License Clinical Social Worker

Fredericksburg Area Health & Support Services•Fredericksburg, VA

46d•Onsite

About The Position

The Licensed Clinical Social Worker (LCSW) at FAHASS provides comprehensive mental health and psychosocial services across two distinct service tracks: Ryan White Part B-funded psychosocial support for uninsured and underinsured people living with HIV (PLWH), and billable outpatient psychotherapy services for insured patients at the Mosaic Care Center. The LCSW serves as the lead mental health clinician for the organization, providing direct services, clinical supervision to staff/interns working toward licensure, and oversight of peer support programming. This position plays a critical role in advancing integrated, whole-person care for LGBTQ+ individuals, PLWH, and other underserved communities within the FAHASS continuum of care.

Requirements

Current, unencumbered Licensed Clinical Social Worker (LCSW) license in the Commonwealth of Virginia required.
Master's Degree in Social Work (MSW) from a CSWE-accredited program required.
Experience with third-party billing, insurance credentialing, and managed care documentation required or willingness to obtain prior to service delivery.
Proficiency with TherapyNotes or comparable behavioral health EHR platform; ability to learn and navigate CAREWare and other organizational data systems.
Ability to maintain professional boundaries and manage complex clinical situations with sound ethical judgment.
Excellent written and verbal communication skills, including clinical documentation, client communication, and interdisciplinary collaboration.
Ability to manage an independent caseload while contributing to a multidisciplinary team.
Ability to maintain confidentiality at all times and work effectively within a team framework.

Nice To Haves

Minimum of two (2) years of post-licensure clinical experience in mental health, behavioral health, or a related setting preferred.
Experience providing clinical services to people living with HIV/AIDS, LGBTQ+ individuals, or other medically underserved populations strongly preferred.
Experience providing clinical supervision to unlicensed or provisionally licensed clinicians preferred.
Familiarity with Ryan White Part B program requirements and psychosocial service definitions preferred.
Experience with electronic health record (EHR) and practice management systems; proficiency with TherapyNotes or similar behavioral health platform preferred.
Bilingual (English/Spanish) a benefit.
Demonstrated commitment to affirming, trauma-informed, culturally responsive mental health practice for LGBTQ+ individuals, people living with HIV, and other underserved communities.
Possession of a valid state driver's license may be required for some activities.
Occasional evening availability may be required for support group programming or client access.

Responsibilities

Provide individual supportive counseling (non-psychotherapeutic) to uninsured and underinsured Ryan White-eligible PLWH, consistent with Virginia's Ryan White Part B Psychosocial Support service category definitions, including emotional support related to HIV diagnosis, disclosure, and stigma; assistance with coping with HIV-related stress, grief, loss, and life adjustment; support for treatment adherence and engagement in HIV medical care; crisis intervention and safety planning as needed; referral to and coordination with community mental health, substance use treatment, and other support services.
Provide or oversee caregiver support services related to the client's HIV care, including psychoeducation, emotional support, and referral for caregivers of PLWH.
Facilitate or oversee HIV-related support groups, including planning, facilitation, documentation, and evaluation of group effectiveness.
Oversee peer support and peer navigation services focused on the emotional and social adjustment of PLWH, including supervision and support of peer navigators or peer specialists within the scope of their role; development of peer support programming in alignment with Ryan White guidelines and best practices; coordination with case management and clinical staff to integrate peer support within the broader care team.
Confirm Ryan White eligibility for psychosocial services clients and ensure timely documentation and recertification in coordination with program staff.
Screen clients for mental health, substance use, and psychosocial needs using standardized tools (e.g., PHQ-9, GAD-7, AUDIT-C) and document results appropriately.
Complete all required documentation for Ryan White psychosocial services in CAREWare, including service contacts, referrals, and outcome data, per VDH reporting standards.
Contribute to monthly and quarterly Ryan White grant reports, performance measure tracking, and programmatic workplan goals.
Provide individual outpatient psychotherapy to insured patients at Mosaic Care Center, including assessment, diagnosis, treatment planning, and evidence-based therapeutic intervention.
Conduct comprehensive biopsychosocial assessments and develop individualized treatment plans reflecting the patient's presenting needs, goals, strengths, and barriers.
Deliver evidence-based therapeutic modalities appropriate to the patient population, including but not limited to Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), trauma-informed care, and other person-centered approaches.
Maintain diagnostic accuracy using the current edition of the Diagnostic and Statistical Manual (DSM), including documentation of appropriate diagnostic codes.
Conduct ongoing mental status assessments, monitor treatment response, and adjust treatment plans as clinically indicated.
Perform risk assessments and develop safety plans for patients presenting with suicidal ideation, self-harm, or other safety concerns; coordinate crisis intervention as needed.
Collaborate with the Nurse Practitioner and Mosaic Care Center clinical team to provide integrated, coordinated behavioral health care within the primary care setting.
Coordinate with external psychiatrists, prescribers, and behavioral health providers for co-management of complex cases, medication consultation, or step-up care as needed.
Ensure accurate and timely billing for all insured psychotherapy services, including correct use of CPT codes, diagnostic codes, and modifier usage consistent with payer requirements.
Maintain complete, timely, and compliant clinical documentation in TherapyNotes for all services rendered, including intake assessments, progress notes, treatment plans, discharge summaries, and coordination of care notes.
Complete clinical documentation within the timeframes required by payer agreements, FAHASS policy, and applicable licensure board standards.
Participate in insurance credentialing and re-credentialing processes as required to maintain in-network status with payers.
Maintain familiarity with payer-specific coverage policies, prior authorization requirements, and billing rules for behavioral health services.
Coordinate with FAHASS billing staff to resolve claim issues, payer rejections, or documentation deficiencies in a timely manner.
Ensure all services are documented and delivered in compliance with HIPAA privacy and security requirements.
Provide individual clinical supervision to mental health counselors or social workers working toward licensure (e.g., LCSW-A, Resident in Counseling), consistent with Virginia Board of Social Work and Virginia Board of Counseling supervision requirements.
Conduct regularly scheduled supervision sessions, document supervision contacts, and complete required supervision records and attestation forms.
Review supervisee caseloads, session recordings or notes, and clinical decision-making to ensure quality, safety, and ethical practice.
Provide guidance on case conceptualization, treatment planning, clinical documentation, professional development, and ethical challenges.
Evaluate supervisee competencies and performance and communicate concerns to the Programs Manager as needed.
Maintain supervision agreements consistent with Virginia licensure board requirements.
Participate actively in interdisciplinary care team meetings, case conferences, and clinical huddles to ensure coordinated, whole-person care.
Serve as a clinical resource and consultant to case managers, outreach staff, and other FAHASS team members on mental health, behavioral health, and psychosocial topics.
Collaborate with HIV care and Mosaic Care Center staff to identify and address patient mental health and substance use needs as part of routine care.
Provide consultation on trauma-informed care, culturally affirming practice, and LGBTQ+ mental health to support organizational capacity.
Participate in staff meetings, all-hands sessions, and organizational events as required.
Maintain current LCSW licensure in good standing with the Virginia Board of Social Work, including all continuing education requirements.
Adhere to the NASW Code of Ethics and all applicable professional, legal, and organizational standards of practice.
Maintain appropriate professional liability (malpractice) insurance coverage.
Engage in ongoing professional development related to HIV mental health, LGBTQ+ affirming care, trauma-informed practice, and evidence-based behavioral health interventions.
Participate in quality improvement initiatives, outcome tracking, and program evaluation efforts.
Perform other duties as requested by the Executive Director in support of FAHASS policies and mission.