Social Worker (PACT)
VETERANS HEALTH ADMINISTRATION
Summary The Patient Aligned Care Team (PACT) Social Worker provides clinical services in the Primary Care Clinic at the VA Medical Center and Community Based Outpatient Clinics Learn more about this agency Duties Help VA Careers - Social Work : The Patient Aligned Care Team (PACT) delivers primary care to Veterans in a longitudinal rather than episodic fashion and which focuses on prevention, health promotion, coordination, and chronic disease management. The PACT Social Worker in this Veteran-centric approach primarily functions as a direct-care provider for all psychosocial and behavioral health issues with assigned panels of Veterans. The PACT Social Worker also functions as a care coordinator to ensure that access to and services provided for healthcare meets the needs of the Veteran, as defined by the Veteran/Caregiver. The PACT Social Worker is uniquely prepared for the role by virtue of education, training, and experience which prepares the incumbent to understand the person-in-situation and the influences that family and community have in impacting the healthcare needs of Veterans. Major duties include but not limited to:
- Identify problems, strengths, weaknesses, coping skills and needed assistance.
- Provide psychosocial support to Veterans with highly complex health and/or mental health problems and the provision of short-term, solution focused counseling with Veterans and/or their families.
- Make rapid assessments and developing crisis management plans for Veterans in crisis. In the event of a medical or psychiatric emergency, the PACT Social Worker will follow the protocol of the VA Medical Center or corresponding Community Clinic.
- Maintain access to approved resource directories in addition to previously developed resources to meet the demands of a crisis.
- Work in conjunction with the PCMHI staff or other Mental Health staff to ensure a warm handoff where appropriate in the event of a requested admission to mental health inpatient programs.
- Complete appropriate clinical reminders and screening tools for assessing suicide risk. As appropriate, will complete Comprehensive Suicide Risk Evaluations (CSRE) and Safety Plans.
- Function as a vital member of the interdisciplinary follow-up team for any Veterans flagged as high risk for suicide and work closely with the PCMHI staff or other Mental Health staff at their clinic for appropriate warm handoffs when needed.
- Represent the VA with professionalism and respect to both internal and external stakeholders.
- Acts as a subject matter expert on VA and/or community resources.
- Collaborate with other service providers in assessing the Veteran's needs as appropriate.
- Educate Veterans and/or caregiver of the available services and assisting them in establishing the appropriate referrals based on the Veteran's preference or that of their authorized surrogate decision-maker.
- Utilize current VA and community social service programs and enhancing the content to the benefit of Veterans.
- Serve as a liaison with community agencies, assist Veterans (or caregivers) with referrals for services from community and government agencies, and help coordinate these services, when appropriate.
- Coordinate with other VA staff and community agencies to assist in problem solving as needed.
- Run psychotherapeutic and psychoeducational groups for Veterans, caregivers and/or family members
- Function as an independent provider within the PACT.
- Act as a care coordinator and case manager for psychosocial concerns related to psychosocial determinants of health for Veterans assigned to their panel.
- Work in conjunction with the Senior PACT Social Workers and the Primary Care Social Work Supervisor to ensure that psychosocial, mental health and social work services are provided appropriately to all patients throughout the healthcare system.
- Conduct psychosocial assessments in collaboration with the interdisciplinary treatment team, the Veteran patient, family members and significant others; interviewing Veterans and family members/significant others and writing the psychosocial assessment.
- Ensure biopsychosocial assessments highlight Veterans' strengths, limitations, and internal/external supports and service needs to optimize their functional status.
- Assess and treat the complicated psychosocial and behavioral health problems of Veterans, caregivers and their families/significant others.
- Assess, treat, and appropriately refer for the psychosocial problems that cause distress, which often impact the health condition and create barriers to care. These stressors can include adjustment to the current medical condition, untreated or under-treated mental health or substance abuse condition, economic instability, legal problems, and inadequate housing and transportation.
- Accept referrals from any member of the interdisciplinary team, Veterans, caregivers and/or family members who call or walk-in for assistance, and from community professionals.
- 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 5 days ago
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