The incumbent is a professional Social Worker whose duties and responsibilities are assigned to the care management of the Care in the Community (CITC) service within the Martinsburg VA Medical Center in Martinsburg West Virginia. The incumbent provides comprehensive psychosocial assessment, triage and case management services to Veterans currently referred to Specialty Care through Care in the Community. The Social Worker for Care in the Community (CITC) must have a high level of skill and expertise to establish and maintain effective therapeutic relationships with the Veterans and caregivers assigned to specialty care through CITC. The incumbent must be able to independently work with Veterans and their families who are experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, and psychosocial problems. The incumbent continuously assesses and monitors the psychosocial needs, discharge plan and follow up needs for Veteran's currently referred to Community Care specialty services. The incumbent also provides support, assessment, and appropriate interventions (case management) for Veterans that require continued case management due to limited supports and resources. Responsibilities include the management, coordination and provision of Social Work services to Veterans and their families as well as community vendors. The incumbent must have a current, valid, unrestricted driver's license and the ability to operate a GSA vehicle for outreach activities and occasional patient and agency visits. Duties for the position include but are not limited to: Independently complete thorough initial assessments to determine the psychosocial functioning and needs of Veterans and/or their families. Utilize assessment in facilitating the Veteran's maximum use of treatment for attainment of the highest level of independence that is possible and practicable. Actively participate as a member of the interdisciplinary treatment team by collaborating with treatment team members in the mental health clinic, primary care clinic, inpatient units, and specialty care clinics. Possess a working knowledge and experience in use of medical and mental health diagnosis, disabilities, and treatment procedures, including acute, chronic and traumatic illnesses, common medications and their effects/side effects, and medical terminology. Facilitate discharge planning and care coordination through collaboration with Veterans and their families as well as community vendors, community specialty clinics, community hospitals, and interdisciplinary treatment team members. Serve as liaison between Veterans, their families, sponsors and VA and community resources in order to ensure thorough follow through of required services. Possess knowledge and ability to independently implement treatment modalities, provide counseling and/or supportive groups for Veterans and families. Provide consultation and education to Veterans, their families and contracted vendors regarding community resources, VA benefits and specialty programs, and advance directives. All other duties as assigned and outlined in functional statement. Work Schedule: Monday - Friday; 8:00 a.m. - 4:30 p.m.; Subject to change to meet the needs of the service. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
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