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Marriage and Family Therapist - Primary Care Mental Health Integration

Department of Veterans Affairs
Veterans Health Administration
Veterans Health Administration

Summary

The VA Central Iowa HCS is recruiting for 3 full-time Counselors for the Mental Health Integrated Care Community to provide service in the Primary Care Mental Health Integration Program. These vacancies will be filled with either a Social Worker, Licensed Professional Mental Health Counselor, Marriage and Family Therapist, or a Staff Psychologist. Marriage and Family Therapists should apply under this announcement.

This position is eligible for the Education Debt Reduction Program (EDRP).

Overview

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Accepting applications
Location
3 vacancies in the following locations:
Work site options
Telework eligible
No
Remote job
No
Relocation expenses reimbursed
No
Salary
$52,727 - $82,938 per year

The salary range listed reflects the GS base rate (not including locality). Upon selection, the salary will be adjusted to include locality.

Pay scale & grade
GS 9 - 11
Promotion potential
11
Pay scale and grade determines the salary of the job.
Work schedule
Full-time
Travel Required
Not required
Appointment type
Permanent
Occupations and job series
Supervisory status
No
Federal service type
This job is in the Excepted Service
Represented by a union
No
Drug test
No
Security clearance
Not Required
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Jobs require a background check and some require a security clearance. The type depends on the job.
Background check type
Financial disclosure required
No
Some jobs require financial disclosure to identify conflicts of interests.
Announcement number
CBSY-13107733-27-KA
Control number
891860300

This job is open to

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Clarification from the agency

Open to current permanent Department of Veteran Affairs employees, current permanent Federal employees of other agencies and all US Citizens. NOTE: The 2-page Resume requirement does not apply to this position.

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Duties

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The Marriage and Family Therapist 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 generally 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. He/she works 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.

Provides consultation, training, and supervision to primary care staff and clinical trainees on the identification, assessment, and management of common mental and behavioral health disorders, while coordinating care across healthcare programs. Supports the development and implementation of clinical programs, program evaluation, data-driven quality improvement, compliance with performance measures and documentation standards, and participation in committees related to integrated primary care and mental health services.

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.

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 availableVirtual: 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

Requirements

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Conditions of employment

  • You must be a U.S. Citizen to apply for this job.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • 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.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.
As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

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. Candidates must meet one of the following:
    • (1) Hold a master's degree or doctoral degree in marriage and family therapy from a program approved by COAMFTE,
    • (2) Hold a master's degree or doctoral degree in marriage and family therapy from a MFT program from a regionally accredited institution, OR,
    • (3) Hold a master's degree or doctoral degree in a comparable mental health degree (Licensed Professional Mental Health Counselor, Social Work, Psychiatric Nursing, Psychology, and Psychiatry) that meets the current VA qualification standard of that profession.
  • Licensure. Persons hired or reassigned to MFT positions in the GS-0182 series in VHA must hold a full, current, and unrestricted MFT license to independently practice marriage and family therapy in a State.
    • Exception: The Secretary, or his/her designee, may waive the licensure requirement for persons who are otherwise qualified, pending completion of State prerequisites for licensure examinations for a period not to exceed three years from the date of employment on the condition that MFTs appointed on this basis provide care only under the supervision of a fully licensed MFT with an AAMFT approved license. Non-licensed MFTs who otherwise meet the eligibility requirements may be given an appointment as an MFT under the authority of 38 U.S.C.ยง 7401(3). This exception only applies at the entry grade level (GS-9). For grades at or above the full performance level, the candidate must be licensed.
  • English Language Proficiency. MFTs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, Chapter 3, Section A, paragraph 3j.
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).

Creditable Experience

(1) Knowledge of current professional marriage and family therapy practices. To be creditable, the experience must have required the use of knowledge, skills, and abilities associated with current professional marriage and family therapy practice. The experience must be post-master's degree or above. The experience should include working with couples, families, individuals and/or groups utilizing family systems theory/therapy. The experience also includes the ability to diagnose and treat mental health disorders. Experience satisfying this requirement must be active professional practice, which is paid/non-paid employment as a MFT, as defined by the appropriate State licensing board.
(2) Quality of Experience. Experience is only creditable if it is obtained following graduation with a master's or higher degree in marriage and family therapy or comparable degree in mental health (Social Work, Psychiatric Nursing, Psychology, Licensed Professional Mental Health Counselor and Psychiatry) and includes work as an MFT directly related to the position to be filled. Qualifying experience must also be at a level comparable to marriage and family therapy experience at the next lower grade level.
(3) Part-Time Experience. Part-time experience as an MFT is creditable according to its relationship to the full-time workweek. For example, an MFT employed 20 hours a week, or on a 1/2-time basis, would receive one full-time workweek of credit for each two weeks of service.
(4) Fellowships or Post-Graduate Training. Fellowship and post-graduate training programs are typically in a specialized area of clinical practice, e.g., group or family practice. Training as a fellow or post-graduate may be substituted for creditable experience on a year-for-year basis.
(5) Practicum in a VA or other clinical setting. A practicum experience may not be substituted for experience, as the practicum (field placement) is completed prior to graduation with a master's degree in marriage and family therapy or comparable mental health degree.

Grade Determinations:

Marriage and Family Therapist, GS-11 (Full Performance Level)

(a) Experience, Education and Licensure.
In addition to the basic requirements, the GS-11 full performance level requires completion of a minimum of one year of post-master's degree experience in the field of marriage and family therapy work (VA or non-VA experience) and licensure in a State at the independent practice level. In addition, the candidate must demonstrate the KSAs in subparagraph (b) below.
OR,
In addition to the basic requirements, a doctoral degree in marriage and family therapy or comparable degree in mental health that meets the current VA qualification standard of that profession (Licensed Professional Mental Health Counselor, Social Work, Psychiatric Nursing, Psychology, and Psychiatry) may be substituted for the required one year of marriage and family therapy experience in a clinical setting. AND the candidate must be licensed to practice at the independent practice level and they must demonstrate the following KSA.

(b) Demonstrated KSAs. The candidate must demonstrate all of the KSAs below:

1. Skill to independently assess the psychosocial functioning and needs of Veterans and their family members.
2. Ability to provide counseling and, or psychotherapy services to individuals, groups, couples and families that facilitates change through restructuring and reorganizing the client system.
3. Ability to establish and maintain effective working relationships with Veterans and their families, colleagues, and other professionals in collaboration throughout treatment regarding clinical, ethical and legal issues and concerns.
4. Knowledge and understanding of existing relevant statutes, case law, ethical codes, regulations and VA policies affecting the practice of marriage and family therapy. This includes the ability to assist Veterans and their families in making informed decisions relevant to treatment to include limits of confidentiality.
5. Ability to provide orientation, training and consultation to new MFTs including clinical oversight of MFT graduate students, and/or provide clinical supervision to pre-licensure MFTs.
6. Skill in the use of computer software applications for drafting documents, data management, maintaining accurate, timely and thorough clinical documentation, and tracking quality improvements.

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-11. The actual grade at which an applicant may be selected for this vacancy is GS-9 to GS-11.

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.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE). The specialized accrediting body that accredits master's degree, doctoral degree and post-graduate degree clinical training programs in marriage and family therapy throughout the U.S. and Canada. Since 1978, COAMFTE has been recognized by the U.S. Department of Education (USDE) as the national accrediting body for the field of marriage and family therapy. MFTs who have a COAMFTE accredited degree have undertaken a course of professional preparation that meets specific standards established by the discipline's accrediting body and individuals with COAMFTE degrees have been thoroughly trained in family systems theory/therapy.

Regionally Accredited Institution. The educational accreditation of schools, colleges, and universities in the United States by one of seven regional accrediting agencies. Each regional accreditor oversees the vast majority of public and private educational institutions, both not-for-profit and for- profit, in its region. The regional accrediting bodies recognized by the USDE are listed at Ed.gov.

Related Degrees/Field. For the purposes of this standard, VHA defines related degrees as degrees in licensed professional mental health counseling, social work, psychiatric nursing, psychology, and psychiatry.

Additional information

This is an OPEN CONTINOUS ANNOUNCEMENT. Qualified applications will be referred every two weeks from the opening date of this announcement until the closing date, or until the position is filled, whichever is sooner.

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Area of Consideration - Eligible applications will be reviewed and referred in the following order: 1. Current permanent VA employees of the facility. 2. All other VA employees. 3. All other applicants.

Veterans Health Administration

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?

VA Central Iowa Health Care System is a multi-campus health care system, with approximately 1700 employees, providing primary care, acute medicine, surgery, behavioral health, nursing home and domiciliary care located on the main campus in Des Moines Iowa, as well as a staffed Community Based Outreach Clinics in Carroll, Fort Dodge, Knoxville, Mason City, and South Des Moines.

Employee selected may be expected to perform duties at other duty sites within VA Central Iowa Health Care System based on the needs of the organization.

Agency contact information

Kelsey Albanese
Phone
(515) 699-5999 X22023
Email
KELSEY.ALBANESE@VA.GOV
Address
VA Central Iowa Health Care System
3600 30th St
Des Moines, IA 50310
US

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