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Social Worker - Patient Aligned Care (PACT) Rural Native Veteran Healthcare Navigator

Department of Veterans Affairs
Veterans Health Administration
Montana VA Health Care System

Summary

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

Overview

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Accepting applications
Location
1 vacancy in the following location:
Work site options
Telework eligible
Yes—Ad-hoc, as determined by the agency policy.
Remote job
No
Relocation expenses reimbursed
No
Salary
$64,501 - $101,458 per year
Pay scale & grade
GS 9 - 11
Promotion potential
11
Pay scale and grade determines the salary of the job.
Work schedule
Full-time
Travel Required
25% or less - You may be expected to travel for this position.
Appointment type
Permanent
Occupations and job series
Supervisory status
No
Federal service type
This job is in the Excepted Service
Represented by a union
Yes
Drug test
No
Security clearance
Not Required
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Jobs require a background check and some require a security clearance. The type depends on the job.
Background check type
Financial disclosure required
No
Some jobs require financial disclosure to identify conflicts of interests.
Announcement number
CBSU-13042294-26-LS
Control number
882405600

This job is open to

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Clarification from the agency

This job announcement number is open to the Public - U.S. Citizens. | ALL Current and Permanent EMPLOYEES of VA and other Federal Agencies, APPLY TO THE INTERNAL job announcement no. CBSU-13042295-26-LS (link/click in box below). | Due to a critical staffing shortage, 38 U.S.C. 7412 waives the requirement to apply Veterans' preference for this job announcement. | NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

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Duties

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VA offers a Comprehensive TOTAL REWARD$ package.

This Social Worker - Patient Aligned Care (PACT) Rural Native Veteran Healthcare Navigator is a professional social worker assigned to the VA Montana Health Care | Veterans Affairs Primary Care Clinics and Home and Community Based Services. The incumbent must possess skill in assessing and treating the complicated psychosocial problems of Veterans.

Duties include but are not limited to:

  • Establish and maintain effective therapeutic relationships with Veterans and/or their families. The incumbent will independently work with Veterans and their families who are experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, and psychosocial problems.
  • Independently complete thorough psychosocial assessments to determine the psychosocial functioning and needs of Veterans and/or their families.
  • Actively participate as a member of the interdisciplinary treatment team and actively participate through collaboration with Veterans and family as well as interdisciplinary treatment team members in the development and implementation of treatment goals and interventions.
  • Maintain knowledge of medical and mental health diagnoses, disabilities, and treatment procedures, including acute, chronic and traumatic illnesses, common medications and their effects/side effects, and medical terminology.
  • Facilitate action for community placements through collaboration with Veterans and their families as well as interdisciplinary treatment team members to ensure that appropriate community placements are completed in a timely manner.
  • Participate in development, implementation, and monitoring of contracts with Nursing Homes, including site visits and review of medical records.
  • Serve as a liaison between Veterans and/or their families and VA and community resources in order to ensure thorough delivery of services.
  • Support other programs in community outreach and home visits when deemed appropriate for service delivery or safety concerns (e.g. Care Giver Support Program).
  • Independently implement treatment modalities, provide educational classes, and/or supportive groups for Veterans and families.
  • Provide consultation and education to Veterans and their families regarding community resources, VA benefits and specialty programs, and advance directives.
  • Provide consultation to other treatment team and staff members regarding psychosocial needs of Veterans and/or their families and the impact of the identified psychosocial problems on the Veterans health care planning and compliance with treatment.
  • Maintain knowledge of Veterans benefits and services, community resources, and process for making appropriate referrals to community and other governmental programs or agencies.
  • Provide case management services to Veterans and their families throughout the continuum of care. The incumbent will be able to appropriately utilize principles of human growth and development over the life span and will be able to assist Veterans in coping with the loss and grief experiences from disability and terminal illness.
  • Communicate effectively, both orally and in writing with people from varied backgrounds.
  • As a Rural Native Veteran Healthcare Navigator (RNVHN) incumbent will assist care coordination and service delivery for individual PACT team enrolled Rural Native Veterans. Rural Native Veteran Healthcare Navigator (RNVHN) will support veterans navigating VHA as well as the Office of Tribal Health (OTH), Office of Tribal Government Relations.

Work Schedule: Full-time | Monday to Friday, 8:00am to 4:30pm.
Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized.
Permanent Change of Station (Relocation Assistance): Not Authorized.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact V19RMNHRBenefitsMontana@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Available. Ad-hoc, as determined by the agency policy.
Virtual: This is not a virtual position.
Functional Statement #: 436-55345-A, 436-55346-A.
Permanent Change of Station (PCS): Not Authorized.

Requirements

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Conditions of employment

  • 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's 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.
As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • 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.
Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

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
Citizenship.
Be a citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens).

English Language Proficiency.
Candidates must be proficient in spoken and written English.

Education.
Have a master's 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 master's degree in social work. Verification of the degree can be made by going to http://www.cswe.org/Accreditation 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 master's degree level.

May 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 DETERMINATONS
GS-9
Experience, Education, and Licensure.
None beyond the basic requirements as listed above.

In addition to the experience above, the candidate must demonstrate all of the following Knowledge, Skills, and Abilities:

  • Ability to utilize a Veteran centric approach when providing interventions and counseling for Veterans, their family members, caregivers, and survivors.
  • Ability to assess the psychosocial functioning and needs of Veterans and their family members, and to formulate and implement a treatment plan, identifying the Veterans problems, strengths, weaknesses, coping skills, and assistance needed.
  • Ability to implement treatment modalities in working with individuals, families, and groups to achieve treatment goals. This requires judgment and skill in utilizing supportive, problem solving, or crisis intervention techniques.
  • Ability to establish and maintain effective working relationships and communicate with clients, staff, and representatives of community agencies.
  • Fundamental knowledge of medical and mental health diagnoses, disabilities, and treatment procedures. This includes acute, chronic, and traumatic illnesses/injuries; common medications and their effects/side effects; and medical terminology.

GS-11
Experience and Licensure.
Appointment to the GS-11 grade level requires completion of a minimum of one (1) year of post-MSW experience equivalent to the GS-9 grade level in the field of health care or other social work-related settings, (VA or non-VA experience) and licensure or certification in a state at the independent practice level.

Education.
In addition to meeting basic requirements, a doctoral degree in social work from a school of social work may be substituted for the required one (1) year of professional social work experience in a clinical setting.

In addition to the experience above, candidates must demonstrate all of the following Knowledge, Skills, and Abilities.
  • Knowledge of community resources, how to make appropriate referrals to community and other governmental agencies for services, and ability to coordinate services.
  • Skill in independently conducting psychosocial assessments and treatment interventions to a wide variety of individuals from various socio-economic, educational, and other backgrounds.
  • Knowledge of medical and mental health diagnoses, disabilities and treatment procedures (i.e. acute, chronic and traumatic illnesses/injuries, common medications and their effects/side effects, and medical terminology) to formulate a treatment plan.
  • Skill in independently implementing different treatment modalities in working with individuals, families, and groups who are experiencing a variety of psychiatric, medical, and social problems to achieve treatment goals.
  • Ability to provide consultation services to new social workers, social work graduate students, and other staff about the psychosocial needs of patients and the impact of psychosocial problems on health care and compliance with treatment.

Preferred Experience: Case Management Medical Care Coordination; Social work preferred experience in assessment and treatment of complicated psychosocial problems of Veterans. Social Work experience in assessment and treatment of psychosocial problems often at a time when the Veteran is experiencing crisis, including the provision of short term, solution focused counseling with Veterans and/or their families. Experience working with individuals of native veteran population, homelessness, hospice services, nursing home care, home health services, financial resources, VA benefits, and transportation services.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-9 to GS-11.

Physical Requirements: Montana VA Healthcare System Primary Care utilizes the Patient Aligned Care Team (PACT) model wherein the incumbent works alongside all primary care team members in an open teamwork area designed to enhance direct access. Clinical appointments are conducted in private consultation rooms, while documentation and other administrative duties are completed from within the teamwork milieu. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in insolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situation, able to shift priorities based on patient needs.

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: http://ope.ed.gov/accreditation/. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

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 applicant's 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.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Veterans Health Administration

Interested in a career that offers a true work-life balance? Look no further! The Montana VA Health Care System offers a balance of professional and clinical complexity that stimulates growth yet, it also allows the professional an opportunity to enjoy life outside of work.

If you are interested in a career that offers an integrated patient-centered approach while providing compassionate and state of the art care to Veterans, we welcome you to apply. By serving and honoring the men and women who are America's Veterans, we fulfill President Lincoln's promise, "To care for him who shall have served in our nation's military and for their families, caregivers, and survivors".

The Montana VA is located on the picturesque and historic 138 acres of Fort Harrison that adjoins the capital city, Helena, and serves as the halfway mark between Yellow Stone and Glacier National Parks. The area offers some of the best outdoors activities such as: hiking, biking, rock climbing, fishing, camping, boating, golf, skiing, snowmobiling, and hunting. The Helena area truly is an outdoors playground. Helena offers the perfect mix of social activity, modern businesses and family life making it an ideal location to start a career, raise a family, or ease into retirement.

The health care system offers a 50-bed general medical and surgical facility comprised of a broad range of acute, chronic, and specialized inpatient and outpatient services and is co-located with the VBA Regional Office.

Agency contact information

VISN 19 HR Contact Center
Phone
719-227-4600
Email
V19USAJOBS@VA.GOV
Address
Montana VA Health Care System
3687 Veterans Drive
Fort Harrison, MT 59636
US

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