Senior Licensed Professional Mental Health Counselor - Primary Care Mental Health Integration

The VA Central Iowa Health Care System is recruiting for 1 full-time Senior Counselor for the Mental Health Integrated Care Community (MHICC) to provide service in the Primary Care Mental Health Integration (PCMHI) Program. This vacancy will be filled with either a Senior Social Worker, Senior Licensed Professional Mental Health Counselor, Marriage and Family Therapist (Advanced), or a Staff Psychologist. This position is eligible for the Education Debt Reduction Program (EDRP).

The Incumbent works within the Primary Care Mental Health Integration (PCMHI) Model serving as a Senior Licensed Professional Mental Health Counselor/ Primary Care Mental Health Integration Lead. They will function as part of a multidisciplinary primary care team and deliver brief mental health consultation-based services to Veterans within that setting. The focus is on general service delivery for a wide range of concerns and resolving problems within the primary care service context.

Behavioral health visits are brief (generally 20-30 minutes), limited in number (1-8 visits), and are provided in the primary care practice area, structured so that the Veteran views meetings with the behavioral health provider as a routine primary care service. They will function within a fast-paced primary care team with the primary goal of assisting PACT members with identification, treatment, and management of mental health and behavioral medicine conditions in the enrolled population.

They closely with the physician team lead, care managers, PCMHI prescribers, and all team members to provide therapeutic, counseling, and mental health support for complex cases. The work is comprised of providing clinical services consistent with accepted standards of ethical and professional mental health treatment. Duties include, but are not limited to: - Provides a full range of diagnostic and evaluation services appropriate to the primary care setting, especially in the areas of general psychological evaluation of emotional and behavioral problems and suicide assessment. - Provides a full range of psychological interventions consistent with training and expertise, with special emphasis on brief and evidenced-based interventions found to be effective in primary care settings.

Services may be delivered in a face-to-face and/or telehealth format. - Develops, implements, and documents the psychotherapeutic treatment plan for an assigned caseload of patients, including prompt completion of clinical reminders. - Facilitates patient and family education appropriate to the primary care setting and the specific presenting mental or behavioral health issues. - Provides brief and time limited individual, family and group counseling, as appropriate. - Provides consultation services to support Primary Care Provider (PCP) decision-making, building on PCP interventions and improving PCP-patient working relationships. - Provides interventions with a focus on allowing patients to remain within Primary Care for the full range of their health care needs to the extent that this is clinically appropriate. -Provides follow-up of patient progress and treatment adherence with assessments and communication with their primary care team. -Participates in interdisciplinary teams, as needed, to improve organizational performance. - Works closely with PCMHI supervisor, therapists and other PCMHI staff, including supporting other programs as needed. - Complies with all documentation procedures, including timeliness standards for documentation and proper patient check out procedures (e.g., entering diagnostic and procedure codes).

Complies with the peer review and professional discipline procedures. - Provides consultation and training to Primary Care Service Line staff in the identification and management of common mental and behavioral health disorders that present in a primary care setting when indicated; - May Supervise social work trainees, and may participate in the supervision of trainees in other disciplines, including medical and psychiatric residents assigned to the Primary Care Service for rotations; - Assists PCMHI Supervisor in the design, development, and implementation of clinical programs for a team of treatment providers within PCMHI team. - Assists the program PCMHI Supervisor in the execution of ongoing program evaluation and data-driven quality improvement projects to monitor the effectiveness of the clinical program.

Position(s) listed under this Open Continuous Announcement (OCA) MAY be eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. Applicants selected for an EDRP-eligible position will be notified in their conditional job offer. The selectee must meet specific eligibility requirements per VHA policy and submit an EDRP application within four months of appointment. Program approval, award amount (up to $200,000), and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application.

Former EDRP participants are ineligible to apply. Work Schedule: Monday-Friday 7:30 a.m.-4:00 p.m. or 8:00 a.m. - 4:30 p.m. Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Learn more Permanent Change of Station (PCS): Not authorized

Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education. Hold a master's or doctoral degree in: Clinical Mental Health Counseling; Clinical Rehabilitation Counseling; Clinical Mental Health Counseling and Clinical Rehabilitation Counseling; or a related field, from a program accredited by the Council on Accreditation of Counseling and Related Educational Programs (CACREP).

Examples of related mental health counseling fields include, but are not limited to Addiction Counseling; Community Counseling; Gerontology Counseling; Marital, Couple, and Family Counseling. CACREP defines the date when graduates are considered to have graduated from a CACREP accredited program. Additional information may be obtained from http://www.cacrep.org/directory/. NOTE: Traditional Rehabilitation counseling programs that are accredited by CACREP do not meet the LPMHC qualification standards as Traditional Rehabilitation counseling differs from Clinical Rehabilitation counseling.

Licensure. Persons hired or reassigned to LPMHC positions in the GS-0101 series in VHA must hold a full, current, and unrestricted license to independently practice as a Licensed Professional Mental Health Counselor, which includes diagnosis and treatment. English Language Proficiency. LPMHCs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, chapter 3, section A, paragraph 3.j.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-12 Senior Licensed Professional Mental Health Counselor Experience, Education, and Licensure. In addition to the basic requirements, candidates must have at least one year of progressively complex LPMHC experience equivalent to the GS-11 grade level, which is defined as: Making professional evaluations, decisions, and recommendation for treatment planning and implementation.

Working advanced knowledge and mastery of the fundamentals of the counseling process which includes defining patient/family problems and maintaining an effective counseling relationship. Providing subject matter consultation to colleagues and trainees on the counseling process within various specialty areas, build on the foundation of competence through regular meetings and discussions to explain assignments, review progress of cases and confer about the counseling perspectives and orientation.

Providing complex crisis intervention and stabilization to patients who are in psychological distress. Requires independent judgment and skill. Establishing goals/treatment through a collaborative process with the patient utilizing advanced counseling skills, including evidenced- based practices, screening, and psychosocial assessment. Using a wide variety of individual, group, or family counseling interventions. Fully utilizing the current DSM in making diagnoses and formulation of treatment goals and application of appropriate clinical intervention using professional counseling practices.

Developing and facilitating psychotherapy and psycho- education groups that include life skills, family support, and community integration. This may include evidence based psychotherapy. Senior LPMHCs must have five years of post-licensed experience that demonstrates possession of advanced practice skills and judgment, demonstrating progressive professional competency and expertise and be licensed to provide clinical supervision to trainees or unlicensed LPMHCs.

Demonstrated Knowledge, Skills, and Abilities. In addition to meeting the KSAs for the GS-11 grade level, the candidate must demonstrate all of the KSAs below: 1. Advanced knowledge of and mastery of theories and modalities used in the specialized treatment of complex mental illness. Ability to incorporate complex multiple causation in differential diagnosis and treatment of veteran patients, including making psychosocial and psychiatric diagnoses within approved clinical privileges or scope of practice.

Ability to determine priority of services needed and provide specialized treatment. 2. Advanced and expert skill in a range of specialized interventions and treatment modalities for Veterans with complex needs. This includes individual, group, and/or family counseling, or psychotherapy and advanced level psychosocial, and/or case management interventions used in the treatment of Veterans. 3. Ability to coordinate the delivery of specialized psychosocial services and programs.

Ability to design system changes based on data. 4. Ability to provide subject matter consultation to colleagues and trainees on the psychosocial treatment of patients, rendering professional opinions based on experience, expertise and role modeling effective clinical skills. 5. Ability to teach, mentor staff and trainees, and provide supervision for licensure or for specialty certifications. 6. Ability to engage in written and oral communication with leadership/staff and community stakeholders regarding policies, procedures, practice guidelines, and issues pertaining to the practice of the profession.

All qualifying experience you possess must be clearly described in your application package. We will not make assumptions when reviewing applications. Failure to demonstrate your experience in your resume may result in disqualification. It is strongly recommended that you write to each KSA in your application package. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is GS-12. The actual grade at which an applicant may be selected for this vacancy is GS-12. Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.