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White Plains

    Social Work - White City, United States - Department Of Veterans Affairs

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    Full time
    Description

    Summary



    The Care Coordination Integrated Case Management framework is a specialized, collaborative practice among multiple healthcare professions which provides structure and standards to support inter-professional collaboration throughout the continuum of care and optimal utilization of healthcare resources. CCICM serves a highly complex Veteran population, whose problems require a higher level of care coordination and case management.



    Duties


    The Social Work Program Coordinator for Care Coordination Integrated Case Management or CCIM will implement standardized tools designed to integrate care to create a seamless continuum experience for the Veteran and will serve as a Lead Coordinator to this identified complex Veteran population. The aim of CCICM is to provide safe, efficient, and cost-effective interventions integrated throughout the continuum of healthcare; to improve access to care, reduce duplication and fragmentation of services, ensure adherence to professional standards of practice, and support staff in their work.

    Functions of Position

    • Administrative responsibility for the clinical programming and daily operations of the VA Southern Oregon Rehabilitation Center and Clinics (VA SORCC) CCICM Practice.
    • Ensures full collaboration with involved CCICM staff, for all planning, development, implementation, monitoring, and evaluation of the CCICM operations.
    • Management, monitoring, evaluation and reporting on all CCICM related data to fully capture the day-to-day functioning and practice impacts on the facility and Veteran care.
    • Plans, organized and directs CCICM operations, in conjunction with the CCICM counterpart(s), the Supervisory designed, and the Chief of SWS.
    • Identification of Veteran cohorts across VA SORCC with the highest opportunity and highest need. Including development and implementation of a monitoring process for ongoing screening and identified cohort(s).
    • Identification and tracking of potential areas where care coordination is taking place to include but not limited to primary care, mental health, community care, specialty clinics, geriatric extended care and homeless programs.
    • Ensures integration with the facility level care coordination and case management teams to include but not limited to Nurse and Social Work navigators, care coordinators, care managers, and case managers for seamless continuity of care.
    • Conducting psychosocial assessments to determine needs of Veterans and family members.
    • Active participation in the treatment planning process with other disciplines, including involvement in discharge planning with other disciplines and will be responsible for ensuring that discharge plans are executed in a manner that are timely and appropriate.
    • Provide case management to Veterans and families, as needed, throughout the continuum of care.
    • Provide a full range of Social Work services within commonly accepted standards of social work practice which includes case work, individual, family and group counseling, discharge planning, case management and other services as appropriate.

    Work Schedule:Monday-Friday, 8:00am-4:30pm

    Pay: Competitive salary and regular salary increases.

    Paid Time Off: 37-50 days of annual paid time offer per year days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

    Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.

    Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.

    Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.

    Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

    Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

    Telework:May be considered by Supervisor after initial performance review.

    Virtual: This is not a virtual position.

    Permanent Change of Station (PCS):Not Authorized.

    Financial Disclosure Report: Not required



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