The incumbent in this position in Social Work Service at the Wilkes-Barre, Pennsylvania VA Medical Center (WB VAMC) serves as a Case Manager for the Housing and Urban Development/VA Supportive Housing (HUD-VASH) program. The HUD/VASH Social Worker practices independently, using professional judgment and expertise to make decisions about services and treatment provided to veterans and their family members/significant others. - Provides case management for a caseload of veterans in the HUD-VASH program. - Reviews agreements between Section 8, landlords, Public Housing Authorities, and the VA in establishing appropriate referral sites for HUD-VASH placements. - Performs site visits of HUD-VASH apartments to ensure that veterans reside in safe environments in compliance with local housing codes. - Verifies the veteran's status, eligibility for VA medical care, and eligibility of program participation. - Ensures that homeless veterans are considered as primary participants for program acceptance. - Collects and submits HUD-VASH Program participant data as outlined by Northeast Program Evaluation Center (NEPEC) procedures. - Provides HUD-VASH case management. Case management is defined as the provision of services by VA clinical staff to homeless veterans and includes all activities to provide appropriate treatment and maintain veterans in HUD approved stable housing. - Coordinates care including serving as an advocate on behalf of the veterans to ensure comprehensive service delivery, and linking and referring veterans to the VA Medical Center, VA Regional Offices and/or community agencies. - Complies with criminal conflict of interest laws and Executive Branch Standards of conduct to avoid conflicts of interest while serving as the HUD-VASH Case Manager. - Actively participates in the HUD-VASH Program conference calls and attends training offered by the HUD-VASH. - Follows local policy and Standard Operating Procedures (SOP) for the HUD-VASH Program. This includes following policies and documentation requirements as required for the Commission on Accreditation of Rehabilitation Facilities (CARF) and Joint Commission (JC) accreditation. - Actively participates in program planning and development, advising the supervisor of shifting trends with caseloads and identifying the need for and making recommendations on program procedure or policy changes based upon work experiences. - Takes responsibility for improving professional skills, participating in planning and executing specific staff development projects, attending seminars and institutes, and participating in training programs of other disciplines as requested. - Performs accountability functions: 1) Documents all contacts with patients/families in the medical charts 2) Completes statistical and other reports in accordance with VA Medical Center and respective professional discipline service policies. - Works with VA Medical Center multi-disciplinary teams and community agencies to strive for developing more effective and efficient ways of delivering healthcare services to HUD-VASH Program veterans. - Conducts psychosocial assessments to determine needs of veterans and family members. - 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. - Provides consultation/education to veterans and families on community resources, advance directives, and VA benefits. - Acts as a consultant to other team/staff members. - 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 a full range of social work services within commonly accepted standards of social work practice which includes case work, individual, family and group counseling, discharge planning, case management and other services as appropriate. - Provides wellness/prevention education and facilitate patient/family support groups as appropriate. - As appropriate, supervises the practice of social work students, or a less experienced social worker. - Coordinates treatment and communicates with the care lines to facilitate continuity of care for veterans. - Participates in committee assignments, as deemed necessary by the service manager. - Maintains data and statistical compilations to comply with the JC, CARF, 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. - Documents social work interventions and activities in patient's clinical record utilizing the Computerized Patient Record System (CPRS) and ensures appropriate hand-off when transferring of patient care. - Participates in a rotation of on-call social workers, including modification of tour of duty to accommodate patient care needs on weekends. - Maintains familiarity and responsibility for all performance measures relating to the HUD-VASH Program.- Performs other related duties as assigned. Work Schedule: Monday - Friday, 8:00 a.m. - 4:30 p.m. Financial Disclosure Report: Not required *****THIS IS A BARGAINING UNIT POSITION*****
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.