The Primary Purpose of the Position is: The Inpatient Social Worker is a part of the Medicine team which delivers inpatient care to Veteran patients in the inpatient setting. The Social Worker functions as a discharge planner and coordinates care with a multidisciplinary team to ensure that discharge planning needs are in place prior to the Veterans discharge from the inpatient setting. The incumbent must assess and treat the psychosocial problems of Veterans and their families/significant others. Social work responsibilities include the assessment of psychosocial problems that cause distress, often impacting the health condition and creating barriers to care. These stressors can include adjustment to the current medical condition, mental health or substance abuse condition, economic instability, legal problems, and inadequate housing and transportation. The incumbent must complete thorough assessments to determine the underlying cases of the presenting problem(s), the interpersonal and environmental factor impacting the problem, and its effect on the patient's ability and desire to comply with the treatment recommendations by the multidisciplinary team. The social worker will help the patient and family to understand the contributing factors to the problem(s), will discuss with them the pros and cons of possible short-term and long-term solutions, encouraging them to make positive and lasting changes to reduce stressors. The social worker will coordinate with VA staff and community agencies to assist in problems solving as needed. Case management with members of the inpatient interdisciplinary team is provided in order to coordinate a collaborative effort to meet the agreed upon goals for a Veteran's treatment needs and include liaison with community professionals regarding needed services for Veterans and/or their families. Must be sensitive to the ethnic, cultural, and age diversity of the Veteran population and adjusts intervention and treatment plans/services as appropriate. Duties include but are not limited to: Must have skills to establish and maintain effective relationships with Veterans and/or their families. The incumbent is able to work with Veterans and their families who are experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, financial, legal, and psychosocial problems. Must have knowledge of the team approach and the role of each health and allied health care team members as well as an underrating of the role of the social worker in the inpatient setting. Must complete thorough comprehensive psychosocial assessments to determine the psychosocial functioning and needs of Veterans and/or their families. The incumbent must be able to utilize this assessment in facilitating the Veteran's maximum use of treatment for attainment of the highest level of independence that is possible and practicable. Must actively participate as a member of the interdisciplinary treatment team and actively participate through collaboration with Veterans and family as well as interdisciplinary treatment team members in the development and implementation of treatment goals and interventions. Must develop knowledge in use of medical and mental health diagnoses, disabilities, and treatment procedures, including acute, chronic, and traumatic illnesses, substance abuse disorders, common medications and their effects/side effects, and medical terminology. Must facilitate action for community placement through collaboration with Veterans and their families as well as interdisciplinary treatment team members to ensure that appropriate community placements are completed in a timely manner. Community placements can involve but are not limited to referrals to group and family care homes, assisted living facilities, adult day health care programs, contract nursing homes, Community Living Centers, residential care homes, inpatient and outpatient hospice services. Must develop an understanding of caregiver stressors, ability to conduct caregiver assessments and provide appropriate caregiver specific interventions. Must serve as a liaison between Veterans and/or their families and VA and community resources in order to ensure thorough delivery of services. Must develop knowledge and ability to implement treatment modalities and evidence based practices. The social worker must be able to use and teach Veterans in the effective use of My HealtheVet (MHV) system. Must possess skill in using computer systems, especially the internet for Veterans who choose this modality to communicate with the team. Must provide consultation and education to Veterans and their families regarding community resources, VA benefits and specialty programs, and Advance Directives. This includes the incumbent's knowledge of the process for accessing and/or coordinating community-based services, including information and referral for additional services from other VA programs, other government programs, and community programs. Work Schedule: Friday, Saturday, Sunday, Monday 7am- to 5:30pm (10 hour shift) Telework: Not available Virtual: This is not a virtual position. Position Title/Functional Statement #:Social Worker (Inpatient)/PD000000 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.