The Senior Social Worker in this position provides direct clinical services to adult and geriatric Veterans enrolled in the Home Based Primary Care (HBPC) Program. Incumbent will provide high quality case management, clinical treatment, advocacy, and will coordinate linkage with appropriate VA and community service providers/agencies as needed. Incumbent is experienced in making rapid assessments and developing crisis management plans for highly complex cases. If you are NOT a current, permanent employee of the VA or another federal agency, you should apply using announcement: CBST-11137555-21-AH Duties include but are not limited to: Develops an assessment of the Veteran in collaboration with the interdisciplinary treatment team, the Veteran, and family members/significant others, whenever possible. Incumbent will often perform home visits to the Veteran's residence in order to provide treatment. Contributes to the development of the treatment plan and setting achievable treatment goals with the Veteran, family member/significant others and other Home Based Primary Care clinical staff. Throughout the course of treatment, the Incumbent serves the patient as the subject matter expert on needed VA and/or community resources. Utilizes the current Social Work resource file of VA and community social service programs and enhancing the content to the benefit of Veterans. Demonstrates advanced skill in making rapid assessments and developing crisis management plans. Incumbent has access to multiple resource directories in addition to previously developed resources to meet the demands of the crisis. Maintains data and statistical compilations to comply with Joint Commission, VA and medical center policy and procedures. Assists patients and their significant others with coping and dealing with the loss and grief experiences in disability, terminal illness and death. Provides ongoing education related to VA and community resources, entitlements, Advance Directives/Living Will and will refer Veterans and their families/significant others to the appropriate interdisciplinary team member for identified health education needs. Conducts psychosocial assessments to determine needs of Veterans and family members. Serves as a continually engaged and active participant in the treatment planning process with other disciplines. Participates in discharge planning with other disciplines and will be responsible for ensuring that discharge plans are executed in a manner that is timely and appropriate. Provides individual, family and group counseling as appropriate. Acts as a consultant to other team members, and provides consultation/education to social work interns on social work practice and VA policy and procedure. Acts as liaison between VA and community resources, to include marketing and public relation duties as needed. Provides case management to Veterans and families, as needed, throughout the continuum of care. Provides wellness/prevention education and facilitates Patient/family support groups as appropriate. The incumbent will as appropriate, supervise the practice of social work students, or a less experienced social worker. Work Schedule: Monday-Friday, 8:00AM-4:30PM 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.