Nadia Fitzgerald
Licensed Clinical Social Worker, MSW, LICSW
Dear Mr. Lindqvist,
I'd like to be considered for the Lead Behavioral Health Clinician position in your integrated primary care program. I am a licensed independent clinical social worker with seven years in community behavioral health, the last four and a half embedded in a federally qualified health center, and the role you describe, brief therapy at the point of care plus clinical leadership for the behavioral health team, is the one my current work has been building toward.
At Cascade Family Wellness Center I carry a caseload of about 45 adult patients and take eight to twelve same-day warm handoffs a week from the primary care providers. I track PHQ-9 and GAD-7 scores for every client; about two thirds show a clinically meaningful drop within twelve weeks, and over the last two years the clinic's depression remission measure rose from 14 to 23 percent. I complete about 60 suicide risk assessments and safety plans a year, and no client of mine has been hospitalized without a documented plan and a follow-up call within 48 hours.
The lead part of the role is where my work already points. I supervise two MSW interns each academic year and run the clinic's monthly case consultation for six behavioral health staff, which is the forum your posting lists among the lead's responsibilities. Before Cascade I carried 55 to 65 adults with serious mental illness and co-occurring substance use at Puget Ridge Behavioral Health, ran two weekly DBT skills groups, and wrote treatment plans that passed every state and managed-care chart audit in four years. I also offer professional working Spanish, which your patient population would use.
My resume is attached with my LICSW details and both positions. I would welcome a conversation about how the program measures outcomes and what you would want the lead clinician to change first. I am available for an interview with a week's notice, and my current and previous clinical directors are willing to serve as references. Thank you for your time.
Sincerely,
Nadia Fitzgerald