Description du poste
The CLC provides long term care, short-stay continuing care, short-stay rehabilitation, short-stay skilled nursing, respite, and end-of-life care. Primary Care, Urgent Care, Ambulatory Specialty Care, Mental Health, Telehealth and Community Health/Home Care are offered by this facility. The main medical center is in Poplar Bluff, MO; with (CBOC) located in Farmington, Sikeston and West Plains, Missouri and Pocahontas and Paragould, Arkansas with a Health Care Center in Cape Girardeau, MO.
PRINCIPALES MISSIONS :
Major Duties: The Senior Social Worker is assigned to the Community Living Center (CLC) and as the Hospice/Palliative Care (HPC) Program Coordinator. The position requires advanced clinical skills in assessing and addressing the complex psychosocial needs of Veterans, their families, and caregivers. The incumbent provides comprehensive psychosocial assessments, short-term solution focused counseling, supportive counseling, crisis intervention, treatment planning, resource coordination, and discharge planning. Services frequently involve Veterans experiencing a crisis, serious illness, functional decline, or complex barriers to care. Referrals originate from interdisciplinary team members, Veterans, family members, caregivers, significant others, and community professionals. Veterans and their support people may also request assistance directly. The incumbent manages, plans, implements, monitors, and evaluates social work services within the assigned programs and service areas. The incumbent establishes annual program goals, reports outcomes regularly and at the end of each fiscal year and provides additional reports as requested. The incumbent develops a systematic process for reviewing and evaluating the effectiveness of social work services in accordance with applicable VA, Veterans Integrated Service Network (VISN), VA Central Office (VACO), and local facility policies and procedures. The position's duties are as follows: Hospice/Palliative Care Program Coordinator: 40%. Community Living Center Clinical Social Worker: 60%. The incumbent provides coverage in other areas of the medical center as needed. Provides education to Veterans and families related to VA benefits and services, community resources, entitlements, and completion of Advanced Directives and Living Wills. Refers Veteran and families to the appropriate interdisciplinary team member for identified health needs. Develops and maintains a system for identifying Veterans served by the facility and community who may benefit from hospice or palliative care services. Serves as the point of contact for inquiries concerning the HPC Program, including inquiries from Veterans, families, community hospitals, nursing homes, Veterans Service Organizations, and congressional offices. Prepares HPC Program reports for the Office of Geriatrics and Extended Care, VACO, and other stakeholders. Develops referral procedures among the HPC Program, VA facilities, community hospitals, and community agencies. Facilitates appropriate and timely transfers between care settings. Establishes program performance standards and continuously monitors services to determine whether the program meets the needs of Veterans and the medical center. Develop program policies and procedures to support compliance with applicable regulatory standards. Identifies and evaluates local, state, and national community resources that support continuity of care and improve Veterans' quality of life. Explores and evaluates community placement options, including assisted living facilities, nursing homes, housing resources, and state Veterans homes. Develops and implements outreach activities for Veterans with palliative care needs who may benefit from services but do not currently receive their health care through VA. Ensures that the HPC Program uses an interdisciplinary approach and is integrated with inpatient and outpatient medical services. Manages daily program operations, evaluates program effectiven
À propos de Veterans Health Administration
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? The VA's "Fourth Mission" is to improve the Nation's preparedness for response to war, terrorism, national emergencies, and natural disasters by developing plans and taking actions to ensure continued service to Veterans, as well as to support national, state and local emergency management, public health, safety and Homeland Security efforts. To accomplish the fourth mission, all VHA staff may be required to participate in alternative assignments during a national or local disaster. The John J. Pershing VA Medical Center is in the active and thriving community of Poplar Bluff, Missouri, the "Gateway to the Ozarks." Poplar Bluff has a population of 17,000,