Veteran Case Manager

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

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.

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.

• 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.

• 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.

• 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, 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.

• 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,…