VA Sierra Nevada Health Care System (VASNHCS) Hospital In-Home and Acute Care Senior Social Worker. The Social Worker serves as a core member of the interdisciplinary Hospital in Home (HIH) treatment team which is a specialized program under the administration of the Medicine Service. The Senior Social Worker must work independently without access to social work supervision to provide expert level psychosocial interventions and services to veterans with complex medical, social and behavioral conditions in which routine clinic-based care is not effective. Patients served in the HIH Program are those who require intensive monitoring and medication adjustment due to exacerbation of CHF, COPD, diabetes or other medical issues that may require hospital level of care to be provided in the comfort of their own home. The Veteran is managed in the home by an interdisciplinary team as opposed to being admitted to hospital. Incumbent utilizes advanced practice skills, knowledge and judgment in developing and measuring effectiveness of social work practice and services and utilizing outcome evaluations to improve treatment services. Coordination of specialized psychosocial services and programs are also provided. The Incumbent will also provide social work assessment and interventions to veterans hospitalized on acute care units at the Sierra Nevada VA Hospital. Special attention will be provided to high risk and vulnerable populations who have frequent Emergency Department visits, hospitalizations and/or are at increased risk for readmission due to social or medical circumstances. Work Schedule: Monday - Friday; 7:30am - 4:00pm Financial Disclosure Report: Not required Telework: Not eligible
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.