Senior Social Worker BHIP Care Coordinator
Veterans Health Administration
Posted: March 30, 2026 (3 days ago)
Added to FreshGovJobs: April 2, 2026 (0 days ago)
Posted recently. We are still expanding our coverage, so we added it a bit late. Still worth applying!
Veterans Health Administration
Department of Veterans Affairs
Location
Salary
$67,570 - $106,285
per year
Type
Full-Time
More Healthcare & Medical jobs →Closes
Base salary range: $21,996 - $27,534
Typical requirements: No experience required. High school diploma or equivalent.
Note: Actual salary includes locality pay (15-40%+ depending on location).
This job involves helping veterans and their families navigate medical, mental health, and social challenges by providing counseling, assessments, and connections to community resources during transitions in care.
It also includes short-term case management and teaching social work students.
A good fit would be someone with a passion for supporting veterans, strong counseling skills, and experience working in team settings with diverse groups.
The Transitional Patient Advocate will provide a variety of psychosocial assessments and education, advocacy, brief case management services, coordinating linkages with appropriate VA and community service providers, short-term supportive counseling and family services with individual Veterans and families who are experiencing a variety of psychiatric, medical, and social challenges, along with instructing social work students.
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.
HPTs who are on track to graduate/complete the requirements should respond as if they have met the requirements. Provide details in the narrative sections of the assessment.
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: Must be proficient in written or spoken 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.
Current state requirements may be found by going to http://vaww.va.gov/OHRM/T38Hybrid/.
Exception: 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.
May qualify based on being covered by the Grandfathering Provision (only applicable to current VHA employees who are in this occupation and meet the criteria).
Please see the Additional Information Section of this announcement for details.
Preferred Experience: Experience with crisis intervention and risk management Experience working with interdisciplinary teams Experience with outreach and collaborating with veteran service organizations.
Experience working with multiple databases for medical documentation Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met for each grade level.
GS-09: None beyond the basic requirements.
In addition to the experience above, the candidate must demonstrate all of the following Knowledge, Skills and Abilities (KSAs): (a) Ability to work with Veterans and family members from various socioeconomic, cultural, ethnic, educational, and other diversified backgrounds utilizing counseling skills.
(b) 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.
(c) 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.
(d) Ability to establish and maintain effective working relationships and communicate with clients, staff, and representatives of community agencies.
(e) 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.
Individuals assigned as GS-9 grade level social workers are considered to be at the entry level and are closely supervised, as they are not yet functioning at the independent practice level conferred by independent licensure or certification.
Social workers at the GS-9 entry level are typically assigned to program areas that do not require specialized knowledge or experience.
GS-11: Experience and Licensure: Appointment to the GS-11 grade level requires completion of a minimum of one 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, OR, 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 year of professional social work experience in a clinical setting.
In addition to the experience above, candidates must demonstrate all of the following KSAs: (a) Knowledge of community resources, how to make appropriate referrals to community and other governmental agencies for services, and ability to coordinate services.
(b) Skill in independently conducting psychosocial assessments and treatment interventions to a wide variety of individuals from various socio-economic, cultural, ethnic, educational and other diversified backgrounds.
(c) 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.
(d) 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.
(e) 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.
This is the full performance level. Social workers at this level are licensed or certified to independently practice social work.
Incumbents are assigned to all program areas, including but not limited to: inpatient or outpatient medicine, surgery, mental health, neurology, rehabilitation medicine, and geriatrics.
Experience is only creditable if it is obtained following graduation with a master's degree in social work and if it includes work as a professional social worker directly related to the position to be filled.
Qualifying experience must also be at a level comparable to social work experience at the next lower level Reference can be found at the VA Qualification Repository, VA Qualifications Standards - Office of the Chief Human Capital Officer (OCHCO) GS-0185, Social Worker Qualification Standard, dated 9/10/2019.
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: A pre-placement examination will be required to be able to determine if the incumbent is able to safely operate a government vehicle.
The following requirements must be met: distant vision 20/40 in one eye with or without correction, field of vision 70 degrees, ability to distinguish red, green and amber, whispered voice at five feet, or average hearing loss of not greater than 40 dbs.
at 500, 1000 and 2,000 Hz. Major Duties:
Total Rewards of a Allied Health Professional Independently evaluates the situations of Veterans and family members/significant others and arrives at a reasoned conclusion.
Interprets and explains VA's treatment and benefit programs. Provides comprehensive case management services to OEF/OIF/OND Veterans referred to the program.
Determines eligibility for services, completes needs assessment, develops a comprehensive care plan, identifies resources and referrals, and coordinates and monitors services.
Coordinates care with other healthcare professionals, including but not limited to physicians, psychiatrists, nurses, chaplains, pharmacists, and other social workers.
Identifies those who are at high-risk and in need of acute mental health care and a further mental health evaluation.
Assist veterans in coping with acute illness, chronic illness, combat stress, residuals of traumatic brain injury (TBI), community adjustment, addictions, and other health and mental health problems.
Works with patients and families who are experiencing a variety of psychiatric, medical and social problems.
Independently provides crisis management and develops psychosocial treatment plans in coordination with interdisciplinary team members, including goals for psychosocial clinical treatment.
Provides ongoing and supportive counseling to Veterans and, when appropriate, their families, caregivers, or significant others.
Independently identifies high-risk patients and provides crisis intervention services.
Completes suicide risk screens C-SSRS and completes and documents assessments within the timelines and guidelines of the EPVAHCS Suicide Prevention SOP as required.
Provides psychoeducation and interventions regarding a variety of mental health, medical and psychosocial problems.
When appropriate and feasible, conducts education and encourages the Veteran/family to advocate on own behalf, thus fostering a sense of independence and empowerment.
Participates and assists in planning and executing outreach events for the purpose of providing education and expedited access to enrollment in VA health care.
Coordinates referrals/consults for non-institutional services such as HBPC, hospice, transitional and supportive housing, and skilled and non-skilled homecare services in collaboration with the interdisciplinary team members.
Provides education on VA entitlements, eligibility, services, and programs, as well as community resources for medical and mental health needs.
Educates and refers Veterans - and when appropriate, their families, caregivers, and significant others - to relevant VA or community-based programs and interdisciplinary team members.
Manages the evaluation of the professional services provided. Devises methods of obtaining data and evaluates data to determine the effectiveness of treatment.
Identifies consistent qualities of successful treatment and of failed treatment. Modifies services to best meet the treatment needs of Veterans and to promote efficient practice.
Coordinates Social Work services with other services offered in the treatment program, assuring such services are complementary and comprehensive.
Provides case management services to those Veterans at high social or medical risk, serving as the liaison to other treatment programs.
Work Schedule: Fulltime, Monday thru Friday 08:00 AM to 4:45 PM Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases.
When setting pay, a higher step rate of the appropriate grade may be determined after consideration of existing pay, higher or unique qualifications, or special needs of the VA (Above Minimum Rate of the Grade).
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).
Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience.
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: Ad-hoc Virtual: This is not a virtual position.
Functional Statement #: Senior Social Worker (Transition Patient Advocate) Permanent Change of Station (PCS): Not authorized
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