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Social Work Coordinator
4 months ago
The Hospice and Palliative Care Senior Social Worker is an independent professional specialized social worker assigned to Geriatrics and Extended Care Service at the Stockton VA Clinic.
Duties
Work Schedule: Full Time; Monday - Friday, 8:00 a.m. - 4:30 p.m.; Subject to change to meet the needs of the Agency
Telework: Authorized; if approved, would be on a regularly scheduled basis but this is not a remote position.
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
The incumbent of this position must use a high level of skill in assessing and treating the complicated psychosocial problems of veterans with complex physical and mental symptoms and life-limiting illnesses. Referrals typically originate from other members of the interdisciplinary team and are provided in the outpatient clinic via telephone or video contact or face-to-face visits. Services are provided both to qualified veteran patients as well as their families, medical surrogates, and caregivers.
The incumbent's duties include but are not limited to completion of thorough biopsychosocial assessments, providing case-management for patients with ongoing palliative needs, supportive counseling for patients and their families, conducting goals-of-care discussions, acting as liaison with community hospice partners, providing counseling and assistance with Advance Healthcare Directives, and palliative program development.
Duties for the position may include but are not limited to:
- Provision of individual, group and family counseling or psychotherapy and advanced level case management interventions used in the treatment of veterans with complex medical and psychiatric disorders.
- Participation as an active member of the outpatient Palliative Care interdisciplinary treatment team to provide social work interventions to veterans and/or their families to meet treatment goals within the context of their goals of care.
- Participation in HPC bereavement support programs for the families of veterans who die at Mather Hospital or Martinez CLC Hospice Unit, in conjunction with the Chaplain service.
- Participation in active case finding for the outpatient Palliative Care services.
- Maintenance of effective therapeutic relationships with veterans and their families experiencing a wide range of psychosocial, medical, emotional, behavioral, and environmental issues.
- Provision of consultation and education to other treatment teams and staff members regarding hospice and palliative services, and role modeling effective social work practice skills.
- Helping the Veteran cope with end-of-life or complex chronic illness diagnoses and assessment of treatment options.
- Facilitating communication between the treatment team, Veteran and family, including advocacy.
- Facilitating family discussions regarding illness, healthcare and life changes.
- Supporting end-of-life planning/care preferences through assistance with Advanced Directives for Healthcare and completion of goals of care conversations.
- Providing education and referrals where appropriate related to the patient's VA, Social Security, disability benefits, and community resources.
- Where appropriate, referral to and coordination of hospice care services including facilitation with Non-VA Care Coordination.
- Participation in specialty committee meetings and initiatives.
- Other duties as required.
