The VA Northeast Ohio Healthcare System is recruiting for a Social Worker (Transition and Care Management Case Manager) or a Registered Nurse (Transition and Care Management Case Manager). The Social Worker or Registered Nurse will function in Community Outpatient Service. The primary responsibility of the position is to ensure the transition of care of Veterans and Active Duty Servicemembers, from the DoD Military Treatment Facilities (MTF) and Warrior Transition Units (WTU) to the Veterans Health Administration (VHA) is safe and continuous. The TCM Case Manager is responsible for acquiring and demonstrating clinical expertise and knowledge of health care programs to improve the quality of patient care, the use of resources, and to facilitate compliance with internal and external requirements and standards Follows Veterans Health Administration (VHA) policy requirements and develops local systems to identify and track post 9/11Servicemembers/Veterans (SM/Vs) served by the facility and community who belong in this special priority group Performs clinical interventions and case management services, in collaboration with the other members of the TCM Program, and with guidance from the Interdisciplinary Care Management Review Team (IDCMRT). The TCM Case Manager provides clinical case management for severely-injured and/or ill post 9/11 SM/Vs and other SM/Vs with identified case management needs. Evaluates the need for mental health services and makes appropriate referrals for individual, group, marital and family treatment services. Assists Post 9/11 SM/Vs and their families with advance directives, guardianships, and applications for home care and extended care services. The TCM Case Manager must be knowledgeable with medical and mental health diagnoses (included but not limited to amputation, burns, vision loss, TBI, PTSD, and the Adjustment/Anxiety/Mood disorders) as well as insight into the needs of and services required for individuals with these conditions. Participates in the orientation, training, and teaching of social work graduate students and other trainees and staff. The TCM Case Manager must demonstration the knowledge and skills necessary to provide care appropriate to the ethnic and cultural diversity as well as the age-specific challenges of the post 9/11 population. The TCM Case Manager as an advocate post 9/11 SM/V's and their families, helping them access needed services at the facility, at other VA facilities, and in the community. Develops and utilizes community resources. Researches, develops maintains and uses appropriate community resources. Conducts and/or participates in research and/or program evaluation as appropriate. Work Schedule: Monday - Friday 8:00 a.m. - 4:30 p.m. Financial Disclosure Report: Not required
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.