Social Work Program Coordinator- Care CoordinationIntegrated Case Management

Total Rewards of a Allied Health Professional

Duties and skills needed to be successful in this position include but are not limited to:

• Administrative responsibility for the clinical programming and daily operations of the Montana VA Healthcare System (MTVAHCS) CCICM Practice.
• Developments and implements policies and procedures specific to MTVAHCS and ensures compliance with local facility VISN the Associate Director of Patient Care Services (ADPCS) Social Services VA Central Office (VACO) directives and handbooks as well as Joint Commission and other accrediting bodies and regulatory standards as needed.
• Ensures full collaboration with nursing counterpart for all planning development implementation monitoring and evaluation of the CCICM operations.
• Manages monitors evaluates and reports on all CCICM related data to fully capture the day-to-day functioning and practice impacts on the facility and Veteran care.
• Plans organizes and directs CCICM operations in conjunction with the CCICM nursing counterpart(s) and the Chief of Social Services.
• Identifies Veteran cohorts across MTVAHCS with the highest opportunity and highest need. Including development and implementation of a monitoring process for ongoing screening and identified cohorts.
• Identifies and tracks potential areas where care coordination is taking place to include but not limited to primary care surgical care mental health community care specialty clinics geriatrics and homeless programs.
• Ensures integration with the facility level care coordination and case management teams to include but not limited to Nurse and Social Work navigators care coordinators care managers and case managers of both inpatient and outpatient for seamless continuity of care.
• Developments implements and tracks a facility wide CCICM education plan to key stakeholders to include Service Chiefs supervisors/managers frontline staff and Veterans with plan for ongoing sustainment.
• Serves as co-coordinator to the MTVAHCS Care Coordination Review Team (CCRT). Provides ongoing oversight direction and education. Ensures full participation by setting expectations clear roles and responsibilities when assigning a Lead Coordinator (LC) to Veterans identified as needing moderate or complex care coordination services.
• Ensures CCICM is in compliance with policies and standard operating procedures for evaluating and mitigating suicide risk to include: Completion of the Columbia Suicide Severity Risk Scare (C-SSRS) Comprehensive Suicide Risk Evaluation Safety Plan and Overdose Report as clinically indicated.
• Conducts psychosocial assessments to determine needs of Veterans and family members.
• Actively participates in the treatment planning process with other disciplines including involvement in discharge planning with other disciplines and will be responsible for ensuring that discharge plans are executed in a manner that are timely and appropriate.
• Provides case management to Veterans and families as needed throughout the continuum of care.
• Provides a full range of social work services within commonly accepted standards of social work practice which includes case work individual family and group counseling discharge planning case management and other services as appropriate.
• Develops needed community supports and/or resources to ensure the program goals are achieved.
• Develops and maintains effective working relationships with key medical center staff and community agencies to enhance the scope and functioning of Veterans assigned.

• 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.
• 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 VHA may waive the licensure or certification requirement for persons who are otherwise qualified pending completion of state prerequisites for licensure/certification examinations. This exception only applies at the GS-9 grade level. For the GS-11 grade level and above the candidate must be licensed or certified. At the time of appointment the supervisor chief social work or social work executive will provide the unlicensed/uncertified social worker with the written requirements for licensure or certification including the time by which the license or certification must be obtained and the consequences for not becoming licensed or certified by the deadline.
• For appointments at the GS-9 grade level VHA social workers who are not licensed or certified at the time of appointment must become licensed or certified at the independent masters level within three years of their appointment as a social worker. Most states require two years of post-MSW experience as a prerequisite to taking the licensure/certification exam and VHA gives social workers one additional year to pass the licensure/certification states such as California Washington and others where the prerequisites for licensure exceed two years social workers must become licensed at the independent masters level within one year of meeting the full state prerequisites for licensure.
• A social worker who does not yet have a license that allows independent practice must be supervised by a licensed independent practitioner of the same discipline who is a VA staff member and who has access to the electronic health record.
• Different states have different levels of licensure or certification making it difficult for VHA staff to determine the independent practice level. Each state Puerto Rico and the District of Columbia completed surveys identifying the level of licensure or certification allowing independent practice. Copies of the surveys are on file in the VHA Office of Care Management and Social Work Services and a summary spreadsheet of the levels of licensure or certification is available to social work professional standards board members for purposes of determining whether the social workers level of licensure or certification meets the VHA qualification standards. All states except California use a series of licensure exams administered by the ASWB. Information can be found at The ASWB is the association of boards that regulates social work. ASWB develops and maintains the social work licensing examination used across the country and is a central resource for information on the legal regulation of social work. The ASWB offers three examinations. The masters examination is generally used by states for the independent practice level of licensure or certification while the advanced generalist and the clinical examinations are used for the advanced practice level of licensure or certification. Differences between the masters and the advanced exams demonstrate the expectation that advanced practice social workers will have a more sophisticated knowledge of practice theory and its application.

• Experience and Education: One year of experience equivalent to the GS-11 grade level. Experience must demonstrate possession of advanced practice skills and judgment demonstrating progressively more professional competency. 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 social worker program coordinator must be licensed or certified at the advanced practice level and must be able to provide supervision for licensure.

• Knowledge of program coordination and administration which includes consultation negotiation and monitoring.
• Knowledge and ability to write policies procedures and/or practice guidelines for the program.
• Ability to supervise multidisciplinary staff assigned to the program.
• Skill in organizing work setting priorities meeting multiple deadlines and evaluating assigned program area(s).
• Ability to provide training orientation and guidance within clinical practice.