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    Social Worker - Boise, United States - Veterans Health Administration

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    Full time
    Description

    VA Careers - Social Work:
    Provides social work services to Veterans, caregivers, family members, and significant others.

    Adjusts treatment plan if results are inadequate; meeting with clients to assess accomplishments and re-establish goals; developing and maintaining professional standards of service; and initiating and effecting changes in methods that will promote efficient practice.

    Conducts psychosocial screens and/or assessments of the Veteran in collaboration with the interdisciplinary treatment team, the Veteran, family members, and significant others with a special focus on life-limiting and/or end-of-life illness.

    Conducts clinical reminders during clinic visits and, as needed, by telephone as clinic visit follow-ups.

    Incorporates multiple causation in differential diagnosis and treatment, including making psychosocial and psychiatric diagnoses within approved clinical privileges or scope of practice and can determine priority for services and provide specialized treatment services.

    Participates in the creation of the Veteran's treatment plan, with special attention to the psychosocial elements of the treatment plan and identifies needed psychosocial interventions as they relate to life-limiting illness or end-of-life.

    Uses knowledge and mastery of theories and modalities required for the complex medical, behavioral, and psychosocial health care case management and care coordination needs of needs of Veterans, with special attention to advance care planning and end-of-life.

    Acts as a health coach by proactively supporting the Veteran to optimize treatment interventions and outcomes.
    Provides specialized health and psychosocial education services to the Veteran, family, and/or caregivers.

    Ensure treatment summary and recommendations are communicated to the assigned interdisciplinary team and any involved specialty services, will facilitate transition of care to the PACT team or hospice team for continued care (as appropriate), and will work collaboratively with other VHA staff for warm hand-off of the patient's care for follow-up care.

    Work Schedule
    :
    Monday - Friday


    Virtual/Remote:
    This is not a virtual/remote position.

    Fi

    nancial Disclosure Report:
    Not required

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