The Senior Social Worker (Hematology Oncology Case Manager) must use a high level of skill in assessing and treating the complicated psychosocial problems of these Veterans as they go through the treatment process. The incumbent in this position manages a caseload of cancer patients from different geographic locations, and which present a variety of highly-complex health or mental health problems requiring expert level psychosocial interventions in both Inpatient and Outpatient settings. This incumbent is also expected to administer scores and evaluates psychological distress screening for oncology patients at outpatient level, at the ambulatory Hematology-Oncology clinics. Provides assessment support to a large population of clients affiliated with the installation or for a particular client base. Some of the duties include, but are not limited to; Screening/Assessment - The incumbent will develop an assessment of the veteran in collaboration with the interdisciplinary treatment team with the veteran, family members and significant others, whenever possible. The assessment will include a home visit. Treatment Planning/Goal Setting - The social worker is responsible for developing the treatment plan and setting achievable treatment goals with the veteran/family in collaboration with the interdisciplinary treatment team members. Referral to service providers - Throughout the course of treatment the social worker is the subject matter expert on VA and/or community resources. The social worker will collaborate with other service providers in reassessing the veteran's needs for non-institutional, institutional services/programs and entitlements. The social worker is responsible for educating the veteran and/or caregiver of the available services and assisting them in establishing the appropriate referrals based on the veteran's preference or that of his surrogate decision-maker. Resource Development - The social worker is responsible for developing a Resource file of VA and community social service programs and will refer the veteran to needed services. Advocacy - When appropriate and feasible, social worker will educate and encourage the veteran/family to advocate on their own behalf, thus fostering a sense of independence and empowerment. Crisis Intervention - Social worker is experienced in making rapid assessments and developing crisis management plans to maintain patient in the home, for admission to acute, short term and/or long-term placements. Social worker has access to multiple resource directories in addition to previously developed resources to meet the demands of a crisis. In the event of a medical or psychiatric emergency, staff will follow the protocol of the Program. Education/Health promotion and prevention - Social worker provide education related to VA and community resources, entitlements, Advance Directives/Living Will and will refer veterans/families to the appropriate interdisciplinary team member for identified health education needs. Coordination of non-institutional and institutional services - Social worker are responsible for the coordination of the referrals of non-institutional services such as home hospice, skilled and non-skilled homecare services in collaboration with the interdisciplinary treatment team members, either in VA or in other medical facility as needed. The social worker is also responsible for the coordination of the referrals of institutional placements in Adult Homes, Assisted Living Programs, CNH or VA-NHCU. Social worker will educate the veteran, their families and the team of all the options available to them and will collaborate with the veteran and family on the preferred option. Supportive counseling - Social worker will provide the veterans and their caregivers with ongoing supportive counseling. Administrative responsibilities - The social worker will enter all veteran/family contacts in the electronic record using appropriate formats and templates. Social Worker will attend all meetings, and perform other duties as required by the Social Work Service. The social worker will collaborate in the performance improvement processes and comply with performance measures as required by the VA for their specific population and/or program. Social worker will participate in activities that obtain feedback from clients and work to enhance services as needed. This may include coverage responsibilities in the absence of other staff to ensure timely access and coordination of care. Training and Education - Participation in in-service training programs with Nursing Service, RMS, Social Work, and other services and their affiliated training programs will be required as the need and demand arise. The incumbent may also supervise social work intern and practicum students. Incumbent shall also participate in intra and extra-VA educational programs, including community activities that present opportunity for fostering patient rehabilitation through a greater understanding of VA programs. Incumbent will insure continued personal professional growth by participation in professional activities including association meetings, seminars, workshops, symposia, and review of current professional literature. Work Schedule: Mon-Fri, 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position Position Title/Functional Statement #:Social Worker (Hematology Oncology Case Manager)/PD000000
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.