Licensed Transition of Care Specialist – VA Foster Care

Licensed Transition of Care Specialist – VA Foster Care

Requirements

• Requires an active, current and valid license such as an LCSW, LMSW, LPC, LAPC, LMFT LMHC, or RN issued by the Commonwealth of Virginia.
• Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing.
• A minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background is required.

Responsibilities

• Conducts assessments to identify individual needs.
• Develops comprehensive care plan to address objectives and goals as identified during assessment.
• Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed.
• Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care.
• Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning.
• Works closely with various state agencies.
• Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network.
• Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, in order to help them function better at home, in the community, and throughout life.
• Evaluates health needs and identifies applicable services and resources in conjunction with members and their families.
• Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care.

Preferred Qualifications

• Experience with Transition of Care including discharge planning, and wrap-around services for youth leaving inpatient, physical and/or behavioral health settings is highly preferred.
• Knowledge of the Virginia’s Foster Care and child welfare system is extremely helpful for this role.
• Case management/discharge planning with a broad range of complex psychiatric/substance abuse and/or medical disorders is very strongly preferred.
• You will need very strong communication skills in order to be successful in this role.
• You must be computer literate and have some experience using Microsoft applications (Word, Excel, Outlook), etc.