Social Worker (Mental Health Treatment Coordinator)

Job Title

Mental Health Care Coordinator

Duties

Serve as a member of a BHIP team as the MHTC, which has primary responsibility for Mental Health (MH) Care Coordination (CC) on the team.

Complete MHTC needs assessment as part of Veteran care planning.

Complete or review the 5-point screening for MH patients.

Participate in care planning to ensure integration of CC interventions within the overall care plan.

Use clinical decision support tools (e.g., BHIP CC dashboards, REACH VET, STORM, etc.) to help determine CC needs.

Use specific MHTC note templates to communicate with the MH PCMM Coordinator and ensure the BHIP team and MHTC assignments are entered and updated in PCMM so current MHTC assignments are visible in the EHR.

Participate in frequent team huddles (e.g., daily) and team meetings (e.g., weekly) and help organize flow of team huddle.

Outreach or facilitate outreach to Veteran to promote care continuity when other team members are unavailable (e.g., triage Veteran needs).

Ensure ongoing contact with Veteran, as clinically indicated, to promote engagement in care.

Provide information/education to other healthcare and service providers to facilitate recognizing and respecting the Veteran's needs, strengths, and goals.

Serve as the ongoing POC and clinical resource that promotes treatment engagement, especially during care transitions along the continuum of MH specialty and subspecialty care.

Ensure the Veteran (and family/caregiver/supportive person as appropriate) has access to education, information, and resources for proactive self-management, including but not limited to mobile apps and online resources, Whole Health interventions, safety resources, linkages to community and other resources.

Advocate for Veterans by working for systems improvement and eliminating healthcare disparities to promote Veteran well-being.

Is available to Veterans to answer questions about needs, upcoming visits, care plans, and other questions not already handled by BHIP treating provider(s).

Flexibly provide same-day access and walk-in services (i.e., triage, and either address immediate needs that do not require a treating provider and/or handoff to a treating provider, as needed).

Aid in crisis intervention, as needed (e.g., manages medical and mental health emergencies appropriately, including suicidal and homicidal ideation).

Collaborates with Suicide Prevention Coordinator and others to identify Veterans at high risk for suicide and others with complex needs to increase monitoring and targeted suicide prevention strategies.

Enter and ensure necessary consults and referrals are entered.

Collaborate with UCC, inpatient, and residential services to coordinate admission and discharge planning.

Facilitate urgent appointments and warm handoffs, as needed, with BHIP treating team members.

Facilitate PACT assignments for Veterans not yet assigned to PACT, when appropriate.

Total Rewards of a Allied Health Professional

Work Schedule: Monday - Friday 0800-1630

Compressed/Flexible: May be available upon management discretion

Recruitment Incentive (Sign-on Bonus): Not Authorized

Permanent Change of Station (Relocation Assistance): Not Authorized

EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact View email address on click.appcast.io, the EDRP Coordinator for questions/assistance. Learn more

Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).

Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience.

Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.

Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Telework: Available, Ad-Hoc only

Virtual: This is not a virtual position.

Functional Statement #: 000000

Permanent Change of Station (PCS): Not Authorized