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 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.

Professional Practice & Development

• 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.
Additional Requirements:

• 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 comparable behavioral health EHR platform; ability to

learn and navigate CAREWare and other organizational data systems.

• Ability to manage an independent caseload while contributing to a multidisciplinary

team.

• 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.

• Ability to maintain confidentiality at all times and work effectively within a team

framework.

• Perform other duties as requested by the Executive Director in support of FAHASS

policies and mission.

Fredericksburg Area Health and Support Services (FAHASS) provides equal employment
opportunities (EEO) to all employees and applicants for employment without regard to race,
color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or
genetics. In addition to federal law requirements, FAHASS complies with applicable state and
local laws governing nondiscrimination in employment in every location in which the company
has facilities. This policy applies to all terms and conditions of employment, including recruiting,
hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence,
compensation, and training