Senior Social Workers typically practice social work in a major specialty treatment program area, such as a Polytrauma Rehabilitation Center or Polytrauma Network site, a Spinal Cord Injury Rehabilitation Center, or a national VHA referral center, such as a National Center for Posttraumatic Stress Disorder or a National Transplant Center. -The incumbent is a professional social worker whose duties and responsibilities center on the care management of Veterans in the Community Living Center. In addition to the care management of Veterans in these areas, the incumbent provides coverage for the Palliative Care Coordinator which includes but is not limited to the completing and tracking of hospice/palliative care, coordinating and finalizing referrals for admission to the inpatient hospice/palliative care unit and for home hospice services, conducting debriefings with hospice/palliative care staff, and providing education to Veterans and/or their families as well as hospice/palliative staff. The incumbent must use a high level of skill in assessing and treating the end-of -life issues of Veterans in the inpatient hospice/palliative care unit and the complicated psychosocial problems of Veterans as they transition from the Community Living Center to appropriate placement alternatives. Care management responsibilities include the management, coordination, and provision of social work and supportive services to Veterans and/or their families. The incumbent is a member of an interdisciplinary team and is primarily responsible for assessment and completion of the psychosocial assessment as well as completion of the psychosocial portion of the interdisciplinary care plan and minimum data set (MDS). The incumbent is also responsible for active participation in interdisciplinary treatment team meetings, cultural transformation, and resident-centered care planning. -Interviews Veterans and their family members/significant others to establish facts about the Veteran's situation, presenting problems and their causes, and the impact of such problems on the Veteran's functioning and health as part of a comprehensive psychosocial assessment. Interprets and explains VA's treatment and benefit programs. -Reviews all data, subjective and objective, and makes a clinical assessment identifying needs and strengths. -Effectively uses professional skill, objectivity, and insight. Uses advanced clinical training, insight, and experience to interpret data and to identify viable treatment options. Assesses high risk factors, acuity, and need for services. -Has the ability to serve Veterans who tend to have frequent and severe crises, lack family or an adequate community support network, be poor at self-monitoring, frequently fail to comply with instructions and treatment, or have significant deficits in coping skills and require continuing professional psychosocial support. Work Schedule: M-F 8:00am to 4:30pm Telework: Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Social Worker/PD000000 Relocation/Recruitment Incentives: Not Authorized 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.