Social Worker Program Coordinator-Medical Foster Home/Home Based Primary Care

4 weeks ago


Sioux Falls, United States Department Of Veterans Affairs Full time
Summary

The Medical Foster Home (MFH)/HBPC Program Coordinator is a social worker who is responsible for maximizing psychosocial quality of life issues in order to assist veterans to remain in their home or in a less restrictive level of care, other than a nursing home, and minimize hospitalizations.



Duties

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

The incumbent serves veterans within the Sioux Falls VA Health Care System who tend to have serious, frequent, and severe crises, lack of family or an adequate community support network, be poor at self-monitoring, frequently fails to comply with instructions and treatments, have significant deficits in coping skills, and require continuing psychosocial and medical support. Medical Foster Care, in combination with medical management from Home Based Primary Care (HBPC), offers an option for veterans and families that is an alternative to institutionalization. It is affordable and very acceptable to veterans and their families and friends. The Medical Foster Home Coordinator will also provide cross coverage for the Contract Nursing Home Coordinator and other duties as assigned within their scope of practice. The Medical Foster Home Coordinator also serves as the social worker for the HBPC Program at the Sioux Falls VA Health Care System (SFVAHCS) and provides assessment and case management for veterans enrolled in this program.

Duties include but are not limited to the following:

  • The overall function of the Medical Foster Home Program at the Sioux Falls VA Health Care System. The incumbent is in charge of program development, recruitment, and development of the foster homes, recruitment and placement of veteran residents, case management, development of policies and care processes, and coordination with HBPC interdisciplinary treatment teams.
  • Selecting of homes and residents, establishes intake processes, establishes oversight responsibilities, and maintains a record-keeping system for the program.
  • Marketing the model of care and reaches out to community groups and agencies to promote the foster care program. Incumbent serves as a mentor to other VA MFH program coordinators, social workers, and other interested health care providers.
  • Providing training to caregivers, students, residents, interns, and fellows from other disciplines regarding the advantages and disadvantages of a medical foster home. Topics include but are not limited to caregiver and family issues and the impact of psychosocial issues and problems of the veteran in a medical foster home.
  • The work may require assisting physically disabled veterans.
  • The program coordinator receives and completes consults from interdisciplinary teams and other social workers on complex, difficult cases, using advanced practice skills and expertise.
  • The program coordinator interviews and conducts psychosocial assessments; interviews veteran and family members and/or significant others to establish facts about the veteran's unique situation; presenting problems and their causes, and the impact of such problems on the veterans functioning and health as a part of a comprehensive psychosocial assessment; assesses high risk factors, acuity and need for services. The social worker interprets and explains VA treatment and benefit programs.
  • Develops psychosocial treatment plans in collaboration with HBPC interdisciplinary team, including goals for psychosocial clinical treatment. Using known available resources and the initial assessment of the veteran's likelihood to accept differing types of assistance, makes initial and continuing decisions regarding use of VA and non-VA services and referrals.
  • The program coordinator is experienced in making rapid assessments and developing crisis management plans to maintain the veteran in a medical foster home. In the event of an alleged abuse case, medical or psychiatric emergency, the protocol of the Sioux Falls VA HCS and/or medical center policy will be followed.
Work Schedule: Monday-Friday 7:30am to 4:00pm
Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required



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