The Patient Aligned Care Team (PACT) is a comprehensive team which delivers primary care to Veteran patients in a longitudinal rather than episodic fashion and which has as its focus: prevention; health promotion, coordination, and chronic disease management. The social worker in this Veteran-centric approach functions as the subject matter expert for case management and care coordination with a panel of veterans to ensure that health care meets the needs, as defined by the Veteran. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education. Have a master's degree in social work from a school of social work fully accredited by the Council on Social Work Education (CSWE). Graduates of schools of social work that are in candidacy status do not meet this requirement until the School of Social Work is fully accredited. A doctoral degree in social work may not be substituted for the master's degree in social work. Verification of the degree can be made by going to http://www.cswe.org/Accreditation to verify that the social work degree meets the accreditation standards for a masters of social work. Licensure. Persons hired or reassigned to social worker positions in the GS-0185 series in VHA must be licensed or certified by a state to independently practice social work at the master's degree level. Current state requirements may be found by going to http://vaww.va.gov/OHRM/T38Hybrid/. English Language Proficiency. LPMHCs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, chapter 3, section A, paragraph 3.j. Grade Determinations: Senior Social Worker, GS-12 Experience/Education. The candidate must have at least two years of experience post advanced practice clinical licensure and should be in a specialized area of social work practice of which, one year must be equivalent to the GS-11 grade level. Senior social workers have experience that demonstrates possession of advanced practice skills and judgment. Senior social workers are experts in their specialized area of practice. Senior social workers may have certification or other post-masters training from a nationally recognized professional organization or university that includes a defined curriculum/course of study and internship or equivalent supervised professional experience in a specialty. Licensure/Certification. Senior social workers must be licensed or certified by a state at the advanced practice level which included an advanced generalist or clinical examination, unless they are grandfathered by the state in which they are licensed to practice at the advanced practice level (except for licenses issued in California, which administers its own clinical examination for advanced practice) and they must be able to provide supervision for licensure. Demonstrated Knowledge, Skills, and Abilities. In addition to meeting the KSAs for the GS-11 grade level, the candidate must demonstrate all of the KSAs below: (a) Skill in a range of specialized interventions and treatment modalities used in specialty treatment programs or with special patient populations. This includes individual, group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management. (b) Ability to incorporate complex multiple causation in differential diagnosis and treatment within approved clinical privileges or scope of practice. (c) Knowledge in developing and implementing methods for measuring effectiveness of social work practice and services in the specialty area, utilizing outcome evaluations to improve treatment services and to design system changes. (d) Ability to provide specialized consultation to colleagues and students on the psychosocial treatment of patients in the service delivery area, as well as role modeling effective social work practice skills. (e) Ability to expand clinical knowledge in the social work profession, and to write policies, procedures, and/or practice guidelines pertaining to the service delivery area. References: VA HANDBOOK 5005/106, PART II APPENDIX G39 The full performance level of this vacancy is GS-12. Physical Requirements: The work is primarily sedentary. Some work may require movement between offices, hospital, warehouses, and similar areas for meetings and to conduct work. Work may also require walking/standing, in conjunctions with travel to and attendance at meetings and/or conferences away from the work site. Incumbent may carry and lift light items weighing less than 15 pounds. ["The GS 12 PACT Senior Social worker has experience that demonstrates possession of advanced practice skills and judgment post attainment of independent licensure. At least two years of experience should be in an area of specialized social work practice. The GS 12 PACT Senior Social Worker is assigned to the rural Community Based Outpatient Clinic (CBOC) and to a patient population, including highly rural areas, with complex and co-occurring physical, behavioral, and psychosocial problems requiring advanced and innovative psychosocial interventions. The PACT Senior Social Worker is assigned administrative responsibilities for clinical program and intervention development, evaluation, and modification. This PACT Senior Social Worker provides Digital Divide consultation to their respective CBOC. The GS 12 PACT Senior Social Worker has the following areas of assignment:\n(1) Ensuring the PACT model of social work care is delivered to assigned Veterans at the remote site of care\n(2) Utilizing the VSSC Unassigned Patient List to provide proactive outreach and case management services to facilitate Veteran enrollment for care and assignment to a PACT\n(3) Partnering with the Community Care Nurse Liaison Program to facilitate Veteran discharge from non-VA hospitals\n(4) Utilizing the VSSC Care Assessment Need (CAN) Score report to provide proactive outreach and case management services for Veterans at risk of hospitalization or death\n(5) Utilizing the VSSC High Need/High Risk Veterans & HPBC Partnerships Expansion report to provide proactive outreach and case management services to facilitate Veteran enrollment with HBPC or other non-institutional care services. These program teams are located at various sites in VISN 19 and are closely associated with VAMTHCS Business Office, Primary Care, and Non-Institutional Care. These multidisciplinary teams and clinics\ninclude medical, nursing, behavioral, and administrative staff. PACT social work services include primary and secondary health care services, to include, but not limited to, psychosocial screening and assessment, psychosocial treatment and intervention, specialized case management and care coordination, discharge and/or aftercare planning, health education and advanced health care planning, supportive counseling and caregiver support, interdisciplinary collaboration, coordination, and consultation, and\nadministrative and professional duties. PACT Senior Social Worker works closely with other members of the assigned highly rural CBOC and with members of affiliated program offices associated with the PACT program goals. Work Schedule: Monday-Friday, 8:00am-4:30pm\nTelework: Available\nVirtual: This is not a virtual position.\nFunctional Statement #:PD53860A\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]