Social Worker, Community Health

Overview

Summary Serves as a coordinator for the Home Health Aide (HHA) and Home Respite Programs as well as providing support to other home health care programs. Provides a full range of social work services for Veterans admitted into the program(s). Services include provision of high-quality case management - clinical treatment - advocacy - and coordination of linkages to other appropriate VA or community service providers and/or agencies as needed by the patient.

Summary Serves as a coordinator for the Home Health Aide (HHA) and Home Respite Programs as well as providing support to other home health care programs. Provides a full range of social work services for Veterans admitted into the program(s). Services include provision of high-quality case management - clinical treatment - advocacy - and coordination of linkages to other appropriate VA or community service providers and/or agencies as needed by the patient.

• Duties include clinical functions as a professional social worker assigned to the GEC Home Health Department within the Social Work Service.
• Actively works as a member of the home health team to facilitate timely clinical review and authorization process for HHA and home respite referrals and renewals for Veterans from a large geographic area.
• Collaborates with the Veteran, family members, significant others, PACT, mental health, and specialty services to convey the treatment.
• Conducts clinical case management services to address the social determinants of health of the Veteran, often during crisis situations.
• Provides interventions such as brief counseling and patient-centered solution-focused counseling to Veterans and/or their families and caregivers.
• Assesses and provides interventions that overcome obstacles to treatment and/or follow through with recommended treatments.
• Coordinates case management with other health professionals and programs both internal and external.
• Participates in program planning, identifies program deficiencies, takes corrective action, and keeps the GEC Social Work Supervisor informed of all pertinent activities.
• Establishes and maintains systematic and effective working relationships with Medical Center personnel and community agencies to exchange information, arrange referrals, resolve delivery issues, or develop new resources.
• Provides consultation, education, training, and technical assistance regarding the latest program developments to medical center staff and community-based service providers.
• Monitors and coordinates authorizations for Veterans with ongoing care needs, utilizing a proactive approach and the Home Health Database and Consult Tracking Manager.
• Maintains administrative responsibilities for consult management, timely completion, and associated documentation per VA national policy.
• Identifies barriers to Veterans accessing care and communicates with leadership channels to advocate for system improvements.
• May attend community meetings, work groups, trainings, and programs as indicated.
• Completes appropriate documentation, reviews, and follows up on Veteran or agency complaints regarding home health services.
• Serves on committees, work groups, and task forces at the facility.
• Performs all work functions related to care coordination and community resources as it relates to Veterans and their families.
• Completes a scope of practice prior to interacting with any patients without clinical supervision.

• Education:
  
  Master s degree in social work (MSW) from a school fully accredited by the Council on Social Work Education (CSWE).
• Graduates of schools of social work that are in candidacy do not meet this requirement until the school is fully accredited.
• A doctoral degree in social work may not be substituted for a master's degree in social work.
• Licensure:
  Must have license or certification by a state to independently practice social work at the master s degree level. Exception for GS-9 level assignments where licensure/certification may be waived pending state prerequisites; must become licensed/certified at the independent-master s level within three years of appointment.
• GS-09:
  Experience none beyond basic requirements; candidate…