Social Worker; MH Residential Rehabilitation Program; EDRP

Social Worker (MH RRTP Case Manager)

The Social Worker (MH RRTP Case Manager) position within the West Texas VA Health Care System (WTVAHCS) is administratively within the Behavioral Health Service Line. The incumbent will provide face-to-face and/or telemental health (e.g., telephone, VA Video Connect) services to Mental Health Residential Rehabilitation Program (MH RRTP) Veterans.

Serves as the case manager for assigned panel of Veterans.

Completes structured biopsychosocial assessments for Veterans in the Domiciliary for Veterans within identified timelines; typically within twenty-four to forty-eight hours of admission.

Completes risk assessments and engages in crisis intervention, as appropriate and necessary.

Provides education to patients, family members, and significant others regarding mental disorders and best practices approaches to treatment.

Provides education related to the Veteran's VA entitlements, eligibility, services and programs, as well as community resources for medical- and mental health needs.

Coordinates and develops the Veteran's treatment plan, incorporating input from the Veteran, and when appropriate, the family with the Veteran's consent.

Coordinates and develops the Veteran's discharge plan, incorporating input from the Veteran and Interdisciplinary team, as well as the family, when appropriate.

Collaborates with other service providers in assessing Veterans needs for VA services, programs and benefits; community services programs and benefits; meets with Veterans, individually to educate the Veteran and as appropriate Veteran's family, caregiver, and/or significant other about available services, as well as assisting with obtaining needed services and establishing appropriate referrals based on the Veteran's preference.

Acts as an advocate for the Veteran, and as appropriate the Veteran's family, caregiver and/or significant other; educates the Veteran, the Veteran's family, caregiver and/or significant other about methods of self-advocacy and encourage the Veteran, the Veteran's family, caregiver and/or significant other to advocate on their own behalf to foster a sense of independence and empowerment.

Provides consultation to health care providers about Veterans, ensuring that care is coordinated, collaborative, and integrated within the WTVAHCS.

Monitors and documents implementation of the treatment plan, including tracking progress in the care delivered, the outcomes achieved, and the goals attained.