The Community Living Center Social Worker provides a vast array of professional services to the veteran population residing in the VA Maryland Health Care System's Community Living Centers (CLC). Services include provision of high quality case management, clinical treatment, advocacy, supportive services to veterans and/or their family members/significant others, and coordination of linkages to other appropriate VA or community service providers / agencies, as needed, by the client. The incumbent must use a high level of skill in assessing and treating the complicated psychosocial problems of veterans as they transition from the Community Living Center (CLC) to appropriate placement alternatives. This is accomplished in collaboration with members of the assigned interdisciplinary treatment team(s), as appropriate. The social worker will develop a psychosocial assessment of the veteran in collaboration with the interdisciplinary treatment team, the veteran, family members and significant others. Demonstrates and understanding of the range of treatment and skills needed for all adult patients including geriatric patients related to their physical limitations, psychological needs, substance abuse issues and age associated illnesses and conditions. The Social Worker is responsible for contributing to the development of the treatment plan and setting achievable treatment goals with the veteran and family members/caregiver. The initial psychosocial assessment, as well as reassessments, will be completed, as specified by the policy for the assigned work area. In addition, a resident Assessment Instrument (RAI) is completed on each resident scheduled for an initial or quarterly Interdisciplinary Treatment Team review. The ITT meets weekly to review those Veterans that are scheduled for review. Review dates depend upon date of original admission to the CLC. Residents are also reviewed for significant changes in their treatment plan. The Social Worker is responsible for developing knowledge regarding VA and community social service programs and utilizing this knowledge to the benefit of veterans. The Social Worker will refer the veteran to needed services. The Social Worker understands the intimidation of bureaucracy and will act as an advocate when it serves the best interest of the veteran and family members/caregiver. When appropriate and feasible, the Social Worker will educate and encourage the veteran to advocate on his/her own behalf, thus fostering a sense of independence and empowerment. The Social Worker is experienced in making rapid assessments and developing crisis management plans. The Social Worker has access to multiple resource directories in addition to previously developed resources to meet the demands of a crisis. In the event of a medical or psychiatric emergency, staff will follow the protocol of his/her respective unit and the facility at the Perry Point or BRECC site.
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Job Type
Full-time
Career Level
Mid Level