Social Worker, Primary Care, Patient Aligned Care Team (PACT)
About The Position
The Patient Aligned Care Team is a comprehensive team which delivers primary care to Veteran patients in a longitudinal rather than episodic fashion and which has as its focus: prevention; health promotion, coordination and chronic disease management. The social worker in this Veteran-Centric approach often functions as a care coordinator with a panel of Veterans to ensure that health care meets the needs, as defined by the Veteran. VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU Total Rewards of a Allied Health Professional Clinical Functions: Incumbent is a professional social worker assigned to the Primary Care-PACT. The incumbent must use a high level of skill in assessing and treating the complicated psychosocial problems of Veterans and their families/significant others. Social Work responsibilities include the assessment of psychosocial problems that cause distress, often impacting the health condition and creating barriers to care. These stressors can include adjustment to the current medical condition, untreated or under-treated mental health or substance abuse condition, economic instability, legal problems, and inadequate housing and transportation. Referrals typically originate from any member of the interdisciplinary team, from Veterans and/or their families who call or walk-in for assistance, and from community professionals. The incumbent must complete thorough assessments to determine the underlying causes of the presenting problem, the interpersonal and environmental factors impacting the problem, and its effect on the patient's ability and desire to comply with the treatment recommendations by the multidisciplinary team. The social worker will help the patient and family to understand the contributing factors to the problem(s), will discuss with them the pros and cons of possible short-term and long-term solutions, encouraging them to make positive and lasting changes to reduce stressors. The social worker will coordinate with VA staff and community agencies to assist in problem solving as needed. Case management with members of the outpatient interdisciplinary team is provided in order to coordinate a collaborative effort to meet the agreed upon goals for a Veteran's treatment needs and include liaison with community professionals regarding needed services for Veterans and/or their families. Services include but are not limited to interventions to increase access to care, including transportation assistance and advanced directives, economic assistance, including assistance with medical bills, financial aid services and strategies to increase income (employment, vocational rehabilitation, VA benefits, disability), and/or reduce expenses, find the appropriate housing for the patient's level of need (affordable independent housing , homeless shelters, group and family care homes, Veterans Homes, assisted living, nursing homes, respite care, hospice care) and order necessary services to assist with functional decline.
Responsibilities
- assessment of psychosocial problems that cause distress
- complete thorough assessments to determine the underlying causes of the presenting problem
- coordinate with VA staff and community agencies to assist in problem solving as needed
- Case management with members of the outpatient interdisciplinary team
- liaison with community professionals regarding needed services for Veterans and/or their families
- interventions to increase access to care, including transportation assistance and advanced directives
- economic assistance, including assistance with medical bills, financial aid services and strategies to increase income (employment, vocational rehabilitation, VA benefits, disability), and/or reduce expenses
- find the appropriate housing for the patient's level of need (affordable independent housing , homeless shelters, group and family care homes, Veterans Homes, assisted living, nursing homes, respite care, hospice care)
- order necessary services to assist with functional decline
Benefits
- Competitive salary and regular salary increases
- 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
- Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
- After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
- After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
- Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
- Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Administration of Human Resource Programs
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
