Description du poste
The Home Based Primary Care (HBPC) Social Worker is an integral member of an interdisciplinary team responsible for providing clinical case management to outpatient home bound Veterans served by this medical center.
PRINCIPALES MISSIONS :
The employee performs comprehensive initial clinical assessments and follow-up assessments when clinically indicated or at minimum annually, in-home assessments of the psychosocial needs and functioning of the patient, caregiver, and their support systems. The employee identifies psychosocial issues impacting the patient/caregiver's ability to achieve optimal outcomes and implements interventions and provides social work case management to address psychosocial needs and support patient driven goals of care. The employee applies working knowledge and experience in the use of medical and mental health diagnoses, disabilities and treatment procedures for acute, chronic, and traumatic illness/injuries, common medications including their effects and side effects, non-pharmacological pain interventions, stress management, and medical terminology. The employee applies knowledge of social determinants of health to the assessment of need and risk. The employee evaluates the acuteness of need for psychosocial intervention and case management services based on high risk factors such as suicide, intimate partner violence, adult abuse/neglect, food insecurity, homelessness, terminal illness, competency/guardianship, and other acute psychosocial stressors. The employee identifies the need for adaptive equipment and works with the interdisciplinary team to coordinate. The employee will develop a psychosocial plan of care which may include individual/family counseling, long-term and advance care planning, non-pharmacological pain interventions, stress management, caregiver respite, psycho-educational programs, as well as grief and bereavement counseling. The employee will facilitate access to and maximize VA and community resources and services, such as concrete support services involving housing, in-home assistance and financial support. The employee provides crisis intervention services, seeking to address causation as well as presenting complaints. The employee makes rapid assessments and develops crisis management plans to return Veterans to a state of homeostasis including maintaining Veteran in the home, admission to acute, psychiatric, or short term/long term placements. The employee provides consultation and education to Veterans and their families related to VA, community resources, VA benefits and specialty programs, and advanced directives. Other duties as assigned. Total Rewards of a Allied Health Professional Work Schedule: 8:00 am - 4:30 pm, Monday - Friday Recruitment/Relocation Incentives (Sign-on Bonus): Not authorized Permanent Change of Station (Relocation Assistance): Not authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 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. Child Care Subsidy: 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 $416.66. 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 c