The VA Northern California Health Care System is recruiting for a Senior Social Worker to service in the Transition of Care program within Primary Care. The incumbent will address the Veteran's bio-psychosocial status, social system and resources. They will further develop and maintain a therapeutic relationship with the Veteran which may include linking the Veteran with systems that provide needed services, resources and opportunities. Supports the Veteran, the Veteran's family, and the Veteran's caregiver's health needs across episodes of care both within and outside the VA health care system in order to ensure the Veteran receives the highest level of quality, satisfaction and cost effective outcomes as possible. Develops rapport with community hospi
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