67 / yearThis position fulfills the contractual obligation with the Oregon Health Authority (OHA) regarding collaboration between health plans and community partners in overseeing the utilization of services by all members, particularly those that make up the prioritized populations identified in various Oregon Administrative Rulings. Provides education to members and providers regarding Health-Related Social Needs, including how to request, criteria for coverage, availability of resources, and case management services.
Clinical Social Worker CSWA or LCSW Legacy Health SystemClinical Social Worker CSWA or LCSWPortland, OR$42.06–$60.14 / hourWe will consider candidates with their Clinical Social Work Associate license working towards a Licensed Clinical Social Worker license for a Clinical Social Worker I position ($40.06 min - $57.28 max) or candidates with their Licensed Clinical Social Worker license for a Clinical Social Worker II position ($42.06 min - $60.14 max). Skills: Broad knowledge of the principles of social work and the ability to apply them with individuals, families and/or groups integrating knowledge of normal development and the aging process, changes related to illness, and the needs of patients with acute, chronic, and terminal illness in assessment and intervention with attention to cultural and literacy implications.
Social Media Manager - PDX Area The Boutique COOSocial Media Manager - PDX AreaPortland, OregonRemoteThe Boutique COO is committed to social justice, including LGBTQ rights, women’s rights, and civil rights, and provides services for individuals from a diverse array of races, ethnicities, national origins, sexual orientations, ages, religions, genders, educations, abilities and other identities. Design & Editing Pros: You have strong graphic design and editing abilities and can create visually engaging content that aligns with client brand aesthetics across a variety of industries including short form video content, carousels, stories, and more!
Social Services Director PACS Group IncSocial Services DirectorORProvide emotional support and address emotional problems including assisting residents and family with difficulties in coping with physical disabilities, fears related to health conditions as well as grief related to loss of ability and/or death. Develop and maintain a strong working relationship with other departments in the facility, and outside community agencies, so that social services can be provided to meet the needs of the residents.
NewSocial Services Associate - Case Management Providence St. Joseph HealthSocial Services Associate - Case ManagementPortland, ORFunctions as a member of the PMG Care Management social work team and collaborates with the primary Care Manager LCSW/MSW to meet the social, emotional, financial and care needs of the patient. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewSocial Services Associate - Case Management Providence Health & ServicesSocial Services Associate - Case ManagementPortland, ORRequsition ID: 444679 Company: Providence Jobs Job Category: Social Services Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Clinical Professional Department: 5011 PMG N CASE MGMT Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: On-site Pay Range: $26.79 - $40.99 Functions as a member of the PMG Care Management social work team and collaborates with the primary Care Manager LCSW/MSW to meet the social, emotional, financial and care needs of the patient.
Social Media Strategist 3 HireTalentSocial Media Strategist 3Beaverton, ORThis is a chance to define how our brand shows up in two of the most tradition-rich yet rapidly evolving sports, blending cultural insight, creative excellence, and strategic clarity to build a social presence that stands out. In this role, you ll shape the social vision for our golf and tennis initiatives, driving the creative direction, strategic planning, and day-to-day execution that bring these sports to life across platforms.
NewLicensed Clinical Social Worker LCSW BrightSpring Health ServicesLicensed Clinical Social Worker LCSWPortland, ORProvide psychosocial assessments and behavioral health support for patients and families• Develop individualized treatment and support plans based on patient needs and goals• Deliver counseling, education, and resource coordination services• Assist patients and families in navigating community resources and support systems• Collaborate with physicians, therapists, case managers, and other members of the treatment team• Advocate for patients throughout their rehabilitation journey• Support emotional adjustment, coping, and successful community reintegration. Master''s degree in Social Work• Current LCSW licensure in Oregon• Strong communication, counseling, and care coordination skills• Experience working with neurological, rehabilitation, behavioral health, or medical populations preferred• Passion for helping individuals achieve meaningful outcomes and improved quality of life.
Clinical Social Worker II LCSW Legacy Health SystemClinical Social Worker II LCSWPortland, OR$42.06–$60.14 / hourSkills: Broad knowledge of the principles of social work and the ability to apply them with individuals, families and/or groups integrating knowledge of normal development and the aging process, changes related to illness, and the needs of patients with acute, chronic, and terminal illness in assessment and intervention with attention to cultural and literacy implications. Key services include (but are not limited to) comprehensive evaluation of psychosocial and mental/behavioral health status, legal and safety considerations, substance use or addiction, chronic illness, or end of life issues with the use of brief counseling, transition planning, crisis management and planning and coordination with internal and community stakeholders.