The Home Based Primary Care (HBPC) Social Worker primary responsibilities are to provide clinical evidence-based services and interventions, Veteran and staff education on caregiver issues, community outreach, resource development, continuous quality improvement activities, and evaluation/consultation. The HBPC Social Worker must be a skilled communicator capable of developing effective partnerships with local, state and federal agencies as well as non-governmental organizations. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: 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 http://www.cswe.org/Accreditation 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 http://vaww.va.gov/OHRM/T38Hybrid/. English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grandfathering Provision: The following is the standard grandfathering policy for all title 38 hybrid qualification standards. Please carefully review the qualification standard to determine the specific education and/or licensure/certification/registration requirements that apply to this occupation. 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. NOTE: If social workers covered under the grandfathering provision of the 1991 Federal law regarding licensure or certification of VHA social workers leave the GS-0185 social work series, they lose the grandfathering protection. If they choose to return at a later date to the GS-0185 series, they must be licensed or certified to qualify for employment as a social worker. Grade Determinations: Senior Social Worker, GS-12 Experience/Education. The candidate must have at least two years of experience post advanced practice clinical licensure and should be in a specialized area of social work practice of which, one year must be equivalent to the GS-11 grade level. Senior social workers have experience that demonstrates possession of advanced practice skills and judgment. Senior social workers are experts in their specialized area of practice. Senior social workers may have certification or other post-masters training from a nationally recognized professional organization or university that includes a defined curriculum/course of study and internship or equivalent supervised professional experience in a specialty. Licensure/Certification. Senior social workers must be licensed or certified by a state at the advanced practice level which included an advanced generalist or clinical examination, unless they are grandfathered by the state in which they are licensed to practice at the advanced practice level (except for licenses issued in California, which administers its own clinical examination for advanced practice) and they must be able to provide supervision for licensure. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, candidates must demonstrate all of the following KSAs: Skill in a range of specialized interventions and treatment modalities used in specialty treatment programs or with special patient populations. This includes individual, group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management. Ability to incorporate complex multiple causation in differential diagnosis and treatment within approved clinical privileges or scope of practice. Knowledge in developing and implementing methods for measuring effectiveness of social work practice and services in the specialty area, utilizing outcome evaluations to improve treatment services and to design system changes. Ability to provide specialized consultation to colleagues and students on the psychosocial treatment of patients in the service delivery area, as well as role modeling effective social work practice skills. Ability to expand clinical knowledge in the social work profession, and to write policies, procedures, and/or practice guidelines pertaining to the service delivery area. References: VA Handbook 5005, Part II, Appendix G39 The full performance level of this vacancy is GS-12. The actual grade at which an applicant may be selected for this vacancy is GS-12. Physical Requirements: Traveling throughout the medical center and the community is required, as is performing activities involving sitting, walking, and standing, bending and carrying such items as books, papers, and files. In carrying out responsibilities it may be necessary for the incumbent to travel into the community where they conduct interviews with the Veterans, their families, their support systems, representatives of community health and welfare agencies and law enforcement agencies. The incumbent must possess current driver's license and drive a government vehicle in carrying out professional duties when deemed necessary. ["Work Schedule: Monday through Friday, tour of duty to be established upon selection Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required The HBPC Social Worker is practicing at the advanced level and has specialized knowledge of practice that can be differentiated from the independent practice Social Worker by the ability to expand clinical knowledge in the profession, administer a facility program, provide consultation and guidance to colleagues, role model effective Social Work practice skills, teach or provide orientation to less experienced Social Workers, develop innovations in practice interventions, and provide clinical supervision for Social Work licensure or certification. The HBPC Social Worker in this position requires advanced knowledge and understanding of the services and benefits available for Veterans from both federal, state and private sector resources. As an advanced practice level clinical Social Worker, the HBPC Social Worker is assigned to work with multiple VA healthcare services and with community agencies, leaders and organizations where they have no access to Social Work clinical supervision. The HBPC Social Worker is responsible for developing and establishing linkages and collaborates with community healthcare and social service agencies. As a Social Worker, the HBPC Social Worker will adhere to the NASW Code of Ethics, all local Social Work policies, and maintain an unrestricted, unsuspended license to practice Social Work. Duties of the position include, but are not limited to: Provides service to HBPC clients by acting as an integral member of an interdisciplinary team providing primary Social Work care in the home for housebound Veterans who have functional impairments of both medical and mental health chronic illnesses. These functional impairments can put them at risk for increased morbidity and mortality, repeated hospitalization, Emergency Care Unit use, and nursing home placement. Plays a key role in the HBPC effort to stabilize these Veterans in their homes and to prevent unnecessary hospitalizations, ER visits, and nursing home stays. Provides psychosocial assessments within 30 days of the patients admission to the program, health screening, care planning, in order to prevent or minimize problems that may interfere with the Veteran's ability to stay in the home. The psychosocial assessment and screening for various problems include cognitive impairment, mood disorder, other mental health disorders, substance abuse, and caregiver stress. Educates interdisciplinary team members about general and individual psychosocial risk factors and develops and coordinates psychosocial treatment plans with the HBPC team. Provides the Veterans and their caregiver with ongoing clinical counseling. The purpose of such counseling is to deal with the psychosocial impact of coping with chronic/disabling illnesses, onset of catastrophic illnesses, and the need for non-institutional or institutional services. Coordinates with the HBPC team and community agencies to facilitate Veteran compliance with treatment plans to achieve treatment outcomes. Coordinate team and family conferences to resolve compliance issues. Educate and counsels Veteran and family about compliance and consequences of non-compliant behavior and completes behavioral contracting with identified Veterans to promote compliance. Assesses progress toward Veteran, professional, and program goals in order to improve performance as evidenced by participation in team meetings, self-assessment activities, and performance improvement activities. Formulate Veteran goals and measures progress toward these goals. Participate with the HBPC team in identifying program outcomes measures and monitors practice for efficiencies, achieved outcomes, and costs. Collect data relating to performance improvement activities. Support the Home Based Primary Care Program, Hospice/Palliative Care Program and other Geriatric and Extended Care (GEC) programs as needed and may provide Social Work services to Veterans managed in these Geriatrics and Extended Care based programs. Act as a consultant to other team/staff members. Act as liaison between VA and community resources, to include marketing and public relation duties as needed. The HBPC Social Worker will provide case management to Veterans and families, as needed, throughout the continuum of care. Provide a full range of Social Work services within commonly accepted standards of Social Work practice which includes case work, individual, family and group counseling, discharge planning, case management and other services as appropriate."]
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.