Social Work (Program Coordinator)

Summary

The incumbent practices at the advanced social work level, providing both program coordination and direct clinical practice. This involves implementing, managing, and evaluating an interdisciplinary care coordination framework aimed at improving outcomes for high-need, high-risk Veterans, as well as provide comprehensive biopsychosocial assessments, intervention, treatment planning, and case management for Veterans receiving primary care through the Patient Aligned Care Team (PACT).

Duties

VA Careers - Licensed Clinical Social Worker: https://youtube.com/embed/U_xC25QsN0w Total Rewards of a Allied Health Professional The purpose of this position is to strengthen the medical center's ability to provide integrated, patient-centered, and coordinated care for Veterans with complex medical, behavioral health, and psychosocial needs as well as ensure that the Care Coordination and Integrated Case Management (CCICM) framework is implemented consistently, with oversight of policy adherence, training, and monitoring of care coordination standards. The position will also provide accessible, high-quality PACT social work services, addressing psychosocial barriers that impact health outcomes and reduce duplication of services, enhance communication among clinical programs, and improve care transitions throughout VHA's continuum of care. The position operates throughout the Veterans Health Administration (VHA) healthcare system, serving Veterans across outpatient and inpatient environments. Work may occur in PACT - providing direct clinical social work services as part of an interdisciplinary primary care team. Work may also occur within CCICM Program Infrastructure - collaborating with nursing counterparts, specialty care teams, navigators, case managers, and facility leadership. This position also works with the Care Coordination Review Team (CCRT) - co-leading interdisciplinary meetings focused on moderate- and high-complexity Veterans and will also utilize virtual modalities including Tele-Social Work and Tele-Mental Health, as required by national VHA standards. This role requires flexibility in working across multiple clinics and service lines, with duties occurring in offices, primary care settings, specialty clinics, and virtual platforms. CCICM Program Coordination - 50% -Leads implementation, coordination, and management of the CCICM framework, ensuring alignment with national guidance and accreditation standards through the following: - Collaborates with nursing leadership to develop, monitor, and evaluate CCICM operations - Identifies and monitors high-need Veteran cohorts requiring coordinated, integrated case management - Ensures integration with facility-wide care coordination teams, navigators, and specialty programs for seamless continuity of care - Provides oversight of CCICM education initiatives for staff and Veterans - Co-coordinates CCRT activities and assigns Lead Coordinators - Manages CCICM-related data tracking, reporting, and quality improvement activities PACT Social Work Services - 50% - Provides direct clinical social work services to PACT patients, including assessment, treatment planning, intervention, and follow-up - Participates in daily PACT huddles and interdisciplinary collaboration to support population health efforts - Provides crisis intervention, resource navigation, and solution-focused social work services - Ensures adherence to suicide prevention protocols, including Columbia-Suicide Severity Rating Scale (CSSRS), Comprehensive Suicide Risk Evaluation (CSRE), safety planning, and required documentation - Addresses psychosocial barriers impacting access, adherence, and overall health outcomes - Collaborates with medical, nursing, and behavioral health staff to support high-quality, Veteran-centered care This position functions at the GS-12 advanced practice level, requiring specialized experience, advanced licensure, and the ability to provide clinical supervision. The scope of work includes program coordination, administration, advanced clinical services, interprofessional leadership, and integrated case management. Work Schedule: Monday through Friday, 8 AM to 4:30 PM Recruitment/Relocation Incentives (Sign-on Bonus): May be authorized for highly qualified candidates Pay: Competitive salary and regular salary increases 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: ADHOC- May be available for highly qualified candidates Virtual: This is not a virtual position. Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized

Qualifications

***Recruitment Incentive (Sign-on Bonus): May be authorized for highly qualified candidates*** NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until October 28, 2026. The initial cut-off date for referral of eligible applications will be August 17, 2026, with subsequent cut-off dates on the 1st of each month. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Basic Requirements. The basic requirements for employment as a VHA social worker are prescribed by statute in 38 U.S.C. § 7402(b)(9), as amended by section 205 of Public Law 106-419, enacted November 1, 2000. To qualify for appointment as a social worker in VHA, all applicants must meet the following: Citizenship: Be a citizen of the United States. 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. Current state requirements may be found by going to http://vaww.va.gov/OHRM/T38Hybrid/. 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. Grade Determinations: GS-12 Social Worker (Program Coordinator). (1) 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-master's 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. (2) 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. [(3) Demonstrated Knowledge, Skills, and Abilities. In a