Social Worker - Home Based Primary Care

Summary

The Incumbent provides social work services for Veterans enrolled in the Home-Based Primary Care program. In-home social work services are provided for Veterans with a wide variety of multiple, complex chronic illnesses and/or profound disabilities. The position involves regular independent travel to patients' homes. Services provided include provision of quality case management, clinical treatment, advocacy, and coordination of linkages to other appropriate VA or community service providers.

Duties

• VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU Total Rewards of a Allied Health Professional Duties include but are not limited to the following: Independently uses advanced practice skills to make a psychosocial diagnosis of needs based on the assessment. Advanced practice skills are applied to perform insightful assessments of serious and complicated cases involving psychiatric illness, catastrophic medical conditions, dementia, and other high-risk diagnoses. Collaborates with the HBPC team in the development of the interdisciplinary team plan of care, works effectively with the HBPC team and other health care providers in coordinating the patient's total care, and maintains professional relations and communications with Veterans, caregivers, VA and community health care professionals, and the public. Participates in required interdisciplinary team and Social Work conferences, huddles, and meetings. Educates the Veteran and/or caregiver of VA and non-VA services and resources. Advocates for Veterans and their families, helping them access the services needed at the facility, at other VA facilities, and in the community. Documents clinically significant information from assessments and interventions with the Veteran, family or significant other in the electronic record using assigned formats and templates, according to HBPC and Medical Center policy and JC standards. Maintains and documents data regarding patient visits and other key factors in approved databases. Collaborates in the performance improvement process and complies with performance measures as required by the VA, program, and Medical Center. Develop effective partnerships with internal and external customers, including local, state and federal agencies as well as non-governmental organizations. Maintains positive working relationships with employees, volunteers, consumers and stakeholders within the VA and outside community agencies. Incumbent participates effectively in team meetings, treatment planning conferences, etc. Collaborates with divergent multidisciplinary team members in a manner that enhances coordination of comprehensive patient care. Incumbent effectively communicates with and utilizes community agencies to facilitate treatment, discharge planning, and continuity of care. Incumbent gives evidence of having regular contact and interaction with a variety of community agencies and resources. Incumbent's relationship with supervisors, co-workers, patients, visitors, and the general public is consistently courteous and cooperative in nature and overall contributes to the effective operation of the implementation of Social Work services to the veteran population. The incumbent complies with federal, state, and local environmental and other requirements preventing pollution, minimizing waste, and conserving cultural and natural resources. Incumbent uses word processing software to execute several office automation functions such as storing and retrieving electronic documents and files; activating printers; inserting and deleting text, formatting letters, reports, and memoranda; and transmitting and receiving e-mail; and utilizing computerized virtual fax capabilities. Incumbent is responsible to operate a government-owned/leased vehicle to properly carry out assigned duties. Incumbents must possess [and maintain] a valid, unrestricted State driver's license, have a safe driving record, and demonstrate that they are medically qualified to operate the appropriate motor vehicle safely. Work Schedule: 4, 10 hour days Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: Social Worker/FS00000 Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized

Requirements

You must be a U.S. Citizen to apply for this job. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. Requires valid unrestricted driver's license. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.