The Social Worker (Program Coordinator) coordinates the daily operations of Purchased Care Services (PCS) programs and provides social work services to Veterans and their families. The position reviews consults for program eligibility, assesses care and service needs, processes consults, initiates Standard Episodes of Care, coordinates authorizations, and completes reauthorizations and reassessments. It works with the Office of Veteran Community Care, community providers, and VA staff to support timely service delivery, address billing issues, and maintain community partnerships. The coordinator also recruits community providers and assists with establishing contracts for home health, home health aide, respite care, and related services. The role monitors program performance, develops quality indicators, evaluates service delivery, and implements quality improvement initiatives. It educates staff on PCS eligibility, program requirements, and policy updates; participates in committees and service initiatives; and may provide supervision, training, orientation, or mentorship to social work interns and less experienced social workers. The coordinator may also be responsible for program policies and procedures, reports and statistics, program audits, and evaluation of clinical program data. Clinical duties include conducting comprehensive psychosocial assessments of Veterans and families, evaluating clinical, social, and environmental factors, developing individualized treatment plans with the interdisciplinary care team, monitoring progress, and adjusting care plans. The social worker provides supportive counseling for issues including chronic illness, disability, catastrophic illness, end-of-life concerns, grief, and loss, and helps patients and families access resources. The position documents interventions in medical records, coordinates care transitions, and reports suspected abuse as required. The position requires regular travel within the Mann-Grandstaff catchment area using a personal or government vehicle, with occasional trips requiring up to three hours of travel each way. It includes participation in urgent care on-call rotations, including weekend coverage, as assigned. The work schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. The position is not virtual; ad hoc telework is available.
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Job Type
Full-time
Career Level
Senior