The Home Based Primary Care (HBPC) program is a unique model of home care designed to serve the chronically ill through the months and years before death, providing needed long-term care services in the home. The HBPC model targets persons with complex chronic diseases that worsen over time and provides interdisciplinary care that is longitudinal and comprehensive rather than episodic and focused. The Social Worker for Home Based Primary Care (HPBC) program will be a member of an interdisciplinary team to meet the overall medical and psychosocial needs of the Veteran. Duties may include but are not limited to the following: Independently visit Veterans in their homes and must use a high level of skill in assessing and treating the complicated psychosocial problems of Veterans; Complet
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