Rehab and Extended Care Integrated Care Community, Social worker assigned to Home Community Care are responsible for providing direct patient care in the community and via video telehealth as a member of a multidisciplinary treatment team. Serves a variety of patients located either in their own homes, who may be receiving HBPC (home based primary care) or AC (alternative care) services or are living in a supportive setting such as a VA contract nursing home or Medical Foster Homes (MFH). Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. Exception: VHA may waive the licensure or certification requirement for persons who are otherwise qualified, pending completion of state prerequisites for licensure/certification examinations. This exception only applies at the GS-9 grade level. For the GS-11 grade level and above, the candidate must be licensed or certified. For appointments at the GS-9 grade level, VHA social workers who are not licensed or certified at the time of appointment must become licensed or certified at the independent, master's level within three years of their appointment as a social worker. Grade Determinations: GS- 9 Grade Requirements: (a) Experience, Education, and Licensure: None beyond the basic requirements. (b) Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, the candidate must demonstrate all of the following KSAs: Ability to work with Veterans and family members from various socioeconomic, cultural, ethnic, educational, and other diversified backgrounds utilizing counseling skills. Ability to assess the psychosocial functioning and needs of Veterans and their family members, and to formulate and implement a treatment plan, identifying the Veterans problems, strengths, weaknesses, coping skills, and assistance needed. Ability to implement treatment modalities in working with individuals, families, and groups to achieve treatment goals. This requires judgment and skill in utilizing supportive, problem solving, or crisis intervention techniques. Ability to establish and maintain effective working relationships and communicate with clients, staff, and representatives of community agencies. Fundamental knowledge of medical and mental health diagnoses, disabilities, and treatment procedures. This includes acute, chronic, and traumatic illnesses/injuries; common medications and their effects/side effects; and medical terminology. GS-11 Grade Requirements: (a) Experience and Licensure: Appointment to the GS-11 grade level requires completion of a minimum of one year of post-MSW experience equivalent to the GS-9 grade level in the field of health care or other social work-related settings, (VA or non-VA experience) and licensure or certification in a state at the independent practice level; OR (b) Education: In addition to meeting basic requirements, a doctoral degree in social work from a school of social work may be substituted for the required one year of professional social work experience in a clinical setting. (c) Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, candidates must demonstrate all of the following KSAs: Knowledge of community resources, how to make appropriate referrals to community and other governmental agencies for services, and ability to coordinate services. Skill in independently conducting psychosocial assessments and treatment interventions to a wide variety of individuals from various socio-economic, cultural, ethnic, educational and other diversified backgrounds. Knowledge of medical and mental health diagnoses, disabilities and treatment procedures (i.e. acute, chronic and traumatic illnesses/injuries, common medications and their effects/side effects, and medical terminology) to formulate a treatment plan. Skill in independently implementing different treatment modalities in working with individuals, families, and groups who are experiencing a variety of psychiatric, medical, and social problems to achieve treatment goals. Ability to provide consultation services to new social workers, social work graduate students, and other staff about the psychosocial needs of patients and the impact of psychosocial problems on health care and compliance with treatment. Physical Requirements: Standard requirements; See VA Directive and Handbook 5019, Employee Occupational Health Services. References: VA Handbook 5005/120 Part II Appendix G39. ["VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU Major duties include, but are not limited to the following: Independently perform case finding functions and outreach, identifying and screening patients for psychosocial needs. Knowledge and ability to independently implement treatment modalities, provide counseling or psychotherapy for individuals, families, and groups, navigate complex systems within and outside the VA, and problem solve through complex situations. Incumbent will have strong systems navigation skills and demonstrate the ability to facility processes/access to care in complex systems, both internal to the VA and in the community. Independently conducts biopsychosocial assessments and develops treatment plans in collaboration with the Veteran/family and with the multidisciplinary treatment team. Coordinate community-based services, including information and referral for additional services from other VA programs, other government programs and/or community agencies/programs. Independently identify high-risk patients and provide case management services. Incumbent will provide crisis intervention services, seeking to address the cause as well as the presenting complaint, coordinates family conferences and serves as liaison and support to family members. The incumbent will be able to independently work with patients and families who are experiencing a variety of psychiatric, medical, and social problems utilizing individual, group and family counseling and therapy skills. Provide direct clinical services including advance care planning, counseling/therapy using multiple modalities, transitional care planning/discharge planning, case management, and crisis management. Incumbent will have the ability to evaluate their own practice through professional peer review, case conferences and other organizational means. Incumbent will be able to communicate effectively, both orally and in writing, with people from varied backgrounds. The incumbent meets the needs of customers while supporting VA missions. Work Schedule: Admin Hours; Part time 20 Hours per week.\nVirtual: This is not a virtual position.\nFinancial Disclosure Report: Not required"]