Licensed Clinical Social Worker (LCSW) - PC/MH Integration

Valor Healthcare is looking for a passionate Primary Care/Mental Health Integration LCSW to join our team at the Community Based Outpatient Clinic (CBOC) in Cookeville, TN. In exchange for your dedication and experience, we are proud to offer a competitive salary, excellent benefits, generous time off and a weekday schedule.

Primary Care Mental Health Integration (PCMHI) is an evidence-based model of collaborative care which seeks to expand mental health access, assessment, and treatment in the outpatient primary care setting. Clinicians in this role will undergo training for the model through their local VA and must pass the certification process. PCMHI clinicians provide brief, solution focused interventions for veterans. Sessions typically last 30 min or less and consist of 6 or less per issue per year.

Core Responsibilities

• Performs initial and follow-up evaluations, including assessments.
• Engages the veteran, core, and expanded PACT team members in treatment planning.
• Provides a range of treatment services, including individual therapy.
• Treatment services are typically focused on behavior activation and short term needs specific to a range of physical and behavioral health issues, including but not limited to Diabetes, Heart Conditions, Depression, Anxiety, and Adjustment Disorders.
• Provides evidence-based psychotherapies as necessary and appropriate.
• Provide emergency care, as needed, for all patients enrolled in the CBOC, including referring patients for emergency primary care treatment, psychiatric medication evaluation, or coordinating the admission of patients to an inpatient psychiatric unit.
• Provides crisis intervention services, seeking to address the cause as well as the presenting complaint, coordinates family conferences and serves as liaison to family members.
• Understands the intimidation of bureaucracy and will act as an advocate when it serves the best interest of the Veteran and family members/caregiver. When appropriate and feasible, the Social Worker will educate and encourage the Veteran to advocate on his/her own behalf, thus fostering a sense of independence and empowerment.
• Makes rapid assessments and responds to psychiatric emergencies.
• Provides case management to Veterans and families as needed throughout the continuum of care.
• Addresses issues such as advance directives and organ donation in accordance with acceptable standards.
• Inputs all patient information into VISTA/CPRS.
• Completes any and all clinical reminders “due” at the time of each patient visit.
• Maintains confidentiality of veteran data and information.
• Participates in staff meetings regarding clinical. administrative, and staff development issues.
• Provides consultation services to other staff regarding the psychosocial needs of veterans and the impact of psychosocial problems on health care and adherence to treatment plan.
• Participates in program planning and development, making recommendations for changes in policies and procedures as needs and opportunities arise.
• Collaborates in the performance improvement processes and complies with performance measures as required by Valor and the VA.
• Participates in activities that obtain feedback from veterans and works to enhance services as needed.
• Complies with all Valor and VA training requirements.
• Other duties as assigned.
• Compliance: Fulfill compliance requirements of the Office of Inspector General (OIG), Joint Commission (JC), Environment of Care (EOC) oversight, lab compliance and other related items.
• Clinical Outcomes: Remain focused on achieving excellent clinical outcomes through the specified VA guidelines.
• Customer Service: Must provide excellent customer service to each veteran and his/her family, both in person and over the phone, as well as to fellow colleagues and clinic visitors.
• Establish and maintain a warm, welcoming and professional atmosphere for our colleagues and veterans, ensuring needs and expectations are consistently met. Ability to conversationally diffuse situations.
• Collaborates with interdisciplinary clinical team in a manner that enhances coordination of comprehensive patient care.
• Collaborates with Clinic leadership to resolve veteran concerns or complaints.
• Enrollment Growth: Participate in the clinic’s outreach events to help support the clinic’s enrollment initiatives.
• Save & Recapture: Support patient enrollment and retention in appointments, follow-up visits or nurse visits.
• Strategic Initiatives: Embrace and support new initiatives, whether clinical or operational.