Social Worker-Patient Aligned Care Team

The Patient Aligned Care Team (PACT) 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 approach often functions as a care coordinator with a panel(s) of veterans to ensure that health care meets the needs, as defined by the Veteran.Start, continue, or finish your career here | VA Eastern Colorado Health Care System (youtube.com)VA Careers - Licensed Clinical Social Worker: https://youtube.com/embed/U_xC25QsN0wTotal Rewards of a Allied Health ProfessionalAble to maintain effective therapeutic relationships with Veterans in the Primary Care Clinic &/or their families.Independently works with Veterans & their families who are experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, financial, legal & psychosocial problems.Independently complete thorough psychosocial assessments to determine the psychosocial functioning & needs of Veterans &/or their families.Participates as a member of the interdisciplinary treatment team & actively participate through collaboration with Veterans & family as well as interdisciplinary treatment team members in the development & implementation of treatment goals & interventions.Has experience in medical & mental health diagnoses, disabilities, & treatment procedures, including acute, chronic & traumatic illnesses, substance abuse disorders, common medications & their effects/side effects, & medical terminology.Facilitates action for community placements through collaboration with Veterans & their families as well as interdisciplinary treatment team members to ensure that appropriate community placements are completed in a timely manner.Serves as a liaison between Veterans &/or their families & VA & community resources in order to ensure thorough delivery of services.Works independently to implement treatment modalities, provide educational classes, &/or supportive groups for Veterans & families, including shared medical appointments. The social worker must be able to use & teach Veterans in the effective use of the My HealtheVet system.Coordinates with staff at each of the assigned CBOC's as well as telehealth coordinators to provide clinical telehealth services.Must be up to date on all trainings & requirements, so that they may provide ongoing telehealth services without interruption to patient care.Provides consultation & education to Veterans & their families regarding community resources, VA benefits & specialty programs, & advance directives.Ability to understand the process for accessing &/or coordinating community-based services, including information & referral for additional services from other VA programs, other government programs, & community programs.Must be available to provide consultation to other treatment team & staff members regarding psychosocial needs of Veterans &/or their families & the impact of the identified psychosocial problems on the Veteran's health care planning & compliance with treatment.Maintains up-to-date knowledge of Veteran's benefits & services, community resources, & process for making appropriate referrals to community & other governmental programs or agencies.Provides case management services to Veterans & their families throughout the continuum of care. The incumbent will be able to appropriately utilize principles of human growth & development over the life span & will be able to assist Veterans in coping with the loss & grief experiences from disability & terminal illness.Communicates effectively, both orally & in writing with people from varied backgrounds.Able to provide brief psychotherapy & support therapy to Veterans & their families.Work Schedule: Monday-Friday 8am-4:30pmCompressed/Flexible:May be availableRecruitment Incentive (Sign-on Bonus): Not AuthorizedPermanent Change of Station (Relocation Assistance): Not AuthorizedPay: Competitive salary and regular salary increases.Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year).Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VAInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)Telework: Not AvailableVirtual: This is not a virtual position.Functional Statement #: 53710-A & 53711-APermanent Change of Station (PCS): Not Authorized