Social Worker; Program Coordinator

Job Title

Major duties include but are not limited to the following:

The incumbent serves as an advanced clinician on the Palliative Care Consult Team and manages hospice referrals and palliative coordination.

Conduct comprehensive biopsychosocial assessments for Veterans with serious and life-limiting illnesses

Coordinating hospice referrals, inpatient/outpatient palliative services, and care transitions

Provide counseling, emotional support, and illness education to Veterans and families

Providing leadership in interdisciplinary communication and advocacy for Veteran preferences

Implementing bereavement support and end-of-life planning services

Monitoring HPC outcomes and quality metrics (e.g. Bereaved Family Survey)

Ensuring compliance with VHA Directive 1139, Palliative Care Consult Teams

Provides geriatric-focused psychosocial services and program coordination for ADHC participants

Conduct biopsychosocial assessments addressing functional statuses, caregiver burden, cognitive safety, and long-term care needs

Coordinating respite, long-term care services, transportation, and needed support resources

Counseling Veterans and caregivers regarding chronic illness adaptation and safety planning

Actively participating in interdisciplinary care planning and quality improvement activities

Monitoring workload, documentation, and compliance with ADHC clinical expectations

Supporting placement coordination when Veterans require a higher level of care

Ensuring compliance with VHA Directive 1141.03(2), VA Operated Adult Day Health Care

Work Schedule:

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

Telework:
Not Available

Virtual:
This is not a virtual position.

Functional Statement #: F

Relocation/Recruitment

Incentives:

Not Authorized

Permanent Change of Station (PCS):
Not Authorized