Social Worker

The incumbent is a Social Worker for the Community Nursing Home (CNH) program. The Social Worker provides clinical social work services to Veterans admitted to VA-contracted CNHs for long-term care (LTC), short-term rehabilitation (STR), or respite within the Columbia VA catchment area and monitors Veterans admitted to OPTUM/Community Care Network (CCN) facilities for STR. PRINCIPALES MISSIONS : The Social Worker conducts face-to-face or virtual oversight visits per VACO and local Geriatrics & Extended Care (GEC) policies to assess Veteran satisfaction, safety, and quality of care; completes thorough psychosocial/functional assessments; reviews advance directives; and coordinates post-discharge linkage with the VA Primary Care Team. Services include high-quality case management, clinical oversight, discharge planning support, and advocacy for Veterans and caregivers. VA offers a comprehensive total rewards package: Total Rewards of a Allied Health Professional Major duties for the position may include but are not limited to: Assessments / Case Management - Conducts thorough psychosocial assessments for Veterans under VA LTC or respite contracts; develops psychosocial diagnoses; provides high-quality case management and care coordination for Veterans in CNH or instructional settings under LTC/STR contracts; establishes and maintains effective therapeutic relationships with Veterans, families, and skilled nursing facility staff; provides individual/family counseling and makes appropriate referrals; documents face-to-face, virtual, or telephonic visits in the medical record per service-level, GEC, and medical center policies. Treatment Planning / Goal Setting - Meets with CNH staff to assist in determining appropriate plans of care including discharge planning; visits CNHs per established guidelines; assesses functional status and fitness for continued placement; alerts the assigned Community Health Nurse if continued placement is in doubt; addresses Veteran/caregiver concerns for residents in VA CNH or CCN facilities; refers issues outside scope to CNH RN Care Manager or CNH Coordinator and alerts supervisor as applicable; facilitates meetings with CNH staff to address VA, Veteran, or family concerns; demonstrates advanced understanding of adult and geriatric treatment needs including physical limitations, psychological needs, and associated illnesses. Referral to Service Providers - Serves as subject matter expert on VA and community resources; collaborates with service providers to reassess the need for continued institutional care; coordinates with CNH Discharge Planner to transition Veterans to lower levels of care or home when appropriate. - Resource Usage / Development - Uses current social work resource files for VA and community social services programs to benefit Veterans in CNH/CCN; refers Veterans to needed services; maintains communication with GEC supervisory/administrative staff, VISN, and national program offices as applicable; keeps abreast of national program changes. Crisis Intervention - Performs rapid assessments and develops crisis management plans; follows established program protocols in medical or psychiatric emergencies; processes alleged abuse cases per VA and community policy; ensures Chief of Social Work Services or designee is informed of concerns related to allegations of abuse/neglect involving patients or community facilities. Supportive Counseling - Provides ongoing supportive counseling to Veterans and caregivers addressing psychosocial impacts of chronic/disabling illness, catastrophic or terminal illness, and institutional/non-institutional care needs; collaborates with CNH/CCN staff to support coping with loss, grief, disability, terminal illness, and death. Work Schedule: Monday - Friday, 8:00am - 4:30pm. Work Schedule is subject to change based on agency need. Compressed/Flexible: Not available. Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized. Permanent Change of Station

Salaire : $70,971 – $111,635/Per Year | Avantages : http://www.vacareers.va.gov/why-choose-va/benefits/index.asp

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?