This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more The VA Northern California Health Care System is currently recruiting for a senior social worker for the Home Based Primary Care program. This position serves in Martinez. Major duties include, but are not limited to: Participate in the development, evaluation, and communication of standards, policies, and procedures, and plans of care for the Home-Based Primary Care (HBPC) Special Population Patient Aligned Care Team (PACT) Program. Track HBPC program assessments, consults, authorizations, statistics, data management, identify significant findings, problem solve, complete documentation reports pertaining to caseloads, productivity, and trainings. Identify and develop program resources in the community, providing liaison with these providers. Complete an initial screening of Veterans to determine whether they meet eligibility criteria for inclusion in the HBPC program. Develop a treatment plan of the Veteran in collaboration with the referring team, the Veteran, family members, and caregivers, whenever possible. Serve as a liaison between the HBPC program and Veteran and/or family. In addition, the social worker is the subject matter expert on other VA and/or community resources. Collaborate with other service providers in reassessing the Veteran's needs for non-institutional and/or institutional services and programs and entitlements. Educate the Veteran and/or caregiver of the available services and assisting them in establishing the appropriate referrals based on the Veteran's preference or that of his surrogate decision-maker. Makes rapid assessments and develops crisis management plans to maintain a patient in the home or for admission to acute, short term, and/or long-term placements. Provides education related to VA and community resources, entitlements, Advance Directives/Living Will, Life-Sustaining Treatment decisions, and will refer Veterans and/or families to other GEC programs or appropriate VA resource for identified health education needs. Provide Veterans and their caregiver's ongoing supportive counseling. Work Schedule: Monday through Friday 8:00 AM to 4:30 PM. Financial Disclosure Report: Not required Telework if approved, would be on a regularly scheduled basis, but this is not a virtual or remote position.
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.