The Patient Aligned Care Team (PACT) Social Worker is assigned to Primary Care at the Fayetteville HCC. The PACT Social Worker serves in a comprehensive team which delivers primary care to Veteran patients in a longitudinal rather than episodic fashion; focusing on prevention; health promotion, coordination and chronic disease management. Provides a high level of skill in assessing and treating the complicated psychosocial problems of Veterans and their families/significant others Completes thorough assessments to determine the underlying causes of the presenting problem, the interpersonal and environmental factors impacting the problem, and its affect on the patient's ability and desire to comply with the treatment recommendations by the multidisciplinary team Helps the patient and family to understand the contributing factors to the problem(s), will discuss with them the pros and cons of possible short-term and long-term solutions, encouraging them to make positive and lasting changes to reduce stressors Coordinates with VA staff and community agencies to assist in problem solving as needed Works with members of the outpatient interdisciplinary team is provided in order to coordinate a collaborative effort to meet the agreed upon goals for a Veteran's treatment needs and include liaison with community professionals regarding needed services for Veterans and/or their families Utilizes a high level of skill and expertise to establish and maintain effective therapeutic relationships with Veterans in the Primary Care Clinic and/or their families Independently works with Veterans and their families who are experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, financial, legal, and psychosocial problems Completes thorough psychosocial assessments to determine the psychosocial functioning and needs of Veterans and/or their families Facilitates actions for community placements through collaboration with Veterans and their families as well as interdisciplinary treatment team members to ensure that appropriate community placements are completed in a timely manner Serves as a liaison between Veterans and/or their families and VA and community resources in order to ensure thorough delivery of services Implements treatment modalities, provides educational classes, and/or supportive groups for Veterans and families, including shared medical appointments Provides consultation and education to Veterans and their families regarding community resources, VA benefits and specialty programs, and advance directives Provides case management services to Veterans and their families throughout the continuum of care Demonstrates knowledge and skills in the use of software applications for drafting documents and data management as well as other computer systems in use by the VHA. Possesses and demonstrates the ability to communicate effectively, both orally and in writing with people from varied backgrounds Serves on committees, work groups, and task forces at the facility as deemed appropriate by the supervisor and Chief of Social Work Services Willing to modify tour of duty as necessary to accommodate the needs of Veteran patients Work Schedule: Monday-Friday, 8:00 am - 4:30 pm Financial Disclosure Report: Not required
Internal Number: 599592700
About Veterans Affairs, Veterans Health Administration
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.