The Social Work Program Coordinator position consists of being the Care Coordination and Integrated Case Management (CCICM) Program Coordinator and providing direct patient care as a Social Work Lead Coordinator as assigned across the New Mexico VA Health Care System (NMVAHCS). Major duties include: Develops and implements policies and procedures specific to NMVAHCS and ensures compliance with local facility, VISN, the Associate Director of Patient Care Services (ADPCS), Social Work Service), VA Central Office (VACO) directives and handbooks, as well as Joint Commission, and other accrediting bodies and regulatory standards as needed. Collaborates with nursing counterpart, for the planning, development, implementation, monitoring, and evaluation of the CCICM operations. Plans, organizes and directs administrative, operational, Veteran, and personnel activities for the service, in conjunction with the Service Chief and/or supervisory designee and nursing counterparts. Identifies cohort of Veterans across NMVAHCS with the highest opportunity and highest need. Identifies potential areas where care coordination is taking place to include but not limited to primary care, surgical care, mental health, community care, specialty clinics, geriatrics, and chronic disease. Integrates inpatient and outpatient care coordinators, care managers, and case managers, for seamless continuity of care. Ensures compliance with policies and standard operating procedures for evaluating and mitigating suicide risk to include completion of the Columbia Suicide Severity Risk Score (C-SSRS), Comprehensive Suicide Risk Evaluation (CSRE), Safety Plan, and Overdose Report as clinically indicated. Conducts psychosocial assessments to determine needs of veterans and family members. Participates in treatment planning process, including discharge planning with other disciplines. Provides case management to veterans and families, as needed, throughout the continuum of care. Provides a full range of social work services within commonly accepted standards of social work practice which includes case work, individual, family and group counseling, discharge planning, case management and other services as appropriate.
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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