HUD-VASH is an intensive case management program for chronically homeless veterans aimed at providing psychosocial services to veterans while residing in stable housing through HUD's Section 8 voucher system. The incumbent functions as a Case Manager for WVAMC's Housing and Urban Development / VA Supportive Housing (HUD-VASH) as well as the Homeless Outreach worker and is assigned to the Northfield CBOC providing services to homeless veterans throughout Delaware and Southern New Jersey. The incumbent: - Serves as the medical center's primary point of contact for homeless outreach services. Responds to all VA homeless consults and Hotline calls in an appropriate and timely manner. Develops and maintains service delivery systems for homeless veterans including but not limited to collaborating with other agencies, building and maintaining an effective treatment team, and providing structure and documentation to accomplish these tasks. - Verifies the veteran's status, eligibility for VA medical care, and eligibility of program participation and assists eligible veterans with enrollment if not in the VA system. - Collects and submits veteran information as outlined by North East Program Evaluation Center (NEPEC) formats and procedures and transmits to appropriate persons/services all necessary outcome data and reports used to evaluate program performance and progress in a timely manner. - May act as a HCHV Contract Liaison and monitor contract compliance if a Contracted Emergency Residential Services contract is active in NJ. May serve as the Contracting Officer's Representative (COR), be a back- up COR or works in collaboration with a COR. - Provides HUD-VASH case management. Performs site visits of HUD-VASH apartments to ensure that veterans reside in safe environments in compliance with local housing codes and reviews agreements between Section 8, landlords, Public Housing Authorities and the VA in establishing appropriate referral sites for HUD-VASH placements. - Coordinates care including serving as an advocate on behalf of the veterans to ensure comprehensive service delivery, and linking and referring veterans to the VA Medical Center, VA Regional Offices and/or community agencies. - Actively participates in the Homeless Program conference calls and attends training offered by the Homeless Program Office. Follows local policy and SOP for Homeless Programs including following policies and documentation requirements for CARF and Joint Commission accreditation. Also, participates in program planning and development, advising the supervisor of shifting trends with caseloads and identifying the need for and making recommendations on program procedure or policy changes based upon work experiences. - Performs accountability functions: 1) document all contacts with patients/families in the medical charts; 2) completes statistical and other reports in accordance with VA Medical Center and respective professional discipline service policies. - Provides comprehensive social work services to veterans and their families including the management, coordination and provision of social work services to veteran and their families in inpatient, outpatient and community settings: a. Conducts psychosocial assessments. b. Participates in discharge planning with other disciplines and ensures discharge plans are executed in a timely and appropriate manner. c. Provides individual, family and group counseling as appropriate. d. Provides consultation/education to veterans and families on community resources, advance directives and VA benefits. e. Acts as a consultant to other team/staff members. f. Acts as liaison between VA and community resources, to include marketing and public relation duties. g. Provides case management to veterans and families, as needed, throughout the continuum of care. h. Addresses Advance Directives, Organ Donation and Goals of Care Conversations in accordance with the standards of their work area. i. Provides wellness/prevention education and facilitates patient/family support groups. j. Supervises the practice of social work students, or a less experienced social worker. k. Coordinates treatment and communicates with the care lines to facilitate continuity of care for veterans. l. Participates in committee assignments, as deemed necessary by the service manager. m. Maintains data and statistical compilations to comply with Joint Commission, CARF, VA and medical center policy and procedures. n. Assists patients and their significant others with coping and dealing with the loss and grief experiences in disability, terminal illness and death. p. Documents social work interventions and activities in patient's clinical record utilizing CPRS and ensure appropriate hand off when transferring of patient care. q. Maintains familiarity and responsibility for all performance measures relating to the HUD-VASH Program. r. Develops therapeutic relationships with Veterans to help remove psychosocial barriers and establish plans to achieve and sustain permanent housing. s. Assists veterans with transportation needs to attend VA and other social service related appointments via bus tickets, train tickets, etc. t. May be required to provide patient care services on weekends such as attending outreach events. A modification of tour of duty will be required. Work Schedule: Monday - Friday 7:30am to 4:00pm 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.