Job Listing
Social Work Program Coordinator- Care Coordination\Integrated Case Management
Veterans Health Administration · Posted 40 days ago
About the Role
The Care Coordination & Integrated Case Management (CC\ICM) Social Work Program Coordinator, in collaboration with a Nursing CC\ICM counterpart, is responsible for implementation, coordination, and management of all administrative and clinical aspects of the CC& ICM framework. The Social Work Program Coordinator for CC\ICM will implement standardized tools designed to integrate care to create a seamless continuum experience for the Veteran.
What You'll Do
- →Total Rewards of a Allied Health Professional Duties and skills needed to be successful in this position include, but are not limited to: Administrative responsibility for the clinical programming and daily operations of the Montana VA Healthcare System (MTVAHCS) CC\ICM Practice.
- →Developments and implements policies and procedures specific to MTVAHCS and ensures compliance with local facility, VISN, the Associate Director of Patient Care Services (ADPCS), Social Services, VA Central Office (VACO) directives and handbooks, as well as Joint Commission, and other accrediting bodies and regulatory standards as needed.
- →Ensures full collaboration with nursing counterpart, for all planning, development, implementation, monitoring, and evaluation of the CC\ICM operations.
- →Manages, monitors, evaluates, and reports on all CC\ICM related data to fully capture the day-to-day functioning and practice impacts on the facility and Veteran care.
- →Plans, organizes, and directs CC\ICM operations, in conjunction with the CC\ICM nursing counterpart(s) and the Chief of Social Services.
- →Identifies Veteran cohorts across MTVAHCS with the highest opportunity and highest need.
- →Including development and implementation of a monitoring process for ongoing screening and identified cohorts.
- →Identifies and tracks potential areas where care coordination is taking place to include but not limited to primary care, surgical care, mental health, community care, specialty clinics, geriatrics, and homeless programs.
- →Ensures integration with the facility level care coordination and case management teams to include but not limited to Nurse and Social Work navigators, care coordinators, care managers, and case managers of, both inpatient and outpatient for seamless continuity of care.
- →Developments, implements and tracks a facility wide CC\ICM education plan to key stakeholders to include Service Chiefs, supervisors/managers, frontline staff, and Veterans with plan for ongoing sustainment.
- →Serves as co-coordinator to the MTVAHCS Care Coordination Review Team (CCRT).
- →Provides ongoing oversight, direction, and education.
- →Ensures full participation by setting expectations, clear roles, and responsibilities when assigning a Lead Coordinator (LC) to Veterans identified as needing moderate or complex care coordination services.
- →Ensures CC\ICM is in compliance with policies and standard operating procedures for evaluating and mitigating suicide risk to include: Completion of the Columbia Suicide Severity Risk Scare (C-SSRS), Comprehensive Suicide Risk Evaluation, Safety Plan, and Overdose Report as clinically indicated.
Requirements
- ✓You must be a U.S.
- ✓Citizen to apply for this job.
- ✓Selective Service Registration is required for males born after 12/31/1959.
- ✓Must be proficient in written and spoken English.
- ✓Subject to background/security investigation.
- ✓Selected applicants will be required to complete an online onboarding process.
- ✓Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- ✓Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- ✓Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- ✓Complete all application requirements detailed in the "Required Documents" section of this announcement.
- ✓As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
- ✓In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
- ✓Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
- ✓Note: Only education or degrees recognized by the U.S.
Personality Fit
Job ID: 1b4c281b-e8b3-4885-ba91-4654646804b3
Posted via USAJobs