The Senior Social Worker supports the Homeless Programs by providing early engagement and ensuring continuity of care between Homeless Programs that serve Veterans and a variety of community locations outside of a clinic setting. Provides intensive case management services and psychotherapy to Veterans who are on the street, in a shelter, and in their personal residence after housed, providing support to them as they transition from engagement to stabilization through programs. Duties include but are not limited to: The incumbent provides ongoing intensive case management and early treatment interventions to promote permanent housing. The Senior Social Worker is an expert at the community resources available to the Veterans in all 10 housing authority locations and assists Veterans in linking them to supportive environments in the areas in which they live and/or assist VA social workers in rural counties with resources as needed. The Senior Social Worker will provide face-to face evaluations in housing authorities within the VANTHCS area. The Senior Social Worker will function as the Liaison between the various homeless programs to ensure appropriate coordination of care, and transitions of care for enrolled Veterans pertaining to homelessness and housing. The Senior Social Worker will provide psychosocial and homeless/housing groups in various community locations as needed. In addition to the specific job duties listed above the HUDNASH Senior Social Worker is also required to perform the general social worker duties required as a clinician in the Mental Health Division listed below: Performs specialized treatment of complex physical or mental illness, comorbid and homelessness. Incumbent incorporates complex multiple causation in differential diagnosis and treatment of Veteran patients, including making psychosocial and psychiatric diagnoses within approved scope of practice. Has the ability to expand clinical knowledge in the profession, demonstrating innovation in the creation of new models of psychosocial assessment or intervention to identify and address specialized clinical needs. Ability to write policies, procedures, and/or practice guidelines pertaining to the specialty population or specialty treatment' program. Incumbent develops and implements methods for measuring effectiveness of social work practice and services, utilizing outcome evaluations and use of evidence-based treatment modalities that are effective with Veterans who are living with homelessness, along with medically and psychiatrically complex conditions. Incumbent also provides specialized assessments, and treatment planning, as well as homeless consultation, to other team members to provide interventions and strategies for engagement for difficult to engage clients. Using a recovery model framework, independently conducts comprehensive homeless, mental health, and comorbid assessments and develops treatment plans in collaboration with Veteran, family, and interdisciplinary treatment team. Monitors and consults, complete assessments, and make recommendations to the HUDNASH Program in addition to provide direct clinical care to Veterans struggling with mental health illness, comorbid and homeless c9ncerns. Assist Veterans in transportation when appropriate to link them to community services. Maintains effective partnerships with VANTHCS mental health, substance use disorder programs, homeless and other VANTHCS teams and programs and follows leadership guidelines regarding accessto VA mental he13lth, substance abuse and homeless programs within VISN 17, including use of VA contracted care as needed. Routinely participates in all HUDNASH Program meetings related to Veterans enrolled in substance use disorder programs to ensure good transitions of care for population served. Develops and provides ongoing training and in-services to multidisciplinary team members in area of expertise. Develops effective and strong relationships with community resources to ensure continuity of care and to promote successful transitions of services. Incumbent has advanced skills in community partnership building and is able to expertly represent the VANTHCS HUDNASH Program. . Work Schedule: Monday - Friday, 8:00 a.m. to 4:30 p.m. 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.