The incumbent is responsible for providing for the psychosocial needs of Veterans and their caregivers involved in the Palliative Care Hospice (PCH) program. The incumbent serves as a member of the PCH Team serving Veterans involved in PCH care both at the Erie VAMC CLC and for those Veterans residing in the community. The incumbent provides consultative services to Veterans and families. In conjunction with the PCH Team members, the incumbent provides support to Veterans who are terminally ill or have life-limiting illnesses and discusses appropriate care options including VA and non-VA resources. The incumbent provides expertise and education to Veterans, families and staff on end of life care, completing Goals of Care Conversations, and education related to palliative and hospice care. The incumbent facilitates timely arrangement of PCH services for Veterans seeking in home hospice services. The incumbent is responsible for admission assessments and ongoing case management for Veterans receiving hospice services at the Erie VA CLC. As part of the Palliative Care (PC) team, the incumbent collaborates with the PC Certified Registered Nurse Practitioner to complete psychosocial assessments, identify needs and coordinate appropriate Veteran care. Additional Responsibilities... Conduct psychosocial assessments to determine needs of the Veterans and family members. Participant in the treatment planning process of assigned cases with other disciplines. Participate in discharge planning with other disciplines and will be responsible for ensuring that discharge plans are executed in a manner that is timely if and when appropriate. Provide individual, family, and group counseling as appropriate. Provide consultation/education to Veterans and families on community resources, advance directives and the services of the Veterans' Service Officers for information regarding VA benefits. Act as a consultant to other team/staff members. Provide consultation/education to students on social work practice and VA policy and procedure. Act as a liaison between VA and community resources, to include marketing and public relation duties as needed. Provide 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. Address Advance Directives, Goals of Care, and Organ Donation in accordance with the standards of their work area. Provide/ facilitate patient/family support groups as appropriate. Act as a preceptor for social work students, or a less experienced social worker. Participate in committee assignments, and meetings as deemed necessary by the Chief of Social Work. Assist patients and their significant others with coping and dealing with loss and grief experiences due to disability, terminal illness, and death. Document social work interventions and activities in patient's clinical record utilizing CPRS and ensure appropriate hand off when transferring of patient care as appropriate. Participate in a rotation of on-call social workers, including modification of tour of duty to accommodate patient care needs on the weekends as deemed necessary and appropriate by the Chief of Social Work. As a member of the Medical Social Work team, the incumbent assists with providing coverage for fellow Medical Social Work colleagues during times of leave, extended absence, or to meet the needs of Veterans, the department, or the facility. Participates in facility and Medical Social Work committees and projects as necessary and appropriate to enhance the performance and the delivery of services to our Veterans. Work Schedule: 8:30am to 4:30pm Telework: Available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.