The Social Worker (PRRC) will develop an assessment of the veteran in collaboration with the interdisciplinary treatment team, the veteran, family members and significant others. The goal of the assessment is to highlight the veteran's strengths, limitations, internal and external supports and service needs to optimize the veteran's functional status. The Social Worker Psychosocial Rehabilitation and Recovery Center (PRRC) position is part of the social work service program assigned to the Orlando VA Healthcare System. The incumbent independently performs case-finding functions and outreach, identifying and screening patients for psychosocial needs. The incumbent conducts psychosocial assessments to determine the needs of veterans and family members. The incumbent actively participants in the treatment planning process with other disciplines to provide measurement-based care. The incumbent provides appropriate services-based Veterans' needs, acuity level, and preferences for care. Veterans will be reassessed regularly, no less than quarterly, and in accordance with local policy, for changes in their needs, acuity level, and preferences for care. The incumbent utilizes psychosocial rehabilitation and recovery practices and other evidence-based practice models to promote Veteran engagement and self-efficacy. The incumbent participates in discharge planning with other disciplines as appropriate and will ensure that discharge plans are executed timely and appropriately. The incumbent provides individual, family group education and counseling as appropriate. The incumbent provides consultation and education to veterans and families on community resources, advance directives, and VA benefits. The incumbent acts as a consultant to other teams and staff members. The incumbent acts as a liaison between VA and community resources, including marketing and public relation duties as needed. The incumbent provides case management to veterans and families, as needed, throughout the continuum of care. The incumbent provides a full range of social work services within commonly accepted standards of social work practice and with clinical supervision, including casework, individual, family, group counseling, discharge planning, case management, and other services. The incumbent addresses advance directives and organ donations in accordance with the standards of their work area. The incumbent provides wellness and prevention education and properly facilitates support groups. The incumbent provides consultation services for primary care providers to maximize the effectiveness of their interventions in reducing health-risk behaviors and enhancing health-promoting behaviors, with a significant emphasis on a prevention-oriented model of care. The incumbent supports primary care provider (PCP) decision-making, building on PCP interventions and improving PCP-patient working relationships. The incumbent consults with medical center staff on a wide variety of patient care issues to include patient's decision-making capacity regarding health care. The incumbent develops person-centered, culturally sensitive treatment plans to address the mental health needs of the patient. Work Schedule: Monday through Friday, 8:00 AM - 4:30 PM Telework: Not Eligible 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.