Social Work Program Coordinator - Patient Aligned Care Team
Listed on 2026-09-21
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Healthcare
Mental Health, Clinical Social Worker
Summary The Program Coordinator is a member of the PACT team in Gillette - WY - providing direct services to Veterans & their families. This role delivers comprehensive case management support - including assessments - treatment planning - & coordination of psychosocial services. Core responsibilities include conducting outreach - collaborating with interdisciplinary team members - offering consultation & education to staff & community partners - & maintaining program data for planning & evaluation.
Summary The Program Coordinator is a member of the PACT team in Gillette - WY - providing direct services to Veterans & their families. This role delivers comprehensive case management support - including assessments - treatment planning - & coordination of psychosocial services. Core responsibilities include conducting outreach - collaborating with interdisciplinary team members - offering consultation & education to staff & community partners - & maintaining program data for planning & evaluation.
Duties
- Total Rewards of a Allied Health Professional Interviews Veterans & their family members/significant others to establish facts about the Veteran's situation - presenting problems & their causes - & the impact of such problems on the Veteran's functioning & health as part of a psychosocial assessment
- Uses subjective & objective data in making clinical assessment of the Veteran's needs
- Evaluates the Veteran's situation - including the Veteran's reaction & ability to deal with it - & arrives at a reasoned conclusion
- Assess serious & complication cases involving psychiatric illness - catastrophic medical conditions - dementia & other high-risk diagnosis
- Makes independent professional decisions & recommendations for treatment
- Finds suitable means of treatment to help Veterans and/or significant others cope with stressful situations
- Develops psychosocial treatment plans in coordination with interdisciplinary teams members - including goals for treatment
- Provides clinical services to Veteran's & family members/significant other in support of the Veteran's treatment
- Gives advice - guidance - emotional support - & other assistance
- Provides individual & group counseling services - individual & group counseling services - including psychotherapy in some setting
- Assisting Veterans with Digital Divide/Telehealth issues
- Provides crisis intervention services - seeking to address the cause as well as the presenting complaint - coordinates family conferences & serves as liaison to family members
- Effectively assess for suicide risk providing clinical intervention to include: safety planning - referrals - education - & identification for need for higher level of care & referral
- Responsibilities include identifying psychosocial stressors that cause distress - impact health - or create barriers to care - such as adjustment to medical conditions - untreated mental health or substance use disorders - economic instability - legal concerns - & inadequate housing or transportation
- Collaborates with VA staff & community agencies to address problems - provide case management with the outpatient interdisciplinary team - & ensure coordinated care aligned with Veterans' treatment goals
- Works with Veterans & their families who are experiencing a wide range of complicated medical - psychiatric - emotional - behavioral - financial - legal & psychosocial problems
- Participates as a member of the interdisciplinary treatment team & actively participates through collaboration with Veterans & family as well as interdisciplinary treatment team members in the development & implementation of treatment goals & interventions
- Establishes & maintains effective therapeutic relationships with Veterans & their families in the PACT - SCI/D clinics which includes Veterans diagnosed with ALS - MS - & Parkinson's
- Utilization of medical & mental health diagnoses - disabilities - & treatment procedures - including acute - chronic & traumatic illnesses - substance abuse disorders - common medications & their effects/side effects - & medical terminology
- Facilitates action for community placements through collaboration with Veterans & their families as well as interdisciplinary treatment team members to ensure that appropriate community placements are completed in a timely manner
- Work Schedule:
Monday - Friday - 7:30am - 4:00pm Recruitment/Relocation Incentives (Sign-on Bonus):
Not authorized - Permanent Change of Station (Relocation Assistance):
Not authorized - Pay:
Competitive salary & regular salary…
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