This position covers the Home-Based Primary Care (HBPC) and Provide Social Work services to the Community Nursing Home Program (CNH). The incumbent will be responsible for Veterans and family needs in the home setting (this may be a private residence, Medical Foster Home, Assisted Living, or other area Veteran designates as his/her home).
In addition to serving Veterans in HBPC, the incumbent may serve those Veterans who receive care under other REC areas based on work-load demands.
Major duties include, but are not limited to the following: The incumbent serves and supports Veterans with life-limiting or debilitating illnesses who are anticipated to need a higher level of care in the future. The incumbent in this position will meet with Veterans and their families/caregivers to assess and address the Veteran's needs.
They offer emotional and practical assistance, helping veterans and their families navigate the emotional challenges of diagnosis and treatment. This includes coordinating care, connecting patients with resources like financial aid, transportation, and support groups, and providing counseling to address anxiety, depression, and other mental health concerns. The incumbent delivers social work in the home setting.
Travel within the community and the ICVAHCS area is required for this position. The delivery of care is in accordance with the established standards, policies, and procedures consistent with the interdisciplinary plan of care. This position requires social work clinical knowledge and competence to function independently in a variety of roles in the clinical setting.
The incumbent provides consultation and guidance and acts as a liaison to staff, care facilities, and other health care providers regarding patient needs in the community/home setting and in the interpretation of VA rules and regulations related to HBPC, CNH and Veterans. The incumbent is required due to the advanced clinical skills to provide specialized mental health support within HBPC.
Veterans enrolled in HBPC frequently experience complex medical conditions that are accompanied by depression, anxiety, cognitive decline, adjustment disorders, and other behavioral health challenges. The incumbent's role encompasses a broad spectrum of responsibilities. They independently conduct comprehensive psychosocial assessments, aiming to understand the needs of both veterans, their families, and their caregivers.
The incumbent's active engagement in the treatment planning process alongside other disciplines is crucial, ensuring the patient and family's psychosocial needs are carefully considered. The incumbent possesses a comprehensive understanding of diverse human backgrounds, adept counseling skills, and the ability to independently implement treatment plans.
They independently provide a wide array of counseling services, including individual and family counseling, helping patients and their families cope with the experiences of disability, terminal illness, and death. They extend their support beyond direct counseling, offering consultation and education to veterans and families on community resources, advanced directives, and VA benefits.
Additionally, they act as a consultant to their team members, providing valuable insights and guidance. The incumbent acts as a liaison between the VA and community resources, shouldering additional responsibilities such as marketing and public relation duties when needed.
Their commitment to comprehensive care is evident as they provide case management services throughout the continuum of care, ensuring that veterans and their families receive the necessary support at every stage. Their holistic approach to care is further exemplified through their efforts in providing wellness and prevention education. Work Schedule: Monday-Friday, 7:30am-4:00pm OR 8:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position.
Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
IMPORTANT: A transcript must be submitted with your application. 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/.
Megan.noe@va.gov · (724) 285-2259
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $97100 – $126233/yr.
This position requires a Other security clearance.
Applications close on 2026-10-29.
This position is open under the 'Fed Internal Search' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-20 · Not affiliated with or endorsed by OPM or USAJOBS.gov
Apply on official site →