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    The Integrated Patient Aligned Care Team (PACT) is a comprehensive integrated team which delivers primary care and mental health care to Veterans in a longitudinal rather than episodic fashion and which has: prevention; health promotion, coordination and chronic disease management. The social worker in this Veteran-centric approach often functions as care coordinator with a panel of veterans to ensure access -provision of needed medical and mental health care services.

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    Work Schedule: Full-Time Monday-Friday, 8:00am-4:30pm

    Social Workers are uniquely prepared for this role by virtue of their education, training, and experience which prepares them to understand the person-in-situation and the influences that family and community have in impacting the health-care needs of Veterans.

    The Social Worker at the Monterey CBOC is responsible for developing and directing medical social work services at the outpatient clinic serving veterans and their families from a large geographic area including Monterey, San Benito and Santa Cruz Counties. The incumbent works collaboratively with medicine, mental health and specialty clinics in planning, organizing, managing and evaluating the social work services needed to further the mission of the clinic in providing exceptional health care to improve the health and well-being of the veterans served by the clinic. These social work services include: screening, assessing, consulting, managing crises, treating, referring, coordinating VA services and community resources, and developing policies and procedures to improve the social work services to the clinic providers, veterans and their families.

    The major duties and responsibilities include, but are not limited to:

    • The incumbent must use a high level of skill in assessing and treating the complicated psychosocial problems of Veterans and their families/significant others. Social Work responsibilities include the assessment of psychosocial problems that cause distress, often impacting the health condition and creating barriers to care. These stressors can include adjustment to the current medical condition, untreated or under-treated mental health or substance abuse condition, economic instability, legal problems, and inadequate housing and transportation.
    • The incumbent must complete thorough assessments to determine the underlying causes of the presenting problem, the interpersonal and environmental factors impacting the problem, and its affect on the patient's ability and desire to comply with the treatment recommendations by the multidisciplinary team.
    • The social worker will help the patient and family to understand the contributing factors to the problem(s), will discuss with them the pros and cons of possible short-term and long-term solutions, encouraging them to make positive and lasting changes to reduce stressors.

    Travel Required

    Not required

    Supervisory status


    Promotion Potential


  • Job family (Series)

    0185 Social Work

This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/519504900. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.