Social Worker (Program Coordinator) - PACT/SCI

Social Work:

JOB DUTIES
Independent practice level of skill and expertise to establish and maintain effective therapeutic relationships with Veterans and/or family members/caregivers in the PACT/Primary Care and SCI&D Clinic. Able to work independently with Veterans and family members experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, financial, legal and other psychosocial problems. Effective social work often occurs over a series of several visits. Must independently complete thorough psychosocial assessments to determine the psychosocial functioning and needs of Veterans and their family members. Able to assess functional acuity of the patient and provide appropriate interventions.

Must be able to utilize this assessment in facilitating the Veteran's maximum use of treatment for attainment of the highest level of independence possible.

Actively participate as a member of the interdisciplinary treatment team and actively participate through collaboration with Veterans and family as well as team members in the development and implementation of treatment goals and interventions.

Possess ability to coordinate community placements through collaboration with Veterans and family members as well as team members to ensure that appropriate community placements are completed in a timely manner. Community placements can involve but are not limited to referrals to group and family care homes, assisted living facilities, adult day healthcare programs, VA contract and private nursing home placements, Community Living Centers, residential care homes, inpatient and outpatient hospice services.

Serve as a liaison between Veterans and/or family members, VA and community resources, and local hospital case management staff in order to ensure thorough coordination of services.

Must possess knowledge and ability at the advance practice level to independently implement treatment modalities and evidence-based practices, provide educational classes, and/or supportive groups for Veterans and families, including shared medical appointments. The Social Worker must be able to use and teach Veterans in the effective use of My HealtheVet (MHV) system.

Must possess skill in using computer systems, especially for the internet for Veterans who choose this modality to communicate with the team.

Provide consultation and education to Veterans and family members regarding community resources, VA benefits and specialty programs, and Advance Directives. This includes knowledge of the process for accessing and/or coordinating community-based services, including information and referral for additional services from other VA programs, other government programs, and community programs.

Must be available to provide consultation to other treatment team and staff members regarding psychosocial needs of the Veteran and/or families and the impact of the identified psychosocial problems on the Veteran's health care planning and compliance with treatment.

Maintain knowledge of Veterans benefits and services, community resources, and process for making appropriate referrals to community and other governmental programs or agencies.

Must have thorough knowledge of the PACT team-based, Veteran-centered model and the role of each health and allied health care team members as well as an understanding of the role of the social worker in the PACT model.

Work Schedule: Tour of Duty: Week 1: Tuesday- Friday 07:30-17:00 | Week 2: Monday 07:30-16:00, Tuesday-Friday 07:30- 16:00
Compressed/Flexible:Available
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Not Authorized
Virtual: This is not a virtual position.
Functional Statement #:54573F
Permanent Change of Station (PCS): Not authorized
Financial Disclosure Report: Not required