This announcement will remain open until filled. The San Francisco VA Health Care System is recruiting for a Senior Social Worker to service in the Emergency Department within Social Work Service. This position will focus on psychosocial issues as they pertain to pre-admission screening and or interventions necessary to prevent a social admission or decrease the inpatient length of stay due to the pre-discharge assessment and planning for all Veterans treated through the Emergency Department. Performs specialized assessment and treatment of complex physical or mental illness, beginning with an assessment of the Veteran, in collaboration with the interdisciplinary treatment team, the Veteran, family members and significant others. Responsible for developing the treatment plan and setting achievable treatment goals with the Veteran/family. Utilize communication and intervention strategies to engage patients, especially aging patients (including those with dementia), to facilitate assessment and intervention, to encourage coping with change, and to identify and address caregiver support needs. Telephone triage calls require rapid assessment over the phone. Intervention includes activities to promote continuity of care within the VA health care system, in linkage to community agencies and resources. The incumbent holds the necessary organizational skills in a rapid-paced clinic setting. Provide clinical interventions to all Veterans that present at the Emergency Room. The social worker is responsible for developing a working knowledge of pertinent VA and community social service programs and for enhancing working alliances with community contacts to the benefit of Veterans. When appropriate and feasible, social worker will educate and encourage the Veteran/family to advocate on own behalf, thus fostering a sense of independence and empowerment. Identify high users of the Emergency Room and with the multi-disciplinary teams and other sections/services input to develop a plan to reduce admissions and ER visits. Offers consultation to colleagues and students on the psychosocial treatment of patients seen in the clinic, rendering professional opinions based on experience and expertise and role modeling effective social work practice skills. Enter all Veteran/family contacts in the electronic record using appropriate formats and templates. Notes will be written within 72 hours unless the note is related to a crisis situation and or admission, requiring same-day entry. Clinic-based, short-term, focused case management: Social worker will monitor coping at home and linkage to needed support in a timely fashion. This includes: Abuse, including APS referrals: verbal within 24 hrs. and written as mandated Home safety/check with collaterals about coping at home/safety: 1 week Case management referrals: 1-2 weeks ADHC follow-up: 2 weeks Systems Management - The Emergency Department Senior Social Worker will Serve as central Point of Contact for Social Work service regarding patient flow in the Emergency Department and through the admission process. Identify and implement process improvement strategies to maximize utilization and efficiency of service delivery system with special emphasis on pre-admission screening and increased efficiency for pre-admission discharge planning. Identify developing service needs and delivery models for implementation in the Emergency Department Update the Inpatient SWS Supervisor regularly and consult as needed. Coordinate with the Inpatient SWS Quality Management activities as indicated. Collect data and report to SWS and the MC Leadership Develop performance improvement activities related to flow, high-users and other areas of focus.
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.