As a member of an interdisciplinary treatment team, the incumbent independently coordinates a range of services for patients and their families under Acute Medicine, Telemetry and Medical intensive Care Unit (MICU). Services provided include psychosocial assessments, support and discharge planning to appropriate referrals within the community. Duties Include Independently coordinates short and long term nursing home placements under VA contract, Medicare, Medicaid and private pay. Coordinates referrals for placement in residential facilities and refers to VA programs as necessary for Home Based Primary care, GHELP, Medical Foster Care and Respite programs. Performs and conducts psychosocial assessments and develops treatment plans in collaboration with the Veteran/family and within the interdisciplinary treatment team. Facilitate family/team conferences as necessary to assist patients and their families coping with the stresses and concerns that accompany illness. Establishes and maintains effective therapeutic relationships with the patients and families who are experiencing medical and social problems by utilizing clinical skills and facilitate referrals based upon the Veterans needs and eligibility. Assist patients and their families with coping and dealing with grief and loss, terminal illness and death and provide individual, family and group counseling as appropriate. Provides assistance and referral to assist with VA benefit applications, public assistance and Social Security. Other duties as assigned. Work Schedule: Monday-Friday 8:00am-4:30pm Financial Disclosure Report: Not required
Internal Number: 599718100
About Veterans Affairs, Veterans Health Administration
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.