Senior Social Worker Home Based Primary Care (HBPC)

Total Rewards of a Allied Health Professional

Major duties and responsibilities of the position:

• Screening/Assessment - Develop an in-home assessment of the veteran in collaboration with the interdisciplinary treatment team the veteran family members and significant others whenever possible.
• Treatment Planning/Goal Setting - Independently provide a comprehensive psychosocial in home assessment. and integrates the compilation of that it into an overall plan of care in collaboration with the interdisciplinary treatment team the veteran family members and significant others whenever possible.
• Participates and can lead weekly interdisciplinary care planning meetings when asked by the HBPC Program Manager.
• Is empowered to design systems changes based on observations data and experience.
• Addresses the unique needs of homebound frail disabling/chronic and/or dying veterans.
• Referral to service providers - Throughout the course of treatment the social worker is the subject matter expert on VA and/or community resources to include resources to maintain the veteran in his/her own home.
• Resource development - Responsible for developing a resource file of VA and community social service programs and will refer the veteran to needed services.
• Advocacy - Understands the intimidation of bureaucracy and will act as an advocate when it serves the best interest of the veteran/family.
• Crisis Intervention - Experienced in making rapid assessments and developing crisis management plans to maintain patient in home for admission to acute short term and/or long term placements.
• Education/Health promotion and prevention - Provide education relating to VA and community resources entitlements Advance Directives/Living Will and will refer veterans/families to the appropriate interdisciplinary team member for identified health education needs.
• Coordination of non-institutional and institutional services - Responsible for the coordination of the referrals of non-institutional services such as ADHC non-skilled homecare services for HBPC Team in collaboration with the interdisciplinary treatment team members.
• Supportive counseling - Provide the veterans and their caregivers with ongoing supportive and grief counseling.
• Administrative responsibilities - Enter all the veteran/family contacts in the electronic record using appropriate formats and templates. Establish and main positive working relationships with employees volunteers consumers and stakeholders within the VA and outside community agencies.
• Provides services in serious and complex cases often referred by other social workers and interdisciplinary team members. Carries full professional responsibility for cases presenting a wide range of biopsychosocial and environmental problems. The HBPC social worker may practice in both hospital and non-hospital patient care areas notably in veterans homes and other non-traditional treatment settings requiring autonomy independent practices and coordination expertise.

• 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.
• 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 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation/examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the Required Documents section of this announcement.

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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.
• English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. 7403(f).
• Education. Have a masters 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 masters degree in social work. Verification of the degree can be made by going to to verify that the social work degree meets the accreditation standards for a masters of 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 masters degree level. Current state requirements may be found by going to qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
  
  Grade Determinations:Supervisory Social Worker GS-12
  Education and Experience. One year of experience equivalent to the GS-11 grade level. Experience must demonstrate possession of advanced practice skills in a specialty area or in administration demonstrating progressively more professional competency and judgment. Candidate may have certification or other post-masters degree training from a nationally recognized professional organization or university that includes a defined curriculum/course of study and internship or equivalent supervised professional experience.
  Licensure/Certification. Individuals assigned as Supervisory Social Workers must be licensed or certified at the advanced practice level and must be able to provide supervision for licensure.
  Demonstrated Knowledge Skills and Abilities. In addition to the experience above the candidate must demonstrate all of the following KSAs:(a) Ability to independently organize work set priorities and meet multiple deadlines.(b) Knowledge of supervisory duties which includes clinical supervision consultation negotiation with other departments and quality improvement.(c) Ability to ensure provision of clinical social work services.(d) Ability to provide staff training and development.(e) Skill in interpersonal relationships in dealing with employees team leaders and managers.
  Preferred Experience: Home Based Primary Care PACT and/or Home Care experience.
  Reference: For more information on this qualification standard please visit vacancy is being announced above the full performance level at a GS-12.
  
  Physical Requirements: Physical demands of the work are generally minor as the position requires sitting standing and walking. Some travel is required as the incumbent is required to conduct monthly in person supervision at different sites of care and community outreach which may require traveling long distances. The emotional demands can be stressful in working with high-risk for suicide veteran population and their families. A high level of self-awareness is essential. Work divided between office and clinical settings is primarily sedentary. May require prolonged standing moderate walking and manual dexterity. Requires carrying light items such as books files or laptop computer.
  Education

  Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges universities schools or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information visit:

  Additional information

  Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.
  
  During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement nor does it guarantee further consideration for additional positions.
  
  This job opportunity announcement may be used to fill additional vacancies.
  
  This position is in the Excepted Service and does not confer competitive status.
  
  VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38 and are not covered by the Schedule A excepted appointment authority.
  
  If you are unable to apply online or need an alternate method to submit documents please reach out to the Agency Contact listed in this Job Opportunity Announcement.
  
  Under the Fair Chance to Compete Act the Department of Veterans Affairs prohibits requesting an applicants criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process visit Human Resources and Administration/Operations Security and Preparedness (HRA/OSP) at The Fair Chance Act.

  Candidates should be committed to improving the efficiency of the Federal government passionate about the ideals of our American republic and committed to upholding the rule of law and the United States Constitution.

  A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

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  Eligibility for benefits depends on the type of position you hold and whether your position is full-time part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.