** NO INCENTIVES ** Duties: Provide clinical case management to Veterans and families in the HUD-VASH program. Case management is defined as the provision of services by VA clinical staff to homeless Veterans and includes all activities to provide appropriate treatment and maintain Veterans in stable housing. Perform home visits to ensure Veterans reside in environments that foster independence and safety in the community. Verify Veterans' status, eligibility for VA health care, and eligibility for HUD-VASH program participation. Accept referrals for screening and admission to HUD-VASH. Referrals may be received from the local Continuum of Care, local coordinated entry systems, community partners, other VA programs or locations, the National Call Center for Homeless Veterans (NCCHV), or other sources. Assess Veterans through comprehensive biopsychosocial assessments and regular reassessments to determine clinical needs and acuity status. Collaboratively develop a treatment plan (or housing stability plan) with each Veteran served. Monitor progress and review and update regularly throughout the episode of care. Provide a full range of services within the Social Work Scope of Practice based on Veteran needs, acuity level, and preferences for care. Services may include, but are not limited to, the following: case management; individual, family, and group therapy; discharge planning; resource linkage; and care coordination. Provide consultation and psychoeducation to Veterans and Veteran families on topics including community resources, Advance Directives, VA benefits, budgeting, activities of daily living, and recovery goals. Monitor Memorandums of Understanding (MOUs) and other formal and informal agreements between property owners, service providers, Public Housing Authorities (PHAs), and the VA to establish appropriate referral sites for HUD-VASH placements. Work closely with partners to communicate needs or issues when they arise following relevant privacy regulations. Collaborate with VA multi-disciplinary teams and community agencies to develop effective and efficient ways of delivering healthcare services to Veterans in HUD-VASH through treatment coordination and communication. Act as a consultant to other team/staff members and take a lead clinical role in case consultation. Collect and submit HUD-VASH participant data as outlined by Community Housing and Outreach Services (CHOS) and Homeless Operational Management and Evaluation System (HOMES) policies and Standard Operating Procedures (SOPs). Fulfill ethical responsibilities to Veterans, colleagues and VA in accordance with NASW Code of Ethics, VHA Code of Ethics, and local ethics policies. This includes but is not limited to: compliance with all laws and regulations related to confidentiality and release of information; protecting Veterans' personal identifying information. Document all Veteran care in the electronic health record in accordance with facility policy, VHA Directive 1162.05 (and revisions), and program-specific SOPs. Ensure compliance with standards and expectations of Joint Commission, CARF, and other relevant accrediting bodies. Assist program leadership in accreditation preparation and continuous readiness activities as requested. Actively participate in program planning and development, advising the CHOS supervisor of shifting Veteran care needs and identifying the need for SOP or policy changes. Actively participate in VISN 20 and VACO Homeless Program Office conference calls and trainings. Provide supervision to students, interns, or unlicensed Social Workers as requested. Maintain familiarity and responsibility for all HUD-VASH performance measures. Assist in development and maintenance of operational plans and strategic goals related to these measures. Take responsibility for improving professional competencies by participating training programs and continuing education. Maintain accurate records of trainings in accordance with VA policies and state licensure requirements. Evaluate own practice through professional peer review, case conferences, and other means. Participate or lead regular reconciliation of HUD-VASH data between VA and PHA(s) to determine status of all awarded HUD-VASH vouchers. Provide training, education, and consultation to trainees, VA staff, and community partners as a subject matter expert in specialized practice area(s). The HUD-VASH Senior Social Worker may also be assigned to do the following: Serve as the primary VA point of contact for a project-based housing site, a geographical region, or a community agency- with the bulk of work performed in these community-based settings. Work Schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m. Financial Disclosure Report: Not required
Internal Number: 598913800
About Veterans Affairs, Veterans Health Administration
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.