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Senior Social Worker- Home Based Primary Care

Veterans Health Administration · Department of Veterans Affairs
📍 Cody, Wyoming 💰 $93537 – $121601/yr

Quick Facts

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Job Summary

This senior social worker is assigned to HBPC with responsibility to provide direct services for adult and geriatric veterans and their families. Due to the frontier nature of the service area and level of staffing the HBPC Senior Social Worker works in the community, traveling some distance alone to meet with Veterans enrolled in HBPC program.

Key Responsibilities

VA Careers - Social Work: https://youtube.com/embed/enRhz_ua_UU -Receives and completes consults from interdisciplinary teams and other social workers on complex, difficult cases, using advanced practice skills and expertise. Incumbent also provides consultation to referral sources and is responsible for developing and maintaining professional standards of practice and educating others regarding such.

-Completes psychosocial assessments; interviews veteran and family members and/or significant others to establish facts about the veteran's unique situation. -Develops an assessment of the veteran in collaboration with the interdisciplinary treatment teams, the veteran, family members and significant others, whenever possible. -Develops psychosocial treatment plans in collaboration with the HBPC interdisciplinary team, including goals for psychosocial clinical treatment.

The social worker uses known available resources and the initial assessment of the veteran's likelihood to accept differing types of assistance to make initial and continuing decisions regarding use of VA and non-VA services and referrals. -Provides independent consultation and makes recommendations to the interdisciplinary team regarding the course of treatment. -Provides the patient, caregivers, and/or family members with ongoing supportive counseling.

-Participates in discharge planning with other disciplines and will be responsible for ensuring that discharge plans are executed in a manner that is timely and appropriate. -Provides individual, family and group counseling as appropriate. -Provides consultation/education to veterans and families on community resources, advance directives and VA benefits. -Acts as a consultant to other team/staff members.

-Provides consultation/education to medical residents on social work practice and VA policy and procedure. -Acts as liaison between VA and community resources, to include marketing and public relation duties as needed. -Provides case management to veterans and families, as needed, throughout the continuation of care.

-Provides 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. -Provides wellness/prevention education and facilitate Patient/family support groups as appropriate. -Coordinates treatment and communicate with the care lines to facilitate continuity of care for veterans.

-Participates in committee assignments, as deemed necessary by the service manager. -Maintains data and statistical compilations to comply with JCAHO, VA and medical center policy and procedures. -Assists patients and their significant others with coping and dealing with the loss and grief experiences in disability, terminal illness and death.

-Documents social work interventions and activities in patient's clinical record utilizing CPRS and ensure appropriate hand off when transferring of patient care. -Completes Suicide Risk assessments and assists Veterans with developing Suicide Safety Plans, consults with and keeps the Suicide prevention Office informed as appropriate for Veterans considered at risk for Suicide. -Acts as an advocate when it serves the best interest of the veteran/family.

-Experienced in making rapid assessments and developing crisis management plans to maintain the veteran in a medical foster home. In the event of an alleged abuse case, medical or psychiatric emergency, the medical center policy will be followed. -Ensures the interdisciplinary team is kept informed of any concerns with the patient and/or caregiver. -Serves as the Social Worker for the HBPC Team completing assessments, meeting with veterans in their places of residence.

-Provides other professional services as assigned by the HBPC Program Director or designee. - Establishes and maintains positive working relationships with employees, volunteers, consumers and stakeholders within the VA and outside community agencies. - Collaborates in the performance improvement processes and comply with performance measures as required by the VHA for the MHICM and for Social Work Service.

This work will include referring cases for Protected Peer Review and Intensive Case Review. The Social worker will participate in activities that obtain feedback from clients and work to enhance services as needed. -Attends all meetings (weekly interdisciplinary treatment team meetings, Social Work staff meetings, assigned committees, etc.) and perform other duties as required by HBPC/GEC Service Line.

Work Schedule: Monday-Friday 730am to 4pm Compressed/Flexible: Available Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 59360-A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements & Education

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/.

Contact

V19USAJOBS@VA.GOV · 719-227-4600

Frequently Asked Questions

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $93537 – $121601/yr.

What is the application deadline?

Applications close on 2026-12-28.

Who is eligible to apply?

This position is open under the 'Public' hiring path.

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Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-13 · Not affiliated with or endorsed by OPM or USAJOBS.gov

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