License Clinical Social Worker

General: Full-time position (exempt) at forty (40) hours per week. Compensation is based upon

qualifications and previous experience. Full benefits included.

Reports to: Programs Manager

Defined

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.

Employment Standards

• 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.
• 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 with third-party billing, insurance credentialing, and managed care

documentation required or willingness to obtain prior to service delivery.

• 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.

Key Responsibilities Include the Following

Ryan White Psychosocial Support Services

• 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.

Outpatient Psychotherapy Services (Insured Patients)

• 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.

Billing, Documentation \& Compliance

• 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.

Clinical Supervision

• 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.

Integrated Care \& Team Collaboration

• Participate actively in interdisciplinary care team meetings, case conferences, and…