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Social Worker- Patient Aligned Care team

5 months ago

White City, United States Department Of Veterans Affairs Full time
Summary

The VA Southern Oregon Rehabilitation Center & Clinics (VASORCC) provides a variety of clinical programs with a wide range of outpatient services and treatments for Veterans in Geriatrics and Extended Care, Psychiatry, substance abuse, home based primary care, community care, residential, and various other ambulatory care programs.

***This is an Open and Continuous announcement for multiple locations/positions and can be taken down at any time ***



Duties

The Patient Aligned Care Team is a comprehensive team which delivers primary care to Veteran patients in a longitudinal rather than episodic fashion and which has as its focus: prevention; health promotion, coordination and chronic disease management. The social worker in this VeteranCentric approach often functions as a care coordinator with a panel of Veterans to ensure that health care meets the needs, as defined by the Veteran. Social workers are uniquely prepared for this role by virtue of their education, training, and experience which prepares them to understand the person-in-situation and the influences that family and community have in impacting the health care needs of Veterans.

  • Works with Veterans and their families who are experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, and psychosocial problems.
  • Completes thorough psychosocial assessments to determine the psychosocial functioning and needs of Veterans and/or their families.
  • Participates as a member of the interdisciplinary treatment team and collaborate with Veterans and Veteran family members to development and implement treatment/service plans and interventions.
  • Facilitates action for community referrals/placements through collaboration with Veterans, Veteran families, and interdisciplinary treatment team members to ensure that appropriate community placements are completed in a timely manner.
  • Serves as an advocate and liaison between Veterans and/or their families and VA and community resources in order to ensure thorough delivery of services.
  • Possess and demonstrate ability to communicate effectively, both orally and in writing, with people from varied backgrounds.
  • Serves on committees, work groups, and task forces at the facility as deemed appropriate by the supervisor and Chief of Social Work Services.
  • Demonstrates knowledge and skill in the use of software applications for drafting documents and data management as well as other computer systems in use by the Veterans Health Administration.

Work Schedule: Monday - Friday 0800 - 1630
Telework: Available per Agency and Department policy.
Virtual: This is not a virtual position.
Financial Disclosure Report: Not required
Permanent Change of Station (PCS): Not authorized.
Financial Disclosure Report: Not required