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Social Worker - Home Based Primary Care
Veterans Health Administration · Posted 1 days ago
About the Role
The Incumbent provides social work services for Veterans enrolled in the Home-Based Primary Care program. In-home social work services are provided for Veterans with a wide variety of multiple, complex chronic illnesses and/or profound disabilities. The position involves regular independent travel to patients' homes. Services provided include provision of quality case management, clinical treatment, advocacy, and coordination of linkages to other appropriate VA or community service providers.
What You'll Do
- →VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU Total Rewards of a Allied Health Professional Duties include but are not limited to the following: Independently uses advanced practice skills to make a psychosocial diagnosis of needs based on the assessment.
- →Advanced practice skills are applied to perform insightful assessments of serious and complicated cases involving psychiatric illness, catastrophic medical conditions, dementia, and other high-risk diagnoses.
- →Collaborates with the HBPC team in the development of the interdisciplinary team plan of care, works effectively with the HBPC team and other health care providers in coordinating the patient's total care, and maintains professional relations and communications with Veterans, caregivers, VA and community health care professionals, and the public.
- →Participates in required interdisciplinary team and Social Work conferences, huddles, and meetings.
- →Educates the Veteran and/or caregiver of VA and non-VA services and resources.
- →Advocates for Veterans and their families, helping them access the services needed at the facility, at other VA facilities, and in the community.
- →Documents clinically significant information from assessments and interventions with the Veteran, family or significant other in the electronic record using assigned formats and templates, according to HBPC and Medical Center policy and JC standards.
- →Maintains and documents data regarding patient visits and other key factors in approved databases.
- →Collaborates in the performance improvement process and complies with performance measures as required by the VA, program, and Medical Center.
- →Develop effective partnerships with internal and external customers, including local, state and federal agencies as well as non-governmental organizations.
- →Maintains positive working relationships with employees, volunteers, consumers and stakeholders within the VA and outside community agencies.
- →Incumbent participates effectively in team meetings, treatment planning conferences, etc.
- →Collaborates with divergent multidisciplinary team members in a manner that enhances coordination of comprehensive patient care.
- →Incumbent effectively communicates with and utilizes community agencies to facilitate treatment, discharge planning, and continuity of care.
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.
- ✓Requires valid unrestricted driver's license.
- ✓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.
Personality Fit
Job ID: eaa04485-58a6-44a8-987a-415845b3dc20
Posted via USAJobs