The incumbent is a MSW-Clinical Social Worker assigned to Primary Care in VA Caribbean Veterans Health System worker position. The social worker's responsibilities include the assessment of mental health and psychosocial problems, often at a time when the Veteran is experiencing crisis and includes the provision of brief evidence based behavioral health treatment interventions, and counseling-psychotherapy with Veterans and/or their family members/significant others/caregivers. These brief EBT Interventions may include, but are not limited to: Motivational Interviewing, solution-focused therapy, problem solving therapy, cognitive behavioral therapy, among others. The Patient Aligned Care Team 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. The social worker in this Veteran-Centric will have assigned a panel of Veterans to ensure that health care meets the needs, as defined by the Veteran. Social workers are uniquely prepared for this role by virtue of their education, training, and experience which prepares them to understand the person-in-situation and the influences that family and community have in impacting the health care needs of Veterans. The social worker is responsible for planning and organizing work, coordinating with the clinic staff, other professional and clinical staff within the health system, and management personnel. The social worker continually reassesses the Veteran's needs, with input from interdisciplinary team members, as appropriate and ensures goal oriented treatment plans and the progress of meeting treatment goals is well documented in the electronic medical record. The social worker is responsible for educating the Veteran and family members/significant others/caregivers of the available services and assisting them in establishing the appropriate referrals based on the Veteran's preference or that of his surrogate decision-maker. The social worker is responsible for developing, updating and using current social worker resources within VA and community social service programs to ensure that the Veteran is receiving education, information and referrals to current and viable resources to best meet their needs and enhancing the content to the benefit of Veterans. The social worker will conduct crisis assessments, develop and execute crisis management treatment plans in a timely, effective and efficient manner. During the response of an emergency, the social worker is considered essential personnel and will be ready to assist in any capacity given by de Incident Commander. The social worker provides education related to navigating the VA system, use of community resources, entitlements, Advance Directives/Living Will/Durable Power of Attorney for Health Care. The social worker will educate the Veteran, their family members/significant others/caregiver and the interdisciplinary treatment team of all the options available to them to live in the least restrictive environment of care. The social worker will provide the Veterans and their family members/caregiver with ongoing supportive counseling. The social worker provides individual and group evidence-based therapies and treatment (i.e. CPT, PE, CBT, Seeking Safety, Educational, support etc.) appropriate to level of licensure to Veterans and their families/caregivers. The Social Worker coordinates treatment with the mental health interdisciplinary team to achieve the best results for the Veteran's mental health care. The Social Worker will be conducting Bio-Psychosocial factors on patient with Mental Health diagnosis as to identify needs and establish appropriate interventions. Also, will be able to identify safety issues for high-risk patients populations establishing the appropriate clinical services and referrals. Point of Contact for the OIF/OEF Veterans - Coordination of care by introducing Veterans to the VA Medical Center. Completes Psychosocial Assessments (OIF/OEF Social Work Assessment) tailored to the specific population addressing, but not limited to, military background, Military Sexual Trauma, Substance Abuse, Head Injury, Emotional Readjustment, Social Network Support. In addition, the Social Worker completes clinical reminders within scope of practice, establishing Primary Care in area of choice, evaluate the need for Specialty Care (Polytrauma, SCI, VIST, TBI MHICM, etc.) and provides a Welcome Packet consisting of Persian Gulf Registry Exam, Explanation of health benefits and eligibility information, contact information for Veteran Service Officers, Suicide Prevention Hotline Information, Mental Health Services, Family Services (support groups and community referrals), etc. The social worker practices at an advanced level and independently gathers relevant information to guide practice, including community Social Work standards. Work Schedule: Monday - Friday, 7:30am to 4:00pm Financial Disclosure Report: Not required FS Title: Social Worker
Internal Number: 599970600
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.