DETAIL NTE Social Worker - PACT

Detail is not to exceed 120 days. Temporary promotion is not authorized and detailee will serve at their current grade level. If selected, the selectee will require existing supervisory approval.

VA Careers - Social Work:

Social Work:

• The PACT is a comprehensive team which delivers primary care to Veteran patients in a longitudinal rather than episodic fashion and which has as its focus: prevention; health promotion, coordination, and chronic disease management. The Social Worker in this Veteran­centric approach primarily functions as a direct-care provider for all psychosocial and behavioral health issues with an assigned panel of patients and participates as the medical Social Worker within the PACT.
• The PACT Social Worker is a professional Social Worker and functions as an independent provider within the PACT. The PACT Social Worker must use a high level of skill in assessing and treating the complicated psychosocial and behavioral health problems of Veterans, caregivers, and their families/significant others.
• The PACT Social Worker will coordinate with other VA staff and community agencies to assist in problem solving as needed.
• The PACT Social Worker will conduct psychosocial and behavioral health assessments in collaboration with the interdisciplinary treatment team, the Veteran patient, family members and significant others; interviewing Veterans and family members/significant others and writing the assessment.
• The PACT Social Worker is responsible for developing the psychosocial treatment plan and setting achievable treatment goals with the Veteran/caregiver and/or family, independently establishing this plan and following up as needed.
• Throughout the course of treatment, the PACT Social Worker acts as the subject matter expert on VA and/or community resources.
• The PACT Social Worker is responsible for utilizing current VA and community social service programs and enhancing the content to the benefit of Veterans.
• The PACT Social Worker understands the intimidation of bureaucracy and will act as an advocate within the VA system when it serves the best interest of the Veteran/caregiver.
• The PACT Social Worker is experienced in making rapid assessments and developing crisis management plans for patients in crisis.
• The PACT Social Worker provides education related to VA and community resources, entitlements/benefits, Advance Directives/Living Will and will refer Veterans/families to the appropriate interdisciplinary team member for identified health education needs.
• The PACT Social Worker will assess for and assist in coordinating services for personal care, long-term care, respite, and other needed services across the continuum of both institutional and non-institutional care.
• The PACT Social Worker will complete comprehensive psychosocial assessments for patients to help determine when mental health services are needed and make appropriate referrals as outlined by medical center policy.
• The PACT Social Worker will enter all Veteran/family contacts in the electronic record using appropriate formats and templates.
• The PACT Social Worker will attend all appropriate administrative and Clinic staff meetings, interdisciplinary treatment team meetings, Social Work staff meetings, other committees, or workgroups as appropriate and as approved by their supervisor.