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Social Worker - Behavioral Health Interdisciplinary Programs Care Coordinator

Veterans Health Administration · Posted 1 days ago

On-site Sheridan, WY $77K – $121K Apply by Aug 31, 2026 Social Work ENFJESFJINFJINFP Operations
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About the Role

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

What You'll Do

  • This includes communication within and across care lines to facilitate continuity of care for Veterans.
  • Acts as a clinical resource/point-of-contact to Veterans and other team/staff members.
  • Conducts biopsychosocial assessments to determine care coordination and treatment needs of Veterans.
  • Provides consultation/education to Veterans and families on VA resources (including self-management tools), community resources, Advance Directives, and VA benefits.
  • Participates in the treatment planning process with other disciplines.
  • 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 to promote care continuity.
  • Acts as liaison between VA and community resources, to include education and bidirectional communication that promotes seamless care.
  • Maintains familiarity and share responsibility with other team members for performance measures relevant to the BHIP team.
  • Serves on Interdisciplinary Treatment Team(s).
  • Provides crisis intervention when indicated, including timely assessment of at-risk Veterans in crisis to identify immediate needs, evaluate risk, and initiate a safety plan as appropriate.
  • Provides wellness/prevention education and may facilitate patient/family educational/bridging supportive sessions as appropriate.
  • Documents interventions and activities in the patient's electronic health record and ensure appropriate hand-off communication and documentation when transferring patient care.
  • Participates in program planning and development, advising the supervisor of shifting trends with care coordination needs and caseloads, and identifying the need for making recommendations on program procedures and/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.

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.
  • Verification of the degree can be made by going to http://www.cswe.org/Accreditation to verify that the social work degree meets the accreditation standards for a masters of social work.

Personality Fit

This role is commonly a great fit for these MBTI types:

Job ID: 917891f1-5c19-4b67-8eb8-d868dd47fbde

Posted via USAJobs

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