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Bhip Case Manager
4 months ago
**Duties**:
As the Social Worker assigned to a BHIP team at the Carl Vinson VA Medical Center or an associated Community Based Outpatient Clinic (CBOC).You are responsible for providing care coordination services (including but not limited to biopsychosocial assessment, walk-in/crisis services, education, provision of self-management resources) and other clinical tasks as needed for Veterans receiving services in BHIP.
Care coordination (including care management and/or case management) includes determining and monitoring care coordination needs over time, providing care coordination, and facilitating follow-up and outreach as needed to promote proactive, personalized care and care continuity. You will coordinate care including serving as an advocate on behalf of the Veterans on BHIP teams. You are responsible for following national guidance and local policy and SOPs for the MHS. You actively participate in program planning and development, advising the supervisor of shifting trends with care coordination needs and caseloads and identifying the need for making recommendations on program procedures and/or policy changes based upon work experiences. You will take responsibility for improving professional skills, participating in planning and executing specific staff development projects, attending seminars and institutes, and participating in training programs of other disciplines as requested. You are assigned to the Mental Health Service (MHS) and reports to the BHIP Team Supervisor for the incumbent's respective BHIP Team. You are assigned to the Carl Vinson VA Medical Center catchment area and provides comprehensive services to Veterans and their families. In the primary provision of care coordination (and direct clinical care as needed) in patients from the adult (less than 65 years of age) to the geriatric (greater than 65 years of age), the employee recognizes age-related needs and demonstrates knowledge and care appropriate to that age group. In the performance of official duties, you have regular access to the printed and electronic files containing sensitive data which must be protected. You are responsible for completing the following duties/responsibilities:
You will provide a full range of services within commonly accepted standards of practice and prioritizes care coordination activities as the primary job function [e.g., needs assessment, chart reviews, care or case management (as needed), discharge planning, outreach, etc.] and other services as appropriate.
You will provide care coordination (including care management or case management), this includes communication within and across care lines to facilitate continuity of care for Veterans.
You will conduct biopsychosocial assessments to determine care coordination and treatment needs of Veterans.
You will provide consultation/education to Veterans and families on VA resources (including self-management tools), community resources, Advance Directives and VA benefits.
You will participate in discharge planning with other disciplines and will be responsible for ensuring that discharge plans are executed in a manner that is timely and appropriate to promote care continuity.
You will act as a clinical resource/point-of-contact to Veterans and other team/staff members.
You will act as liaison between VA and community resources, to include education and bidirectional communication that promotes seamless care.
Though not a core function of this position, there may be times when you may provide individual, family and group counseling as appropriate.
You will provide wellness/prevention education and may facilitate patient/family educational/bridging supportive sessions as appropriate.
You will perform other BHIP-related duties as directed by the Supervisor, such as, but not limited to: training/mentoring and oversight of new staff & those not yet clinically licensed, and preparing for and training staff on CARF & The Joint Commission standards and accreditation process. You will participate in committee assignments, as deemed necessary by the service manager.
**Work Schedule**: Monday - Friday, 8:00 a.m. - 4:30 p.m.
**Telework**: Not Available.
**Virtual**: This is not a virtual position.
**Functional Statement #**: 53271F
**Fi**nancial Disclosure Report**: Not required
**Requirements**:
**Conditions of Employment**:
- Selective Service Registration is required for males born after 12/31/1959.
- Must be proficient in written and spoken English.
- You may be required to serve a probationary period.
- Subject to background/security investigation.
- Selected applicants will be required to complete an online onboarding process.
- Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional I
