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Job description
PCMHI Social Worker
Total Rewards of a Allied Health Professional
Clinical Responsibilities: The PCMHI Social Worker provides functional assessment, triage, intervention, education and consultative services regarding a wide range of mental health and behavioral medicine concerns, on referral from primary care providers and allied PACT members. The PCMHI Social Worker uses population-based practice management strategies and maintains competences in the following core domains:
Conduct functional assessments, based on 30-minute appointments and will triage/refer to specialty care services as appropriate. Applies principles of population-based care (defines roles and identifies problems rapidly)
75% of all appointments are 30 minutes (will vary by setting)
Uses brief assessments routinely (clinical reminders, PHQ9, GAD7, PCL5, AUDITC, etc.)
Conducts suicide assessment and safety planning for high-risk Veterans
Assist in assessing and coordinating care for Veterans who are in need of acute psychiatric stabilization
Initial consultation appointment is based on functional assessments and treatment focuses on functional outcomes.
Maintains daily open access slots.
Provides brief mental health and behavioral interventions (e.g. 1-6 session for broad range of concerns).
Uses time-limited, evidence based, interventions that are simple and concrete.
Triages appropriately and efficiently to specialty mental health services.
Provides brief assessment and/or intervention to address (including but not limited to): o Depression, anxiety, stress, PTSD, MST, trauma, sleep issues, chronic pain, substance abuse/dependence (including tobacco use), anger management, relationship distress, management of chronic medical conditions, attentional concerns, memory concerns. o Other interventions will be provided as clinically appropriate, based on Veteran need.
Develops treatment plans in collaboration with the Veteran (may include Veteran's family) and with PACT.
Establishes and maintains effective therapeutic relationships with Veterans (may include Veteran's family) experiencing a variety of psychiatric, medical and social problems.
PCMHI Group Clinical Practice Management:
Conducts group therapy with up to 12 Veterans (Of note, group size may be dependent on topic, group facilitator discretion, etc.) for 30-90 minutes sessions addressing relevant behavioral health topics.
Group formatting (open versus closed) is determined by group facilitator(s)
Patient Care Management Overview:
Provide case management services, as needed and/or indicated
Demonstrates knowledge of local, state and other VA programs and resources.
Has general knowledge of Veteran's benefits and services relating to special programs, service-connected compensation, and non-service-connected pension. Facilitates referrals based upon Veterans' needs and eligibility.
Assesses for and identifies high-risk Veteran and implements appropriate safety protocols. Provides crisis intervention services and has working knowledge of referral process for inpatient psychiatric hospitalization and residential PTSD, SUD, and other specialty programs.
Has working knowledge in diagnosis and treatment of a broad spectrum of mental health diagnoses. This includes acute, chronic and traumatic illnesses/injuries and medical terminology.
Provides consultation services to other staff regarding the psychosocial needs of Veterans and the impact of psychosocial problems on health care and adherence to treatment plan.
Has expertise in providing EBTs as applicable to the primary care setting. Able to develop specialized interventions tailored to unique needs of Veteran populations and provide innovations in delivery of mental health programs. Demonstrates the ability to teach and mentor staff and trainees in specialized areas of practice.
Consultation Skills:
- Routinely consults with PCPs and other PACT members about plan of care for Veterans - Conducts effective brief consultations with PACTs and non-PACT staff
Academic/Teaching/Training:
-Opportunities for scaffolding supervision of social work predoctoral interns and practicum students in accord with training program policies and accrediting agency requirements
Program Evaluation:
Participates in program evaluation and/or research activities
Expectation to review program analysis, provide appropriate assessments of outcomes, and make recommendations as needed.
Assists in the development and implementation of follow-up systems to track completed tasks or other issues and concerns relating to the PCMHI (intake and assessment, treatment planning, service delivery, discharge planning, case management, resource allocation, outreach, etc.)
Work Schedule: Monday-Friday, 8:00am-4:30pm
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact , the EDRP Coordinator for questions/assistance. Learn more
Telework: Ad-Hoc
Functional Statement #: -O, -O, -O
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.