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Clinical social worker assigned to the Patient Aligned Care Team (PACT), General Medicine & Specialty Care Clinics, Emergency Department and SW Triage Walk-in Clinic. Referrals to the Outpatient PACT/GM & Specialty Care SW typically originate from members of the interdisciplinary treatment team, from Veterans, families, caregivers, guardians, community professionals, and VA Ann Arbor staff members in the form of consults, phone calls, walk-ins, emails and electronic medical record alerts. The Patient Aligned Care Team (PACT) is a multidisciplinary team which delivers primary care to Veteran patients using a patient centered, strengths based approach to disease prevention, health promotion and improvement, care coordination, and disease management. The PACT SW utilizes a bio-psycho