Social Worker (Program Coordinator)
VETERANS HEALTH ADMINISTRATION
Summary The incumbent is assigned to Social Work Service at the VA Sierra Nevada Health Care System (VASNHCS) and serves as the the Post-9/11 Military to Veteran (M2VA) Program Coordinator. The Post-9/11 M2VA Program Coordinator (formerly OEF/OIF/OND and TCM) is responsible for overseeing all transition activities and the coordination of care and services for Post-9/11 Service Members and Veterans (SM/Vs) served by VASNHCS Learn more about this agency Duties Help VA Careers - Social Work : Major duties include but not limited to:
- Provides comprehensive administrative oversight of the M2VA Program, including planning, policy development, implementation, and evaluation of program goals, procedures, and operations.
- Follows Veterans Health Administration (VHA) policy and develops local processes to identify and track Post-9/11 Servicemembers/Veterans (SM/Vs), using tools such as the OEF/OIF DoD Registry, VIS, VistA, CPRS, CMTRA, NEPEC reports, Classification reports, Patient Data Exchange, and Network Health Exchange.
- Coordinates case management for severely injured or ill Post-9/11 SM/Vs and others with identified needs, collaborating with nurse and social work case managers, VIST Coordinator, SCI Coordinator, Polytrauma Case Manager, and Women Veterans Program Manager.
- Serves as the facility POC for Post-9/11 transition inquiries, healthcare access, and Toxic Exposure Screening (TES). Completes section one of TES screening.
- Responds to Congressional inquiries and VISN/VA Central Office requests.
- Coordinates preventive mental and physical health evaluations for program participants, both at the facility and associated CBOCs.
- Prepares program reports for VA Central Office, VISN leadership, and Medical Center leadership.
- Monitors referral processes between VA facilities, Military Treatment Facilities, and community hospitals to ensure timely inter-facility transfers.
- Oversees Military Treatment Facility referrals and identifies Post-9/11 SM/Vs within the catchment area, ensuring proper registration and collaboration with Enrollment and Eligibility staff.
- Establishes performance and outcome standards aligned with medical center, VISN, and VA Central Office expectations, and documents program effectiveness.
- Ensures policy and procedural compliance with regulatory and accrediting bodies including Joint Commission (JC) and Commission on Accreditation of Rehabilitation Facilities (CARF).
- Researches, disseminates, and analyzes local, state, and national community resources to support continuity of care and enhance Veteran quality of life.
- Identifies unmet needs within the Post-9/11 population and collaborates with facility, VISN, and VA Central Office stakeholders to develop solutions.
- Develops a data-driven continuous quality improvement plan with measurable goals and outcomes.
- Designs and implements outreach strategies to engage Post-9/11 SM/Vs who may benefit from services but are not currently accessing VA care.
- Maintains an ongoing education program for patients, community partners, students, and staff covering clinical practice guidelines, mental health and readjustment issues, psychosocial challenges, and caregiver concerns relevant to Post-9/11 SM/Vs.
- Performs independent psychosocial assessments and interventions for diverse populations.
- Uses advanced professional judgment, leadership, and social work skills.
- Recognizes the complex needs and challenges associated with military-to-civilian transition, mental health concerns, and multi-agency involvement.
- Conducts thorough assessments examining underlying causes, interpersonal/environmental factors, and barriers to treatment adherence.
- Employs a range of specialized interventions, including individual, group, and family therapy; advanced case management; and evidence-based psychosocial treatments.
- Follows VA Medical Center protocols in emergencies, including mandatory reporting to Adult or Child Protective Services.
- Provides on-site crisis facilitation when needed.
- Educates Veterans and families regarding VA and community benefits, catastrophic disability, Advance Directives, Living Wills, and Goals of Care conversations.
- Facilitates discussions around illness, health care, life changes, and long-term planning.
- Maintains education programs for patients, students, and staff.
- Provides independent, ongoing supportive counseling for Post-9/11 SM/Vs coping with chronic illness, disability, functional decline, catastrophic conditions, or acute stressors.
- Assists Veterans and families with grief and loss associated with illness and end-of-life issues.
- Coordinates referrals to Mental Health and PCMHI as needed.
- Acts as an advocate to help Veterans navigate complex systems or bureaucratic challenges.
- Promotes self-advocacy to support independence and empowerment.
- Screens all Post-9/11 SM/Vs for case management needs and provides services when indicated.
- Applies lifespan developmental principles and supports Veterans dealing with grief, disability, or terminal illness.
- Coordinates care delivery across settings and provides psychosocial and psychiatric assessments within clinical privileges.
- Provides direct patient care.
- 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 ( 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.
- 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.
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Education: Have a master's degree in social work from a school of social work fully accredited by the Council on Social Work Education (CSWE). Graduates of schools of social work that are in candidacy status do not meet this requirement until the School of Social Work is fully accredited. A doctoral degree in social work may not be substituted for the master's degree in social work. Verification of the degree can be made by going to to verify that the social work degree meets the accreditation standards for a masters of social work.
- Licensure: Persons hired or reassigned to social worker positions in the GS-0185 series in VHA must be licensed or certified by a state to independently practice social work at the master's degree level. Current state requirements may be found by going to
- English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. 7403(f).
- All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure or certification that are part of the basic requirements of the occupation. For employees who do not meet all of the basic requirements in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:
- Such employees in an occupation that requires a licensure or certification, may be reassigned, promoted up to and including the full performance (journey) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions.
- Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.
- Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all of the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation.
- If an employee who was retained in an occupation listed in 38 U.S.C. 7401(3) under this provision leaves that occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation.
Vacancy posted 3 hours ago
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