The Senior Social Worker serves as a core member of the interdisciplinary Home Based Primary Care treatment team which is a specialized program under the administration of Geriatrics and Extended Care.
The Senior Social Worker works independently and without access to social work supervision to provide expert level psychosocial interventions and case management services to veterans with complex medical, social and behavioral conditions in which routine clinic-based care is not effective.
Total Rewards of a Allied Health Professional Major duties and responsibilities of the position: Screening/Assessment - Develop an in-home assessment of the veteran in collaboration with the interdisciplinary treatment team, the veteran, family members and significant others, whenever possible. Treatment Planning/Goal Setting - Independently provide a comprehensive psychosocial in home assessment.
and integrates the compilation of that it into an overall plan of care in collaboration with the interdisciplinary treatment team, the veteran, family members and significant others, whenever possible. Participates and can lead weekly interdisciplinary care planning meetings when asked by the HBPC Program Manager. Is empowered to design systems changes based on observations, data and experience.
Addresses the unique needs of homebound, frail, disabling/chronic and/or dying veterans. Referral to service providers - Throughout the course of treatment the social worker is the subject matter expert on VA and/or community resources to include resources to maintain the veteran in his/her own home. Resource development - Responsible for developing a resource file of VA and community social service programs and will refer the veteran to needed services.
Advocacy - Understands the intimidation of bureaucracy and will act as an advocate when it serves the best interest of the veteran/family. Crisis Intervention - Experienced in making rapid assessments and developing crisis management plans to maintain patient in home, for admission to acute, short term and/or long term placements.
Education/Health promotion and prevention - Provide education relating 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 - Responsible for the coordination of the referrals of non-institutional services such as ADHC, non-skilled homecare services for HBPC Team in collaboration with the interdisciplinary treatment team members. Supportive counseling - Provide the veterans and their caregivers with ongoing supportive and grief counseling.
Administrative responsibilities - Enter all the veteran/family contacts in the electronic record using appropriate formats and templates. Establish and main positive working relationships with employees, volunteers, consumers and stakeholders within the VA and outside community agencies. Provides services in serious and complex cases, often referred by other social workers and interdisciplinary team members.
Carries full professional responsibility for cases presenting a wide range of biopsychosocial and environmental problems. The HBPC social worker may practice in both hospital and non-hospital patient care areas, notably in veteran's homes and other non-traditional treatment settings requiring autonomy, independent practices and coordination expertise. Work Schedule: Monday-Friday 8:00 a.m. - 4:30 p.m.
Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 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: Available, ad-hoc. Virtual: This is not a virtual position. Functional Statement #: 436-60847-0 Permanent Change of Station (PCS): Not Authorized
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
V19USAJOBS@VA.GOV · 719-227-4600
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $93537 – $121601/yr.
This position is eligible for telework.
Applications close on 2026-09-28.
This position is open under the 'Public' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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