Veteran Case Manager

The Transition House Inc. • Kissimmee, FL

1d • Onsite

About The Position

The Transition House, Inc. is hiring a Veteran Case Manager for its Veteran Connection and Suicide Prevention Program – SSG Fox SPGP. This community-based, non-clinical position provides suicide-prevention case management to Veterans in Orange, Osceola, and Seminole Counties, Florida. The Case Manager helps Veterans reduce barriers, strengthen protective factors, navigate VA and community systems, and connect with individualized services and supports. Participants may face housing instability, unemployment, financial hardship, behavioral-health or substance-use concerns, social isolation, family stress, justice involvement, transportation barriers, or disconnection from VA services.

The role involves outreach and engagement, eligibility and program screening, individualized service planning, care coordination, warm handoffs, participant-safety escalation, and follow-up. The position works alongside Veteran peer specialists, outreach professionals, VA partners, community providers, and TTHI colleagues. The employee manages an assigned caseload, maintains accurate documentation in secure systems, and participates in supervision, case reviews, quality reviews, multidisciplinary meetings, partner coordination, and required training.

The position works in office, community, partner, and outreach settings, with regular local travel throughout the service area. It generally operates during standard business hours, though participant and outreach needs may occasionally require schedule flexibility, including evenings or weekends. Hiring is planned to start in December 2026 and/or January 2027. Compensation is $26.75 per hour. The position is full-time and non-exempt, with one position available.

Requirements

• Bachelor's degree in social work, human services, psychology, counseling, criminal justice, or a related field, or equivalent relevant experience serving Veterans or other vulnerable populations.
• Experience providing case management, care coordination, outreach, resource navigation, or social services.
• Strong interpersonal, engagement, documentation, organizational, and follow-through skills.
• Ability to work independently in community settings while managing an assigned participant caseload.
• Ability to coordinate across VA, housing, benefits, behavioral-health, legal, employment, and other service systems.
• Ability and willingness to complete required training and demonstrate competency in VA-required suicide-prevention screening and related program tools.
• Sound judgment and ability to follow established participant-safety, crisis-escalation, warm-handoff, consent, and confidentiality procedures.
• Valid driver's license and ability to travel regularly throughout Orange and Osceola Counties and the surrounding service area.
• Must complete required training and demonstrate competency in TTHI onboarding and SSG Fox SPGP requirements, including confidentiality, documentation, participant safety, trauma-informed care, Veteran-specific service delivery, VA coordination, warm handoffs, crisis escalation, and family or support-system engagement.
• Must demonstrate competency administering, scoring, documenting, and responding to VA-required suicide-risk screening, baseline mental-health or wellbeing screening, and other assigned SSG Fox tools.
• Must follow immediate escalation, referral, warm-handoff, and emergency-response procedures whenever elevated or imminent suicide risk is identified.

Nice To Haves

• Veteran status or direct experience supporting Veterans and Veteran families.
• Experience with VA programs, GPD, SSVF, HUD-VASH, homelessness, reentry, housing, or behavioral health.
• Knowledge of Central Florida resources.
• Knowledge of trauma-informed care.

Responsibilities

• Conduct community outreach and engage Veterans referred through VA, TTHI programs, hospitals, shelters, housing providers, corrections and reentry systems, county partners, and other community sources.
• Complete SSG Fox eligibility screening and, after required training and competency validation, administer VA-required suicide-risk, baseline mental-health or wellbeing, and other assigned screening or outcome tools.
• Develop and update individualized suicide-prevention service plans and manage an assigned caseload at a frequency based on participant risk, needs, and goals.
• Help Veterans access VA healthcare, VA homeless services, benefits, housing, employment, public benefits, transportation, legal and reentry resources, behavioral-health referrals, identification documents, and other stabilization supports.
• Coordinate warm handoffs through direct provider contact, appointment coordination, transportation assistance when appropriate, and follow-up to confirm a successful connection.
• Work with Veteran Peer Support Specialists and the Veteran Community Outreach and Reentry Specialist to strengthen engagement, retention, and service connection.
• Identify suicide risk, immediate safety concerns, behavioral-health concerns, and psychosocial risk factors through required screening and ongoing participant engagement.
• Immediately escalate elevated or imminent suicide risk and coordinate same-day warm handoffs to VA Suicide Prevention Coordinators, the Veterans Crisis Line or 988, mobile crisis, emergency services, or other appropriate resources.
• Provide increased outreach after a recent crisis, incarceration, homelessness, difficulty remaining engaged, or lack of VA connection; complete assigned reassessments and post-service screening with accurate follow-up documentation.
• With participant consent, involve family members, caregivers, and other Veteran-identified natural supports in service planning, resource coordination, and follow-up when appropriate to the Veteran's goals and safety.
• Educate participants and supports on suicide warning signs, Veterans Crisis Line and 988 resources, help-seeking, safety planning, and approved lethal-means safety information.
• Identify family or caregiver needs that may affect the Veteran's stability or engagement and connect them with appropriate community resources.
• Document consent, family and natural-support engagement, education, referrals, releases, and follow-up in accordance with confidentiality requirements.
• Complete timely service notes, referrals, releases, service plans, screening records, and required grant data in secure documentation systems.
• Participate in supervision, case reviews, quality reviews, multidisciplinary meetings, partner coordination, and required VA or grant training.

Benefits

• Eligible employees may receive health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, paid time off, wellness days, professional-development assistance, employee discount programs, employee-referral incentives, and flexible scheduling opportunities where operationally feasible.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level