Veteran Case Manager

The Transition House Inc.; Kissimmee (FL); On-site; USD 47,000 - 64,000; Full time

Benefits offered by this job

Paid time off

Wellness days

Health insurance

Dental insurance

Vision insurance

401(k) retirement plan

Professional development assistance

Employee discount programs

Job summary

The Transition House, Inc. is seeking a compassionate Veteran Case Manager to provide community-based, non-clinical suicide-prevention case management through our Veteran Connection and Suicide Prevention Program.

You will help Veterans reduce barriers, navigate VA and community systems, and stay connected to individualized services and supports, including housing stability, benefits, healthcare, and transportation. Strong coordination and documentation are essential.

Qualifications

• Bachelor's degree in social work, human services, psychology, or related field, or equivalent experience.
• Experience providing case management, care coordination, outreach, resource navigation, or social services.

Responsibilities

• Engage, assess and plan with an assigned caseload based on risk and goals.
• Coordinate services and warm handoffs to VA and community resources.
• Identify risk, document, and escalate when there is imminent danger.
• Engage families and supports in service planning and education on suicide prevention.
• Document notes, referrals, and client progress in secure systems.

Skills

Interpersonal skills

Documentation

Organizational skills

Follow-through

Education

Bachelor's degree or equivalent experience

Job description

Employment Type: Full-Time FLSA Classification: Non- Exempt Program: Veteran Connection and Suicide Prevention Program – SSG Fox SPGP Reports To: Program Director Location: Orange, Osceola, and Seminole Counties, Florida Travel Requirements: Office setting, Regular local travel throughout the service area Compensation: $26.75 a/hr

Number of Positions Available: 2

Position Overview

Can you help a Veteran turn a maze of systems, appointments, and urgent needs into a clear path forward? The Transition House, Inc. is seeking a compassionate, resourceful Veteran Case Manager to provide community-based, non-clinical suicide-prevention case management through our Veteran Connection and Suicide Prevention Program.

In this role, you will help Veterans reduce barriers, strengthen protective factors, navigate VA and community systems, and stay connected to individualized services and supports. Participants may be experiencing housing instability, unemployment, financial hardship, behavioral-health or substance-use concerns, social isolation, family stress, justice involvement, transportation barriers, or disconnection from VA services.

Veterans and candidates with direct experience serving Veterans and Veteran families are strongly encouraged to apply. If you are skilled at building trust, coordinating across systems, documenting carefully, and staying steady when someone needs immediate support, we would like to meet you.

Why Join The Transition House

At The Transition House, we believe strong teams create strong outcomes. Our work is centered on accountability, rehabilitation, and creating opportunities for people working toward stability and a stronger future.

Here, you will have the opportunity to:

• Make a direct difference by helping Veterans move from referral to successful service connection.
• Work alongside Veteran peer specialists, outreach professionals, VA partners, and community providers.
• Build expertise in Veteran-specific service delivery, suicide-prevention screening, warm handoffs, and resource navigation.
• Use creativity and persistence to solve practical barriers involving housing, benefits, transportation, employment, healthcare, and other needs.
• Grow professionally through specialized training, supervision, case consultation, and multidisciplinary collaboration.

What You Will Do

Engage Assess and Plan

• Conduct community outreach and engage Veterans referred through VA, TTHI programs, hospitals, shelters, housing providers, corrections and reentry systems, county partners, and other community sources.
• Complete SSG Fox eligibility screening and, after required training and competency validation, administer VA-required suicide-risk, baseline mental-health or wellbeing, and other assigned screening or outcome tools.
• Develop and update individualized suicide-prevention service plans while managing an assigned caseload at a frequency based on participant risk, need, and goals.

Coordinate Services and Warm Handoffs

• Help Veterans access VA healthcare, VA homeless services, benefits, housing, employment, public benefits, transportation, legal and reentry resources, behavioral-health referrals, identification documents, and other stabilization supports.
• Coordinate warm handoffs through direct provider contact, appointment coordination, transportation assistance when appropriate, and follow-up to confirm a successful connection.
• Work closely with Veteran Peer Support Specialists and the Veteran Community Outreach and Reentry Specialist to strengthen engagement, retention, and service connection.

Support Participant Safety

• Identify suicide risk, immediate safety concerns, behavioral-health concerns, and psychosocial risk factors through required screening and ongoing participant engagement.
• Immediately elevate elevated or imminent suicide risk and coordinate same-day warm handoffs to VA Suicide Prevention Coordinators, the Veterans Crisis Line or 988, mobile crisis, emergency services, or other appropriate resources.
• Provide increased outreach after a recent crisis, incarceration, homelessness, difficulty remaining engaged, or lack of VA connection, and complete assigned reassessments and post-service screening with accurate follow-up documentation.

Engage Families and Natural Supports

• With participant consent, involve family members, caregivers, and other Veteran-identified natural supports in service planning, resource coordination, and follow-up when their involvement supports the Veteran's goals and safety.
• Provide education on suicide warning signs, Veterans Crisis Line and 988 resources, help-seeking, safety planning, and approved lethal‑means safety information.
• Identify family or caregiver needs that may affect the Veteran's stability or engagement and connect them with appropriate community resources.
• Document participant consent, family and natural‑support engagement, education, referrals, releases, and follow-up in accordance with confidentiality requirements.

Document and Strengthen Services

• Complete timely service notes, referrals, releases, service plans, screening records, and required grant data in secure documentation systems.
• Participate in supervision, case reviews, quality reviews, multidisciplinary meetings, partner coordination, and required VA or grant training.

What You Bring

Education and Experience

• Bachelor's degree in social work, human services, psychology, counseling, criminal justice, or a related field, or equivalent relevant experience serving Veterans or other vulnerable populations.
• Experience providing case management, care coordination, outreach, resource navigation, or social services.

Knowledge Skills and Abilities

• Strong interpersonal, engagement, documentation, organizational, and follow-through skills.
• Ability to work independently in community settings while managing an assigned participant caseload.
• Ability to coordinate across VA, housing, benefits, behavioral-health, legal, employment, and other service systems.
• Ability and willingness to complete required training and demonstrate competency in VA-required suicide‑prevention screening and related program tools.
• Sound judgment and the ability to follow established participant‑safety, crisis‑escalation, warm‑handoff, consent, and confidentiality procedures.

Licenses and Travel

• Valid driver's license and ability to travel regularly throughout Orange and Osceola Counties and the surrounding service area.

Preferred Background

We especially welcome Veterans and candidates with experience supporting Veterans and families. Experience with VA programs, GPD, SSVF, HUD‑VASH, homelessness, reentry, housing, or behavioral health, along with knowledge of Central Florida resources and trauma‑informed care, is strongly valued. Veteran status is not required.

Required Training and Competencies

• TTHI onboarding and SSG Fox SPGP requirements, including confidentiality, documentation, participant safety, trauma‑informed care, Veteran‑specific service delivery, VA coordination, warm handoffs, crisis escalation, and family or support‑system engagement.
• Administering, scoring, documenting, and responding to VA‑required suicide‑risk screening, baseline mental‑health or wellbeing screening, and other assigned SSG Fox tools.
• Immediate escalation, referral, warm‑handoff, and emergency‑response procedures whenever elevated or imminent suicide risk is identified. Standardized screening does not replace clinical evaluation.

Work Environment

This position includes work in office, community, partner, and outreach settings throughout Osceola and Orange Counties, along with routine use of standard office technology and secure electronic documentation systems. The role involves regular interaction with Veterans, family members, caregivers, VA contacts, community providers, and TTHI team members.

Schedule Expectations

This position generally operates during standard business hours. Participant and outreach needs may occasionally require schedule flexibility, including evenings or weekends, for urgent participant‑safety matters, community events, follow‑up, training, or other time‑sensitive responsibilities.

Benefits

• Paid time off
• Wellness days
• Flexible scheduling opportunities where operationally feasible
• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• 401(k) retirement plan
• Professional‑development assistance
• Employee discount programs
• Employee‑referral incentives

Our Culture

At The Transition House, employee mental health and wellbeing are priorities. We work to create a culture of collaboration, accountability, professional growth, and balance between work and home life. By providing employees with the same supportive hand we extend to the people we serve, we create stronger outcomes for Veterans, families, and communities.

Equal Opportunity Employer

The Transition House, Inc. is an Equal Opportunity Employer. Employment decisions are based on qualifications, merit, and business needs. We do not discriminate based on race, religion, color, sex, gender identity, sexual orientation, age, non‑disqualifying disability, national origin, veteran status, or any other characteristic protected under applicable federal, state, or local law.

Background Screening Requirement

Employment with The Transition House may require background screening through the Florida Care Provider Background Screening Clearinghouse. Applicants may obtain additional information at https://info.flclearinghouse.com.

ADA Accommodation Statement

The Transition House is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the recruitment and employment process. Applicants who require an accommodation to participate in the application or interview process should contact Human Resources.