The Social Worker is a part of the Fargo VA Health Care for Homeless Veterans (HCHV) team and reports to the Homeless Programs Manager under the direction of the Social Work Executive. They will function as the Bemidji CBOC's HUD/VASH Case Manager, operating in the Bemidji and surrounding areas to include various parts of Western Minnesota, as feasible. **RECRUITMENT INCENTIVE MAY BE AUTHORIZED FOR HIGHLY QUALIFIED APPLICANTS** Duties of this position include, but are not limited to, the following: Administrative data collecting and reporting, serving as the primary contact with local Public Housing Agencies (PHAs), and providing case management-based services (directly or through referral) necessary to ensure that Veteran care is coordinated with the VA Clinic, community health or mental health providers, CBOC, and agencies that serve homeless populations. Provide primary clinical psychosocial and case management services to eligible Veterans and their family members. Assessment, identification, facilitation and referral to appropriate medical and psychiatric services to those Veterans identified as appropriate for the HUD VASH program. Assesses at-risk factors and develops a preliminary plan, involving the Veteran and family or significant others, and performs an insightful assessment of serious and complicated cases involving psychiatric illness which may also include, catastrophic medical condition, dementia, traumatic brain injuries, and other high risks diagnoses. Provides referral to VA medical and mental health inpatient and outpatient treatment and to other VA services including VA benefits, as well as community-based social services and other non-VA entitlement programs. Establishes procedures and coordinates the screening and admission process for the HUD/VASH program by developing and maintaining criteria that recognizes program eligibility, prioritization for program acceptance, and requirements of the Public Housing Authorities (PHAs). Coordinates the screening and admission multi-disciplinary team and provides primary input for program candidates. Develops psychosocial treatment plans, actively involving the Veteran and their family or significant others, in coordination with interdisciplinary team members, based on the psychosocial assessments, including goals for clinical treatment. Makes adjustments to the psychosocial treatment plan and interventions based on changing needs and response to interventions. Meets with Veteran to assess accomplishments and re-establish goals. Makes recommendations for care and changes to interdisciplinary treatment plan. Serves as a mentor to other mental health staff, particularly those at the entry level. Work Schedule: 7:30 am to 4:00 pm, Monday through Friday. Telework: Available, Ad Hoc only. Virtual: This is not a virtual position. Position Title/Functional Statement #:Social Worker/PD000000 Relocation/Recruitment Incentives: Authorized. Permanent Change of Station (PCS): Not Authorized. 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.