Health Home Director in Washington, DC at Volunteers of America Chesapeake and Carolinas, Inc.

Date Posted: 9/7/2020

Career Snapshot

Career Description

The Health Home Director is responsible for conducting Health Home Service activities in accordance with VOA Chesapeake and Carolina’s operation as a Mental Health Rehabilitation Service Provider/Health Home.  In this role, the Health Home Director oversees the daily operation of the Health Home Team and facilitates monthly Health Home Team Meetings with the Primary Care Liaison, Nurse Care Managers and others as appropriate.  Approximately 25% of the time, the Health Home Director will be engaged in activities out in the community and/or the consumers’ natural setting.

  • Successful candidates must possess a Master’s Degree in Social Work, Counseling, Substance Abuse, Public Health, Nursing or a related field,
  • At least three (3) years experience working with adults with serious mental illness and/or co-occurring medical conditions; and have at least one (1) year experience providing case management, care management,  and/or counseling. 

Most importantly, the successful candidate must be able to develop effective working relationships with the consumer population, be self-motivated and able to motivate others, be able to relate to individuals making significant life decisions, possess strong organizational skills, and have strong oral and written communication skills. The individual must also be computer proficient.


  • This position may require driving a company and/or personal vehicle.  Must be privileged to drive according to the criteria set forth by Agency MVR guidelines.
  • Valid driver’s license in jurisdiction of residence
  • Valid vehicle liability coverage if driving personal vehicle (on occasion, may be required to transport clients in personal vehicle)
  • May be required to drive a van
  • Acceptable Criminal background check and OIG clearance
  • Negative Drug and Negative Tuberculosis screening
  • Receipt of clearance/free of Hepatitis B
  • CPR/First Aid Certification must be acquired and maintained once employed


  • Develop the consumers IRP/IPC and coordinate the delivery of all MHRS/Health Home services
  • Develop the IRP/IPC along with the consumer and other staff members with specific, measurable, behavioral objectives and action plans that take into account the consumers behavioral Health and physical needs.
  • Assess each consumer for bio-psychosocial needs, provide and coordinate referrals and make sure that the consumer receives the requested assistance.
  • Complete intakes/intake packets in accordance with VOAC/DMH standards
  • Meet with Nurse Care Managers, Primary Care Liaison to provide clinical direction.
  • Oversee and foster effective population health management activities and outcomes.
  • Instruct team members on health home services, practice guidelines and comprehensive person centered care planning with special attention to health and wellness
  • Develop MOUs with community hospitals and hospital systems regarding access to, and coordination of, Health Home Services i.e. transitional care for hospital admissions and discharges
  • Build partnerships, agreements and primary care and other community based providers to facilitate development of effective team-based care
  • Oversee development of agency specific Health Home policies, protocols and processes to align with evolving standards and evidence based practices
  • Monitor and maintain the Health Home’s compliance with all applicable federal DC laws, rules and regulations
  • Oversees Hospital admission/discharge planning, including a medication reconciliation, with assistance of Nurse Care managers, and assures all hospital alerts are promptly acted upon
  • Complete and turn in required reports
  • Conduct Groups/Counseling sessions as indicated
  • Provide weekly supervision
  • Maintain monthly productivity standards
  • Update consumer Care Plan and other consumer documentation prior to expiration
  • Provide Mental Health Rehabilitation Services – Health Home in accordance with established Best Practice, DMH and VOAC procedures
  • Attend meetings in the community on behalf of the consumer (St Elizabeth, nursing homes, etc.) when needed.
  • Conduct visits to the consumer’s job site, home, jail, hospital room, and other natural settings as assigned and when needed.
  • Attend training as required to stay abreast of District of Columbia Departments of Mental Health standards for Health Home Teams.
  • Provide crisis intervention to consumers on a walk in basis and as necessary.
  • Conduct individual and group counseling using current Best Practice and MHRS interventions.
  • Carry after hours on-call phone when Clinical Director is unavailable.
  • Perform duties as outlined in Program’s Operation Manual.
  • Perform other duties as assigned.  Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. 


  • Intermittent sitting and/or standing
  • Extended periods of computer use
  • Required to lift 50 pounds


  • Improvement or increased stability in the consumer’s level of functioning.
  • Ensures that each consumer’s individualized needs are met.
  • Ensures that all documentation pertaining to consumer services is completed in compliance with agency policies and funding source requirements.
  • Presents a positive image to the consumers and public.
  • Ensures compliance with contractual obligations.


Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.