Caseworker Home Care

The primary responsibilities of this position are to provide social work services to PACT/GM & Specialty clinics within VA Ann Arbor Ambulatory Care Services. The incumbent is primarily responsible for providing Outpatient Social Work services to Veterans who are receiving medical care predominately in the Patient Aligned Care Team (PACT) clinics.

The primary responsibilities of this position are to provide social work services to PACT/GM & Specialty clinics within VA Ann Arbor Ambulatory Care Services. The incumbent is primarily responsible for providing Outpatient Social Work services to Veterans who are receiving medical care predominately in the Patient Aligned Care Team (PACT) clinics.

The basic requirements for employment as a VHA social worker are prescribed by statute in 38 U.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

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

At the time of appointment - the supervisor - chief social work or social work executive will provide the unlicensed/uncertified social worker with the written requirements for licensure or certification - including the time by which the license or certification must be obtained and the consequences for not becoming licensed or certified by the deadline.] (b) A social worker who does not yet have a license that allows independent practice must be supervised by a licensed independent practitioner of the same discipline who is a VA staff member and who has access to the electronic health record

(Each state - Puerto Rico - and the District of Columbia completed surveys identifying the level of licensure or certification allowing independent practice

Copies of the surveys are on file in the VHA Office of Care Management and Social Work Services - and a summary spreadsheet of the levels of licensure or certification is available to social work professional standards board members for purposes of determining whether the social worker's level of licensure or certification meets the VHA qualification standards

The ASWB is the association of boards that regulates social work

ASWB develops and maintains the social work licensing examination used across the country and is a central resource for information on the legal regulation of social work

Differences between the master's and the advanced exams demonstrate the expectation that advanced practice social workers will have a more sophisticated knowledge of practice theory and its application

English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.In addition to the experience above - the candidate must demonstrate all of the following KSAs: Ability to utilize counseling skills when working with Veterans and family members

Ability to assess the psychosocial functioning and needs of Veterans and their family members - and to formulate and implement a treatment plan - identifying the Veterans problems - strengths - weaknesses - coping skills - and assistance needed

Ability to establish and maintain effective working relationships and communicate with clients - staff - and representatives of community agencies

Fundamental knowledge of medical and mental health diagnoses - disabilities - and treatment procedures

and medical terminology

The full performance level of this vacancy is GS-11

The actual grade at which an applicant may be selected for this vacancy is in the range of GS-9 to GS-11

Physical Requirements: The work of the social worker is community based with moderate physical activity

The incumbent must be capable of using a computer given all clinical charting is electronic.

Duties may include but are not limited to: Identifies high-risk patients and provides case management services for chronic disease management in collaboration with the multidisciplinary team

Complex cases are staffed regularly with the clinical social work supervisor

Utilizes the Patient Aligned Care Team (PACT) template assessments to synthesize information into a working document that provides direction in determining the level of care - level of case management and follow up

Differentiates between episodic - supportive - progressive and intensive case management

Assessment is to highlight the Veteran's strengths - limitations - internal and external supports - and service needs in order to optimize functional status

Provides crisis intervention services if needed - seeking to address cause - as well as the presenting complaint - coordinates family conferences - and serves as liaison to family members

Formulates a plan with goals - objectives - barriers and needs based on PACT templates for ongoing follow up and case management

Provides treatment intervention in collaboration with the Veteran and family - interdisciplinary treatment team - and community members

Provides pro-active case management to assist in eliminating barriers to health care interventions based on the level of case management indicated in the initial and follow-up assessments

Coordinates community-based services - including information and referral for additional services from other VA programs - other government programs - and community agency programs

Provides education to community care partners regarding general VA benefits and services during care coordination for Veterans

Follows Veteran/Caregiver through continuum of health care

Facilitates action for community placements through collaboration with Veterans and their families as well as interdisciplinary treatment team members to ensure that appropriate community placements are completed in a timely manner

Community placements can involve but are not limited to referrals to contract nursing homes - Community Living Centers - residential care homes - inpatient and outpatient hospice services

Serves as a liaison between Veterans and/or their families and VA and community resources in order to ensure thorough delivery of services

Ability to establish and maintain effective therapeutic relationships with Veterans in the Ambulatory Care Clinic and/or their families

The incumbent is able to work with Veterans and their families who are experiencing a wide range of medical - psychiatric - emotional - behavioral - and psychosocial problems

The incumbent has primary knowledge of use of medical and mental health diagnoses - disabilities - and treatment procedures

This includes acute - chronic - and traumatic illness - injuries - medical terminology - and common medications and their effects and side effects

VA Careers - Social Work: Work Schedule: Monday-Friday - 8:00 am - 4:30 pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Telework: Not Available Virtual: This is not a virtual position

Functional Statement #: 93964A/ 93965A Permanent Change of Station (PCS): Not Authorized

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