Social Worker - Behavioral Health Interdisciplinary Program (BHIP) - Care Coordinator

U.S. Department of Veterans Affairs
Cleveland, OH
Summary

The VA Northeast Ohio Healthcare System is actively recruiting for a Social Worker within the Behavioral Health Interdisciplinary Program (BHIP). The incumbent in this position functions as a Care Coordinator for Veterans on a BHIP team in the ambulatory mental health clinics at VANEOHS and is responsible for implementation of the Collaborative Chronic Care Model to facilitate coordinated - proactive - population-based care and continuity of care for Veterans receiving mental health services.

Qualifications

In order to qualify for this position - you must meet the requirement below within 30 calendar days of the closing date listed on the announcement.

Basic Requirements

  • The basic requirements for employment as a VHA social worker are prescribed by statute in 38 U.S.C.
  • 7402(b)(9) - as amended by section 205 of Public Law 106-419 - enacted November 1 - 2000
  • To qualify for appointment as a social worker in VHA - all applicants must meet the following: Citizenship
  • Be a citizen of the United States
  • (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3 - section A - paragraph 3g this part)
  • Education
  • Have a master's degree in social work from a school of social work fully accredited by the Council on Social Work Education (CSWE)
  • Graduates of schools of social work that are in candidacy status do not meet this requirement until the School of Social Work is fully accredited
  • A doctoral degree in social work may not be substituted for the master's degree in social work
  • Verification of the degree can be made by going to to verify that the social work degree meets the 3 accreditation standards for a masters of social work
  • Licensure
  • Persons hired or reassigned to social worker positions in the GS-0185 series in VHA must be licensed or certified by a state to independently practice social work at the master's degree level
  • Current state requirements may be found by going to
  • English Language Proficiency
  • Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C.
  • 7403(f)
  • Exception
  • VHA may waive the licensure or certification requirement for persons who are otherwise qualified - pending completion of state prerequisites for licensure/certification examinations
  • This exception only applies at the GS-9 grade level
  • For the GS-11 grade level and above - the candidate must be licensed or certified
  • At the time of appointment - the supervisor - chief social work or social work executive will provide the unlicensed/uncertified social worker with the written requirements for licensure or certification - including the time by which the license or certification must be obtained and the consequences for not becoming licensed or certified by the deadline
  • Failure to Obtain License or Certification
  • In all cases - social workers must actively pursue meeting state prerequisites for licensure or certification starting from the date of their appointment
  • Failure to become licensed or certified within the prescribed amount of time will result in removal from the GS-0185 social worker series and may result in termination of employment
  • Grade Determinations:GS-9 Experience - Education - and Licensure: None beyond the basic requirements
  • In addition to the experience above - the candidate must demonstrate all of the following KSAs: Ability to work with Veterans and family members from various socioeconomic - cultural - ethnic - educational - and other diversified backgrounds utilizing counseling skills
  • Ability to assess the psychosocial functioning and needs of Veterans and their family members - and to formulate and implement a treatment plan - identifying the Veterans problems - strengths - weaknesses - coping skills - and assistance needed
  • Ability to implement treatment modalities in working with individuals - families - and groups to achieve treatment goals
  • This requires judgment and skill in utilizing supportive - problem solving - or crisis intervention techniques
  • Ability to establish and maintain effective working relationships and communicate with clients - staff - and representatives of community agencies
  • Fundamental knowledge of medical and mental health diagnoses - disabilities - and treatment procedures
  • This includes acute - chronic - and traumatic illnesses/injuries
  • common medications and their effects/side effects
  • and medical terminology
  • GS-11: Experience and Licensure: Appointment to the GS-11 grade level requires completion of a minimum of one year of post-MSW experience equivalent to the GS-9 grade level in the field of health care or other social work-related settings - (VA or non-VA experience) and licensure or certification in a state at the independent practice level
  • OR Education: In addition to meeting basic requirements - a doctoral degree in social work from a school of social work may be substituted for the required one year of professional social work experience in a clinical setting
  • In addition to the experience above - candidates must demonstrate all of the following KSAs: Knowledge of community resources - how to make appropriate referrals to community and other governmental agencies for services - and ability to coordinate services
  • Skill in independently conducting psychosocial assessments and treatment interventions to a wide variety of individuals from various socio-economic - cultural - ethnic - educational and other diversified backgrounds
  • Knowledge of medical and mental health diagnoses - disabilities and treatment procedures (i.e
  • acute - chronic and traumatic illnesses/injuries - common medications and their effects/side effects - and medical terminology) to formulate a treatment plan
  • Skill in independently implementing different treatment modalities in working with individuals - families - and groups who are experiencing a variety of psychiatric - medical - and social problems to achieve treatment goals
  • Ability to provide consultation services to new social workers - social work graduate students - and other staff about the psychosocial needs of patients and the impact of psychosocial problems on health care and compliance with treatment
  • References: VA Handbook 5005/120 - Part II - Appendix G39
  • The full performance level of this vacancy is GS-11
  • The actual grade at which an applicant may be selected for this vacancy is in the range of GS-09 to GS-11
  • Physical Requirements: The work of this position is primarily facility based and has no requirement for strenuous physical activity
  • The incumbent will sit - stand - walk - throughout the facility during the tour of duty
  • There may be requirement to travel within the catchment area - VISN - or nationally
  • Duties may require attendance at non-VA facilities and events in the community for the purpose of networking - supervision - and training of staff.

Duties

  • The Social Worker duties include - but are not limited to: Coordinates care including serving as an advocate on behalf of the Veterans on BHIP teams to ensure delivery of comprehensive seamless mental health service
  • Actively participates in program planning and development - advising the supervisor of shifting trends with care coordination needs and caseloads and identifying the need for making recommendations on program procedures and/or policy changes based upon work experiences
  • Provides a full range of services within commonly accepted standards of practice and prioritizes care coordination activities
  • Provides care coordination to Veterans and families - as needed - throughout the continuum of care
  • Collaborates with mental health Primary Care Management Module (PCMM) Coordinators and Clinic Practice Manager to facilitate timely assignment of a mental health treatment coordinator for all Veterans receiving BHIP care and update team member assignments as appropriate
  • Conducts biopsychosocial assessments to assess high risk factors - including suicidal and homicidal ideation - acute needs for VHA or community-based services - and to determine care coordination and treatment needs of Veterans
  • Provides crisis intervention - in collaboration with the multidisciplinary treatment team - for Veterans who are experiencing severe social or mental health crises
  • Provides consultation/education to Veterans and families on VA resources - community resources - Advance Directives - VA benefits - and options for community care if appropriate
  • Participates in transition planning with other disciplines and will be responsible for ensuring that transition plans are executed in a manner that is timely and appropriate to promote care continuity
  • Provides triage support including notification and assignment to team members either for same day or scheduled appointments
  • VA Careers - Social Work: Work Schedule: Monday through Friday 8am-4:30pm Telework: Not Available Virtual: This is not a virtual position
  • Functional Statement #: 92976A (GS-9) 92977A (GS-11) Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program
  • You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment
  • Program Approval - award amount (up to $200 -000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application
  • Former EDRP participants ineligible to apply for incentive
  • Contact [email protected] - the EDRP Coordinator for questions/assistance
  • Learn more
  • Permanent Change of Station (PCS): Not Authorized
Posted 2026-01-08

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