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Social Worker (Mental Health Treatment Coordinator)

Veterans Health Administration · Posted 1 days ago

HybridFredericksburg, VA$94K – $122KApply by Jun 4, 2026Social WorkENFJESFJINFJINFPOperations
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About the Role

Works for the Central Virginia VA Health Care System, Fredericksburg Health Care Center (FxHCC) and is assigned to the Behavioral Health Interdisciplinary Program (BHIP). Duty location is: 10432 Patriot Highway Fredericksburg, VA 22408-2628.

What You'll Do

  • Serves in the role of the Mental Health Treatment Coordinator (MHTC), also referred to as Care Coordinator.
  • Care coordination is a system-wide approach to the deliberate organization of all Veteran care activities between two or more participants or systems to facilitate the appropriate delivery of health care services.
  • Care coordination involves deliberately organizing patient care activities and sharing information among all participants concerned with a Veteran's care to achieve safer and more effective care.
  • This means the Veteran's needs and preferences are known ahead of time and communicated at the right time to the right people, and this information is used to provide safe, appropriate, and effective care to the Veteran.
  • The position is fully dedicated to care coordination and serves as a point of contact (POC) for Veterans receiving mental health care (other than brief mental and behavioral health care provided in integrated care settings) across the mental health continuum of care.
  • The primary role of the MHTC is care coordination, not direct care provision (e.g., ongoing psychotherapy).
  • The MHTC ensures Veterans receiving MH care on a BHIP team have continuity throughout their mental health care and affords Veterans a consistent POC, especially during care transitions.
  • Ongoing POC and clinical resource that promotes treatment engagement, especially during care transitions along the MH continuum of care.
  • Provides and/or ensures the Veteran (and family/caregiver/support person) has access to education, information, and resources for proactive self-management.
  • Complete MH Care Coordination needs assessment.
  • Develops initial MH Care Coordination interventions plan, including intended frequency of contact, as part of the overall care plan Documents needs assessments and interventions plan in the electronic health record (EHR).
  • Monitors MH Care Coordination and treatment needs and adjusts the MH Care Coordination interventions plan, in collaboration with BHIP providers, as needed over time.
  • Communicates with the Patient Centered Management Module (PCMM) coordinator to ensure all MHTC assignments are current and visible in the EHR.
  • Participates in frequent team huddles (e.g., daily) and team meetings (e.g., weekly) helps to organize flow of team huddle.

Requirements

  • You must be a U.S.
  • Citizen to apply for this job.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
  • Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.
  • As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
  • In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
  • Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
  • Note: Only education or degrees recognized by the U.S.

Personality Fit

This role is commonly a great fit for these MBTI types:

Job ID: d65a77ef-adc1-402c-b245-d97854de83e5

Posted via USAJobs

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