Senior Social Worker- Rural Patient Aligned Care Team (PACT)
The Senior Social Worker is assigned to one of the Portland VA's three remote and highly rural Community Based Outpatient Clinics located in Newport, OR. As part of the Rural PACT Initiative, the Senior Social Worker has the following areas of assignment: (1) ensuring the PACT model of social work care is delivered to assigned Veterans at the remote site of care, (2) utilizing the VSSC Unassigned Patient List to provide proactive outreach and case management services to facilitate Veteran enrollment for care and assignment to a PACT, (3) partnering with the Community Care Nurse Liaison Program to facilitate Veteran discharge from non-VA hospitals, (4) utilizing the VSSC Care Assessment Need (CAN) Score report to provide proactive outreach and case management services for Veterans at risk
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