Social Worker
2 months ago
A RECRUITMENT INCENTIVE IS
AUTHORIZED
The Home and Community Based Services (HCBS) Program Coordinator maximizes psychosocial quality of life issues to assist Veterans remain in their home or in a less restrictive level of care and keep them out of the hospital as often as possible.
The incumbent serves Veterans who tend to have serious, frequent, and severe crises; lack family or adequate community support networks; are poor self-monitors; frequently fail to comply with instructions and treatments; have significant deficits in coping skills; and require continuing psychosocial and medical support.
Program ManagementOversee program development, quality improvement, communication between internal and external customers, assessment, counseling, recommendations to Veterans and caregivers, case management, and coordination with HCBS interdisciplinary treatment teams.
Identify community agencies, establish intake processes and oversight, and maintain a record-keeping system for the program.Have extensive knowledge of geriatrics, community agencies and partnerships, and VA HCBS programs.
Screening/Assessment
Receive and complete referrals from interdisciplinary teams and VA Primary Care teams on complex, difficult cases using advanced practice skills and expertise.
Conduct psychosocial assessments; interview Veterans and family members to establish facts about the Veteran's unique situation, present problems, their causes, and the impact of such problems on the Veteran's functioning and health as a part of a comprehensive psychosocial assessment and need for services.
Review all data and make a clinical assessment, identify needs and strengths using advanced clinical training, insight, and experience to identify viable options.
Treatment PlanningDevelop treatment plans in collaboration with HCBS interdisciplinary team.
Use available resources and make initial and continuing decisions regarding use of VA and non-VA services and referrals.
Provide independent consultation and make recommendations to interdisciplinary team on course of treatment.
These decisions are based on advanced practice skills, professional judgment, and expertise regarding the Veteran's self-care capability, family support system, and health care needs.
Evaluation and Management
Establish a continuing relationship with community agencies, caregiver, Veteran, and family members; evaluate progress towards goals; and adjust the program plan as appropriate.
Provide the patient, caregivers, and family members with ongoing supportive counseling to deal with the psychosocial impact of coping with chronic and disabling illnesses, onset of a catastrophic illness, and dying.
Assist patient and caregivers in coping and dealing with the loss and grief experienced in chronic illness, terminal illness, and death.
AdvocacyAct as an advocate when it serves the best interest of the Veteran and family.
Act as an advocate for the VA and need for services in specific geographical areas.
Always represent the VA in the community in a positive and professional manner.
Crisis Intervention
Make rapid assessments and develop crisis management plans.
Follow set protocol in the event of an alleged abuse case or medical or psychiatric emergency.
Ensure the interdisciplinary team is informed of any concerns with the patient and caregiver.
Social Work
:
Work Schedule
:
Mon - Fri, 8:
00am to 4:
30pm
Recruitment / Relocation Incentive:
AUTHORIZED
Permanent Change of Station (Relocation Assistance):
Not Authorized
EDRP Authorized:
Former EDRP participants ineligible to apply for incentive.
Contact
, the EDRP Coordinator for questions/assistance.
Learn more
Pay:
Competitive salary and regular salary increases
Paid Time Off:
37-50 days of annual paid time offer per year days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave:
After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.
.
Retirement:
Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance:
Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework
:
Ad-hoc only
Virtual:
This is not a virtual position
Functional Statement #
:
000000
Permanent Change of Station (PCS):
Not Authorized
Fi
nancial Disclosure Report:
Not required
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