Registered Nurse - BHIP MHTC Care Coordinator

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & 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 ineligible to apply.

The Mental Health Treatment Coordinator (MHTC) serves as a key member of the interdisciplinary mental health team and is responsible for coordinating, monitoring, and facilitating comprehensive mental health services for Veterans. The incumbent provides panel management, care coordination, population health management, outreach, assessment, and transition-of-care services for Veterans receiving Behavioral Health Interdisciplinary Program (BHIP), specialty mental health, and community-based care services. The MHTC ensures timely access to care, supports measurement-based treatment, promotes continuity across care settings, and assists Veterans in navigating the mental health care system. Duties may include, but are not limited to: Serves as the designated Mental Health Treatment Coordinator for an assigned panel of Veterans receiving mental health services. Performs panel management activities to identify Veterans requiring outreach, engagement, follow-up, or coordination of services. Conducts proactive outreach to Veterans to facilitate treatment engagement, appointment adherence, and continuity of care. Completes comprehensive mental health and psychosocial needs assessments to identify treatment needs, barriers to care, risk factors, and available resources. Assesses Veterans for appropriate placement within primary care mental health, BHIP, specialty mental health, or community care programs. Coordinates care across interdisciplinary teams, including psychiatry, psychology, social work, nursing, primary care, and community providers. Serves as a point of contact for Veterans, family members, caregivers, and treatment team members regarding mental health care coordination needs. Develops, implements, and updates individualized care coordination and intervention plans based on Veteran needs and clinical priorities. Establishes and monitors follow-up schedules to ensure timely completion of recommended treatment interventions and appointments. Tracks and monitors referrals, consultations, diagnostic evaluations, and treatment recommendations to ensure closure of care gaps. Utilizes measurement-based care tools, including standardized mental health screening instruments, to assess symptom severity, treatment progress, and safety concerns. Reviews and monitors screening results, including depression and suicide risk assessments, and communicates findings to the treatment team as appropriate. Identifies Veterans at elevated risk and initiates appropriate escalation, consultation, or referral procedures in accordance with facility policies and clinical practice guidelines. Facilitates transitions of care between inpatient, residential, outpatient, specialty mental health, community care, and primary care settings. Collaborates with interdisciplinary teams to support appropriate discharge planning and transition from specialty mental health services when clinically indicated. Analyzes patient panel data and reports to identify trends, high-risk populations, and opportunities to improve clinical outcomes and service delivery. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday through Friday 7:30 am - 4:00 pm 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. Contact VHAEDRPProgramSupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment medical evaluation. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.