This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more This Social Worker will serve to provide case managing services to Primary Care Patient Align Care Team (PACT) at Carl Vinson VA Medical Center. The PACT 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. This social worker often functions as a care coordinator with a panel of veterans to ensure that health care needs are met. List of duties below include but are not limited to: Clinical Functions: The Social Worker 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. The Social Worker 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 such as community-based referral (i.e. Community Nursing Home Placements, Emergency Shelter, Substance Abuse Referral, etc.) 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. Administrative Functions: Social worker is responsible for supporting the missions, policies, and procedures of the Department of Veterans Affairs, the Veterans Health Administration (VHA), the appropriate Veterans Integrated Service Network (VISN), and the facility. In addition, willing to serve on committees, work groups, and task forces at the facility as deemed appropriate by the supervisor and the Chief of Social Work Services. Performs any other assigned duties as deemed appropriate. Work Schedule: 8:00 am - 4:30 pm, Monday through Friday Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Social Worker - Patient Align Care Team/PD557500 EDRP Authorized: Contact Shelly NeeSmith at Shelly.NeeSmith@va.gov, the EDRP Coordinator for questions/assistance 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.