Social Work Program Coordinator - Patient Aligned Care Team

Summary The Program Coordinator is a member of the PACT team in Gillette - WY - providing direct services to Veterans & their families. This role delivers comprehensive case management support - including assessments - treatment planning - & coordination of psychosocial services. Core responsibilities include conducting outreach - collaborating with interdisciplinary team members - offering consultation & education to staff & community partners - & maintaining program data for planning & evaluation.

Duties

• Total Rewards of a Allied Health Professional Interviews Veterans & their family members/significant others to establish facts about the Veteran's situation - presenting problems & their causes - & the impact of such problems on the Veteran's functioning & health as part of a psychosocial assessment
• Uses subjective & objective data in making clinical assessment of the Veteran's needs
• Evaluates the Veteran's situation - including the Veteran's reaction & ability to deal with it - & arrives at a reasoned conclusion
• Assess serious & complication cases involving psychiatric illness - catastrophic medical conditions - dementia & other high-risk diagnosis
• Makes independent professional decisions & recommendations for treatment
• Finds suitable means of treatment to help Veterans and/or significant others cope with stressful situations
• Develops psychosocial treatment plans in coordination with interdisciplinary teams members - including goals for treatment
• Provides clinical services to Veteran's & family members/significant other in support of the Veteran's treatment
• Gives advice - guidance - emotional support - & other assistance
• Provides individual & group counseling services - individual & group counseling services - including psychotherapy in some setting
• Assisting Veterans with Digital Divide/Telehealth issues
• Provides crisis intervention services - seeking to address the cause as well as the presenting complaint - coordinates family conferences & serves as liaison to family members
• Effectively assess for suicide risk providing clinical intervention to include: safety planning - referrals - education - & identification for need for higher level of care & referral
• Responsibilities include identifying psychosocial stressors that cause distress - impact health - or create barriers to care - such as adjustment to medical conditions - untreated mental health or substance use disorders - economic instability - legal concerns - & inadequate housing or transportation
• Collaborates with VA staff & community agencies to address problems - provide case management with the outpatient interdisciplinary team - & ensure coordinated care aligned with Veterans' treatment goals
• Works with Veterans & their families who are experiencing a wide range of complicated medical - psychiatric - emotional - behavioral - financial - legal & psychosocial problems
• Participates as a member of the interdisciplinary treatment team & actively participates through collaboration with Veterans & family as well as interdisciplinary treatment team members in the development & implementation of treatment goals & interventions
• Establishes & maintains effective therapeutic relationships with Veterans & their families in the PACT - SCI/D clinics which includes Veterans diagnosed with ALS - MS - & Parkinson's
• Utilization of 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
• Work Schedule: Monday - Friday - 7:30am - 4:00pm Recruitment/Relocation Incentives (Sign-on Bonus): Not authorized
• Permanent Change of Station (Relocation Assistance): Not authorized
• Pay: Competitive salary & regular salary increases
• When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• 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) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• 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) & federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Available on an ad-hoc basis
• Virtual: This is not a virtual position
• Functional Statement #: 61591-0