Social Worker -Residential Rehabilitation Treatment Program

Job Title

RRTP Social Worker

The RRTP Social Worker is assigned to the St. Cloud VA Health Care System MH ICC. The incumbent is an integral part of the overall VHA health care program and as part of the health care service delivery to Veterans and their families. Social work services provide case management, resource linkage, clinical and crisis interventions to Veterans and their families in resolving the psychosocial, emotional, and economic problems associated with the stresses of illness.

A. Conducting behavioral health and mental health biopsychosocial assessments.

B. Making sound professional judgments regarding clinical impressions, treatment approaches, and treatment planning.

C. Coordinating with internal and external professionals to ensure appropriate transitions of care and appropriate/necessary treatment is provided/offered to Veterans.

D. Establishing and maintaining knowledge of VA and Veteran's benefits and services, community resources, and process for making appropriate referrals to community and other governmental programs or agencies.

E. Providing advocacy to overcome potential barriers to access care/services and when it is in the best interests of the Veteran.

F. Provides goals of care discussions, as well as education and assist in the completion of Advance Directives;
Organ, Tissue, and Eye Donation release of information forms; and Guardianship documentation. G. Assesses for signs and symptoms of abuse, neglect and exploitation. H. Conducts practice in accordance with the VA and discipline specific ethical requirements and practices within the limits of current licensure or certification. I. Completing on-call duties, as assigned and per policy, which may include transportation of a Veteran.

A. Possesses and demonstrates ability to communicate effectively, both orally and in writing with people from varied backgrounds.

B. Possesses skills in using computer systems and the internet for Veterans who choose this modality to communicate.

C. Serves on supervisor approved committees, work groups, and task forces at the local facility, VISN or national level. Collaborates in performance improvement processes and complies with performance measures as required by the VA for specific population/program.

D. Attends and participates in all required administrative and clinical meetings.

E. Maintains accurate, timely, and complete clinical records in accordance with professional practice and VA administration guidelines.

F. Maintains data and statistical compilations to comply with accreditation bodies such as CARF and Joint Commission, and VA health care systems policies and procedures. G. Participates in Social Work Professional Practice Evaluation processes.

A. Coordinate and facilitate the Veteran's overall treatment, view the Veteran comprehensively and provide continuity among various services by linking VA and community resources into a continuum of care, incorporate both inpatient and outpatient care, unless treatment requires relocation to another facility, enhance the continuity of care in a recovery-focused, integrative, rational, proactive, and advocate with the patient to ensure needs are met.

B. Incorporating a Recovery Model of Care to provide the framework for a collaborative relationship between the social worker and the Veteran:

C. The social worker will interview patients and develop a psychosocial assessment of the Veteran. The social worker may gather and evaluate information from sources other than the patient, with the patient's consent, to validate patient reports and provide a more comprehensive assessment.

D. It is the responsibility of the social worker, working within the…