Senior Social Worker

Job Title

Social Work Coordinator

Duties

Major duties include, but are not limited to:

• Coordinates the Contract Adult Day Health Care (CADHC), Veteran Directed Care (VDC), Homemaker/Home Health Aide (H/HHA), and Home Respite programs.
• Provides advanced clinical social work services, case management, care coordination, psychosocial assessment, supportive counseling, crisis intervention, and advocacy for Veterans and their families or caregivers.
• Screens and evaluates Veterans for eligibility and appropriateness for home and community-based services and facilitates timely referrals and placement into appropriate programs.
• Develops, implements, and monitors individualized plans of care in collaboration with Veterans, families, caregivers, interdisciplinary teams, and community providers.
• Monitors Veterans receiving services through contracted community agencies and evaluates their continued need for services, progress toward treatment goals, and overall quality of care.
• Serves as a subject matter expert on VA and community resources, benefits, entitlements, and home and community-based care services.
• Leads and collaborates with multidisciplinary teams responsible for evaluating and monitoring contracted community home care agencies for compliance with established standards of care.
• Investigates and resolves concerns or complaints involving Veterans, families, caregivers, and community agencies and initiates appropriate action to ensure quality and continuity of care.
• Develops and implements program policies, procedures, practice guidelines, quality assurance activities, and performance improvement initiatives.
• Monitors program operations, documentation, workload, data, quality measures, expenditures, and compliance with applicable VA policies, regulations, and standards.
• Prepares and maintains accurate program reports, statistics, workload data, and other information required for facility, VISN, and national reporting.
• Collaborates with leadership regarding program resources, budgetary concerns, service needs, and the development or expansion of community contracts.
• Maintains effective working relationships with VA staff, community agencies, contractors, Veterans, caregivers, and other stakeholders to promote coordinated service delivery.
• Provides consultation, education, guidance, and support to staff, Veterans, families, caregivers, and community partners regarding available services and complex psychosocial needs.
• Provides supportive counseling to Veterans and caregivers coping with chronic or disabling illness, catastrophic illness, loss, grief, terminal illness, and changing levels of care.
• Performs rapid assessments and develops appropriate intervention and crisis management plans for Veterans experiencing medical, psychiatric, psychosocial, or safety-related concerns.
• Documents all Veteran and family contacts, assessments, interventions, treatment plans, and care coordination activities in the electronic health record in accordance with VA policies and professional standards.
• Participates in interdisciplinary treatment team meetings, committees, workgroups, performance improvement activities, and other program or service initiatives.
• Practices independently at the advanced level, exercising professional judgment and expertise in complex clinical and administrative matters involving Veterans and their families or caregivers.

Work Schedule: Full-time, Monday-Friday, 8:00 am- 4:30 pm

Compressed/Flexible: Not available

Telework: Ad hoc, after 90 days

Virtual: This is not a virtual position.

Functional Statement #: 11094-F

Relocation/Recruitment Incentives: Not authorized

Permanent Change of Station (PCS): Not authorized