This position is responsible for assessment, planning, and provision of case management services in Home Based Primary Care (HBPC). This Social Worker coordinates a variety of activities including outreach, interdisciplinary activities, psychosocial assessments, treatment planning, consultation/education to staff and community based service providers. This position collaborates with applicable VA services lines and/or services for Community Nursing Home authorizations.
The position is located in Dakota Dunes, SD. The salary range for this position is $63,862 to $100,443 per year. The position is full-time and permanent. The work schedule is Monday to Friday, 8:00am to 4:30pm. The position is not eligible for telework or virtual work.
The position is open to current federal employees of the hiring agency that posted the job announcement. First area of consideration is current, permanent employees of the Sioux Falls VA Health Care System to include its CBOCS, and, Veterans of the Canteen Service. Second area of consideration is employees of other facilities within the Department of Veterans Affairs. The public and other current, permanent federal employees should apply to: CBSY-12728991-25-AMB.
This position collaborates with applicable VA services lines and/or services for Community Nursing Home authorizations, durable medical equipment (DME) and rehabilitation requirements.
The incumbent conducts psychosocial assessments.
The incumbent conducts interviews or observes the patient to assess emotional, functional or psychological condition.
The incumbent employs professional processes in using interview, observation, personal histories.
The incumbent develops treatment interventions including but not exclusively, crisis intervention, social work case management, education on Advance Directives, grief counseling, guidance, advocacy, supportive counseling, recovery focused counseling and other treatment approaches that may be necessary. He/she utilizes knowledge of family dynamics, developmental theory and interpersonal relationships and system approach to care.
The incumbent coordinates community-based services. Information, referral, and linkage services for both veteran and family members are provided, including VA resources and benefits and non-VA resources and benefits.
The incumbent identifies high-risk patients and provides case management services as appropriate.
The incumbent screens and coordinates referrals to the Community nursing home program.
The incumbent collaborates with applicable VA service lines and/or services for authorizations, durable medical equipment, rehabilitative requirements, authorizations, and fiscal management of the program.
The incumbent acts as liaison and coordinator for specialty care requests for Veterans within community nursing home program.
The incumbent participates in interdisciplinary team to ensure Veterans care needs are met and continue to require nursing home level of care.
The incumbent participates in discharge planning for Veterans as needed.
The incumbent networks with local, state and federal regulatory agencies to ensure compliance with quality of care standards and VA regulations.
The incumbent participates in local, national and VISN calls for programs assigned.
The incumbent oversees placement of Veterans in the CNH and complete required routine visits.
The incumbent provides outreach and education to grow referral sources for community adult day health care agencies and community nursing homes.
The incumbent evaluates patient safety events and report those events into patient safety reporting systems and communicates those events to the coordinator.
The incumbent provides crisis intervention for veterans in financial crisis, emotional crisis due to physical or psychiatric conditions, and crises necessitated by a marked change in lifestyle, changes in functioning or environment or social situations.
The incumbent coordinates family conferences and serves as liaison to family members as well as treatment planning and transitional planning for veterans while including the treatment/clinical team and family members as indicated/appropriate.
The incumbent establishes and maintains effective therapeutic relationships with veterans and their families. Incumbent is able to work with patients and families who are experiencing a variety of psychiatric, medical and social problems utilizing individual, group and family counseling and therapy skills.
You must be a U.S. Citizen to apply for this job.
Selective Service Registration is required for males born after 12/31/1959.
Must be proficient in written and spoken English.
You may be required to serve a probationary period.
Subject to background/security investigation.
Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
Must pass pre-employment driving physical examination.
Must possess a valid driver's license and provide a clean driving record report from the DMV.
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Basic Requirements:
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Education. Have a master's degree in social work from a school of social work fully accredited by the Council on Social Work Education (CSWE). Graduates of schools of social work that are in candidacy status do not meet this requirement until the School of Social Work is fully accredited. A doctoral degree in social work may not be substituted for the master's degree in social work.
Licensure. Persons hired or reassigned to social worker positions in the GS-0185 series in VHA must be licensed or certified by a state to independently practice social work at the master's degree level. Current state requirements may be found by going to
Exception. VHA may waive the licensure or certification requirement for persons who are otherwise qualified, pending completion of state prerequisites for licensure/certification examinations.
Physical Requirements. See VA Directive and Handbook 5019.
English Language Proficiency. Candidates must be proficient in spoken and written English.
Grade Determinations:
Social Worker, GS-9:
Experience, Education, and Licensure. None beyond the basic requirements.
Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs:
Ability to utilize counseling skills when working with Veterans and family members.
Ability to assess the psychosocial functioning and needs of Veterans and their family members, and to formulate and implement a treatment plan, identifying the Veterans problems, strengths, weaknesses, coping skills, and assistance needed.
Ability to implement treatment modalities in working with individuals, families, and groups to achieve treatment goals. This requires judgment and skill in utilizing supportive, problem solving, or crisis intervention techniques.
Ability to establish and maintain effective working relationships and communicate with clients, staff, and representatives of community agencies.
Fundamental knowledge of medical and mental health diagnoses, disabilities, and treatment procedures. This includes acute, chronic, and traumatic illnesses/injuries; common medications and their effects/side effects; and medical terminology.
Social Worker, GS-11:
Experience and Licensure. Appointment to the GS-11 grade level requires completion of a minimum of one year of post-MSW experience equivalent to the GS-9grade level in the field of health care or other social work-related settings, (VA or non-VA experience) and licensure or certification in a state at the independent practice level.
OR
Education. In addition to meeting basic requirements, a doctoral degree in social work from a school of social work may be substituted for the required one year of professional social work experience in a clinical setting.
Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, candidates must demonstrate all of the following KSAs:
Knowledge of community resources, how to make appropriate referrals to community and other governmental agencies for services, and ability to coordinate services.
Skill in independently conducting psychosocial assessments and treatment interventions to a wide variety of individuals from various socio-economic, educational, and other backgrounds.
Knowledge of medical and mental health diagnoses, disabilities and treatment procedures (i.e. acute, chronic and traumatic illnesses/injuries, common medications and their effects/side effects, and medical terminology) to formulate a treatment plan.
Skill in independently implementing different treatment modalities in working with individuals, families,
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