Mental Health Professional (Licensed)

Fredericksburg Area Health & Support Services•Fredericksburg, VA

11d

About The Position

The Licensed Mental Health Professional (LMHP) at Fredericksburg Area Health and Support Services (FAHASS) provides comprehensive mental health and psychosocial services through two service tracks: Ryan White Part B-funded services for uninsured and underinsured people living with HIV (PLWH), and billable outpatient psychotherapy for insured patients at Mosaic Care Center. The LMHP is the organization's lead mental health clinician, providing direct services and overseeing mental health programming. The role supports integrated, whole-person care for LGBTQ+ individuals, PLWH, and other underserved communities. This is a full-time, exempt position working 40 hours per week. Compensation is based on qualifications and previous experience, and full benefits are included. The role reports to the Programs Manager. It is open to licensed clinical psychologists (PhD or PsyD), Licensed Clinical Social Workers (LCSW), Licensed Professional Counselors (LPC), and Licensed Marriage and Family Therapists (LMFT). The LMHP delivers counseling, psychotherapy, assessment, treatment planning, crisis response, and care coordination. The position also contributes to Ryan White program documentation and reporting, collaborates with the interdisciplinary care team, and provides clinical consultation to staff. Occasional evening availability may be required for support groups or client access. A valid state driver's license may be required for some activities.

Requirements

Current, unencumbered Virginia license as a Licensed Clinical Psychologist (PhD or PsyD), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Marriage and Family Therapist (LMFT).
Graduate degree appropriate to the license, from a regionally accredited institution: PhD or PsyD in clinical or counseling psychology; MSW from a CSWE-accredited program; or master's degree in counseling or marriage and family therapy from a program meeting Virginia Board of Counseling requirements.
Experience with third-party billing, insurance credentialing, and managed care documentation, or willingness to obtain this experience before service delivery.
Demonstrated commitment to affirming, trauma-informed, culturally responsive mental health practice for LGBTQ+ individuals, people living with HIV, and other underserved communities.
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.
Proficiency with TherapyNotes or a comparable behavioral health EHR platform, and ability to learn and use CAREWare and other organizational data systems.
Ability to manage an independent caseload while contributing to a multidisciplinary team.
Ability to maintain confidentiality and work effectively within a team framework.

Nice To Haves

At least two years of post-licensure clinical experience in mental health, behavioral health, or a related setting.
Experience providing clinical services to people living with HIV/AIDS, LGBTQ+ individuals, or other medically underserved populations.
Eligibility to provide clinical supervision under the applicant's Virginia licensing board requirements and experience supervising unlicensed or provisionally licensed clinicians.
Familiarity with Ryan White Part B program requirements and psychosocial service definitions.
Experience with TherapyNotes or a similar behavioral health platform.
Bilingual English/Spanish skills.
Valid state driver's license may be required for some activities.

Responsibilities

Provide individual supportive counseling to uninsured and underinsured Ryan White-eligible people living with HIV, consistent with Virginia Ryan White Part B service definitions.
Facilitate or oversee HIV-related support groups, including planning, facilitation, documentation, and evaluation.
Screen clients for mental health, substance use, and psychosocial needs using standardized tools such as PHQ-9, GAD-7, and AUDIT-C, and document results.
Complete Ryan White service documentation in CAREWare, including service contacts, referrals, and outcome data, in accordance with VDH reporting standards.
Contribute to monthly and quarterly Ryan White grant reports, performance measure tracking, and program workplan goals.
Provide individual outpatient psychotherapy to insured patients at Mosaic Care Center, including assessment, diagnosis, treatment planning, and evidence-based intervention within the scope of the clinician's license.
Conduct comprehensive biopsychosocial assessments and develop individualized treatment plans addressing presenting needs, goals, strengths, and barriers.
Deliver appropriate evidence-based therapeutic modalities, including CBT, Motivational Interviewing, trauma-informed care, couples and family systems approaches, and other person-centered approaches.
Maintain diagnostic accuracy using the current DSM edition and document appropriate diagnostic codes.
Conduct ongoing mental status assessments, monitor treatment response, and adjust treatment plans as clinically indicated.
Assess risk and develop safety plans for patients 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 behavioral health care in the primary care setting.
Coordinate with external psychiatrists, prescribers, and behavioral health providers for complex-case co-management, medication consultation, or step-up care as needed.
Participate in interdisciplinary care team meetings, case conferences, and clinical huddles.
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.
Consult 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 professional boundaries, confidentiality, and sound ethical judgment while managing an independent caseload and contributing to a multidisciplinary team.
Perform other duties as requested by the Executive Director in support of FAHASS policies and mission.