This position is at the Prescott Arizona VA and is part of the interdisciplinary HBPC treatment team which is a specialized program under the administration of Geriatrics and Extended Care Service Line. The incumbent in this position provides direct services to adult and geriatric Veterans enrolled in the HBPC Program with high quality case management, clinical treatment, advocacy, and to coordinate linkage with appropriate VA and community service providers/agencies as needed by the client. Duties of this position include but are not limited to: Screening/Assessment - Developing an assessment of the Veteran in collaboration with the interdisciplinary treatment team, the Veteran, and family members/significant others, whenever possible which will include a home visit. Treatment Planning/Goal Setting - Contributing to the development of the treatment plan and setting achievable treatment goals with the Veteran, family members/significant others and other HBPC clinical staff. Referral to service providers - Being the subject matter expert on VA and/or community resources. Collaborating with other service providers in reassessing the Veteran's needs for non-institutional, institutional services/programs and entitlements. Advocacy -Acting as an advocate when it serves the best interest of the Veteran and family members/significant others. When appropriate and feasible, Social Worker will educate and encourage the Veteran to advocate on his/her own behalf, thus fostering a sense of independence and empowerment. Crisis Intervention -Making rapid assessments and developing crisis management plans. Education/Health promotion and prevention -Providing education related to VA and community resources, entitlements, Advance Directives/Living Will and referring Veterans and families/significant others to the appropriate interdisciplinary team member for identified health education needs. Coordination of non-institutional and institutional services -Coordinating the referrals of non-institutional services such as HBPC, ADHC/CADHC, home hospice and skilled and non-skilled homecare services in collaboration with the interdisciplinary treatment team members. Also, responsibility for Coordinating the referrals of institutional placements in Adult Homes, Assisted Living Programs, CNH or VA-CLC. Supportive counseling -Providing the Veterans and their caregivers with ongoing supportive counseling. Administrative responsibilities - Entering all Veteran/family contacts in the electronic record using appropriate formats and templates. Work Schedule: Monday-Friday, 8:00 a.m. through 4:30 p.m. 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.