This position is located at the VA Community- Based Outpatient Clinic in Pueblo, Colorado. The incumbent is a professional social worker and functions as a Case Manager for the Eastern Colorado Health Care System's ICMHR/MHICM program. This program falls within the Psychosocial Rehabilitation and Recovery Section of the Mental Health Services Care Line. The incumbent provides comprehensive social work services to Veterans with serious mental illness enrolled in ICMHR/MHICM. The senior social worker will function as the subject matter expert in addition to functioning as a lead social worker for their assigned team. The senior social worker will perform at least one or more of the following; process improvement tasks, supervision of social workers for advanced practice licensure or the graduatetrainee program, act as a mentor for less experienced social workers, participate or chair committees or groups that impact social work practice and/or lead roll out of evidence-based practices. The Senior Social Worker may be expected to act as surrogate to the ICMHR/MHICM Program Manager, for CPRS purposes, cosigning notes/consults/orders and providing clinical guidance when appropriate or necessary. The incumbent is responsible for providing clinical case management for a caseload of veterans enrolled in ICMHR/MHICM which also includes clinical responsibility. The incumbent will provide evidence-based and recovery-oriented practices as part of the ICMHR program. Examples of practice include: Social Skills Training (SST), Illness Management and Recovery (IMR), Motivational Interviewing and Cognitive Behavior Therapy (CBT). The incumbent is responsible for collecting and submitting ICMHR/MHICM participant data as outlined by NEPEC evaluation procedures. The incumbent is responsible for providing ICMHR/MHICM case management. Case management is defined as the provision of services by VA clinical staff to veterans with serious mental illness and includes all activities to provide appropriate treatment and resources to support Veteran's recovery and living in their communities. The incumbent coordinates care including serving as an advocate on behalf of the veterans to ensure comprehensive service delivery, and linking and referring veterans to the VA Medical Center, VA Regional Offices and/or community agencies. The incumbent is responsible for completing the following duties/responsibilities: a. The incumbent will conduct psychosocial assessments to determine needs of veterans and family members. b. Participant in the treatment planning process with other disciplines. The incumbent will provide measurement-based care. c. Provide appropriate services based Veterans' needs, acuity level, and preferences for care. Veterans will be reassessed on a regular basis, no less than quarterly and in accordance with local policy, for changes in their needs, acuity level, and preferences for care. d. Utilize psychosocial rehabilitation and recovery practices and other evidence-based practice models to promote Veteran engagement and self-efficacy. e. Participate in discharge planning with other disciplines as appropriate and will be responsible for ensuring that discharge plans are executed in a manner that is timely and appropriate. f. Provide individual, family and group education and counseling as appropriate. g. Provide consultation/education to veterans and families on community resources, advance directives and VA benefits. h. Will act as a consultant to other team/staff members. i. Will act as liaison between VA and community resources, to include marketing and public relation duties as needed. j. Provide case management to veterans and families, as needed, throughout the continuum of care. k. Provide a full range of social work services within commonly accepted standards of social work practice and with clinical supervision, which includes case work, individual, family and group counseling, discharge planning, case management and other services as appropriate. l. Will address Advance Directives and Organ Donation in accordance with the standards of their work area. m. Will provide wellness/prevention education and facilitate Patient/family support groups as appropriate. n. Will coordinate treatment and communicate with the care lines to facilitate continuity of care for veterans. o. Will participate in committee assignments, as deemed necessary by the service manager. Performs other related duties as assigned Work Schedule: Monday- Friday, From 07:30am-1600pm Compressed/Flexible: yes Telework: Avilable Virtual: This is not a virtual position. Position Title/Functional Statement #:Social Worker/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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.