This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more Work Schedule: Monday through Friday, 7:30am to 4:00pm Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Senior Social Worker (Acute Care)/PD408560 Relocation/Recruitment Incentives: Authorized EDRP Authorized: Contact V21CCOEEDRP@va.gov, the EDRP Coordinator for questions/assistance Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required The Senior Social Worker provides psychosocial assessment and interventions to veterans hospitalized on acute care and ICU units at the Sierra Nevada VA Hospital. Special attention will be provided to high risk and vulnerable populations who have frequent emergency department visits, hospitalizations and/or are at increased risk for readmission due to social or medical circumstances. The Social Worker will also manage all guardianship cases on the acute care floors and assist with placement for complex discharge patients requiring long-term care. Duties of the position include, but are not limited to: Develop a psychosocial assessment in collaboration with the veteran, the interdisciplinary treatment team, and family members/guardian/significant others. Responsible for developing the treatment plan and setting achievable treatment goals with the veteran/family in collaboration with the interdisciplinary treatment team members. Include psychosocial problems on the interdisciplinary treatment/discharge plan and will attend daily interdisciplinary team meetings. Address the unique needs of veterans with acute medical exacerbations. Possess a working knowledge and experience in use of medical and mental health diagnoses, disabilities, and treatment procedures, including acute and chronic illnesses, substance abuse disorders, common medications and their effects/side effects, and medical terminology. Be available to assist the medical and surgical inpatient team via consultation with or without direct patient contact about indications for social work referral; possible psychosocial aspects and intervention methods for coping with progressive, debilitating illness; psychosocial stressors and interventions related to non-compliance due to inadequate psychosocial support; health care and future placement planning; interventions related to capacity and guardianship needs; caregiver stress and support; and financial benefits. Provide the veterans and their caregivers with ongoing supportive counseling. Utilize communication and intervention strategies to engage patients, especially aging patients (including those with dementia) to facilitate assessment and intervention, to encourage coping with change, and to identify and address caregiver support needs. Responsible for developing a resource file of VA and community social service programs and will refer the veteran to needed services. Coordinate community-based services from other VA programs, government programs and community agency programs. Expert knowledge of veteran' benefits and services relating to special programs, service-connected compensation and non-service-connected pensions. Facilitates and prioritizes referrals based upon veterans needs and eligibility. Responsible for developing a working knowledge of pertinent VA and community social service programs and for enhancing working alliances with community partners to benefit the veterans with the discharge process. Educate patients and caregivers about available services and facilitate appropriate referrals based on the veterans' needs and eligibility with the goal of maintaining/improving the patient's functional status. Collaborate with other internal service providers in reassessing the veteran's needs for non-institutional, institutional services/programs and entitlements. Responsible for educating the veteran and/or caregiver of the available services and assisting them in establishing the appropriate referrals based on the veteran's preference or that of his surrogate decision-maker. Complete a 'warm handoff as necessary with Outpatient Social Workers to continue follow up needed for any resources or referrals. Facilitate consults for outpatient services, programs and/or case management follow-up and ensure all unassigned PACT veterans are educated and/or connected with PACT services upon discharge. Assist with facilitating action for community placements and resources for complex discharge and guardianship cases through collaboration with Veterans and their families, guardians as well as interdisciplinary treatment team members to ensure that appropriate community placements are completed in a timely manner. Responsible for attending all interdisciplinary treatment team meetings, Social Work staff meetings and other meetings as identified by the Supervisor. Assist with Social Work coverage to ensure timely access and coordination of care as assigned by the supervisor, ACOS and/or Social Work Executive. Other duties as assigned by management.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.