If you are a current, permanent VA employees and Federal employees from other federal agency, you should apply under CBST-11133284-21-ER. This position is responsible for maximizing psychosocial quality of life issues by assisting veterans with an option of long term care that is less restrictive than a nursing home and that decreases their need for hospitalization. Serves veterans who have serious crises, lack family/adequate community support. The duties of the Medical Foster Home Program Coordinator in Home Health Care Service include but are not limited to: Program Management: Providing oversight and coordination of the CAVHS Medical Foster Home program. The incumbent is in charge of program development, recruitment, and development of the foster homes, recruitment and placement of veteran residents, case management, development of policies and care processes, and coordination with HBPC interdisciplinary treatment teams. Selecting of homes and residents, establishing intake processes, oversight responsibilities, and maintaining a record-keeping system for the program. Marketing the model of care and provides outreach to community groups and agencies to promote the foster care program. Incumbent serves as a mentor to other VA MFH coordinators, social workers, and other interested health care providers. Providing education to caregivers, students, residents, interns and fellows from other disciplines regarding the advantages and disadvantages of a medical foster home. Assisting physically disabled veterans. Day-to-day work involves sitting, walking, standing and carrying light objects, such as medical records. Work is typically performed in a clinical setting that exposes the incumbent to the communicable diseases common of the client population. Some work is performed outside the medical center campus, where the environment cannot be controlled Screening/Assessment : Receives and completes consults from interdisciplinary teams and social workers on complex, difficult cases, using advanced practice skills and expertise. Incumbent also provides consultation to referral sources and is responsible for development and maintenance of professional standards of practice and educating others regarding such. Interviews and conducts psychosocial assessments. The social worker interprets and explains VA treatment and benefit programs. Develops an assessment of the veteran in collaboration with the interdisciplinary treatment teams, the veteran, family members and significant others, whenever possible. The assessment will include a home visit. It is the responsibility of the social worker, working within the interdisciplinary treatment teams to develop a treatment plan with the veteran based on this assessment. Reviews all data, subjective and objective, and makes a clinical assessment, identifying needs and strengths. Uses advanced clinical training, insight and experience to interpret data and to identify viable treatment options. Treatment Planning: Develops psychosocial treatment plans in collaboration with HBPC interdisciplinary team, including goals for psychosocial clinical treatment. Using known available resources and the initial assessment of the veteran's likelihood to accept differing types of assistance, makes initial and continuing decisions regarding use of VA and non-VA services and referrals. Evaluation and Management: Establishes a continuing relationship with the foster home caregiver and veteran, and involved family members, evaluating progress towards goals and adjusting the treatment plan as appropriate. Meets with medical foster home caregiver, veteran and/or family members to assess accomplishments and re-establish goals. The incumbent monitors progress, maintains comprehensive documentation, ensures expert diagnosis and treatment of clinical disorders, and shows competent discretion in decision to adjust treatment. Makes recommendations for care and changes to interdisciplinary treatment plan. Provide the patient and/or caregivers and family members with ongoing supportive counseling. The purpose of such counseling is to deal with the psychosocial impact of coping with chronic/disabling illnesses, onset of a catastrophic illness and or dying; need for non-institutional or institutional services as needed during the course of the patient's enrollment in HBPC. The incumbent will assist patient/and/or caregivers in coping and dealing with the loss and grief experienced in chronic illness, terminal illness and death. Advocacy: Act as an advocate when it serves the best interest of the veteran/family. The MFH also acts as an advocate for the VA and need for services in specific geographical areas. At all times the incumbent will represent the VA in the community in a positive and professional manner. Crisis Intervention: Experienced in making rapid assessments and developing crisis management plans to maintain the veteran in a medical foster home. In the event of an alleged abuse case, medical or psychiatric emergency, the protocol of the HHCS and/or medical center policy will be followed. Incumbent ensures the interdisciplinary team is kept informed of any concerns with the patient and/or caregiver. Work Schedule: Monday - Friday, 8 am to 4:30 pm Financial Disclosure Report: Not required
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.