Duties
The incumbent in this position independently provides an array of case management, longitudinal care coordination, and clinical psychotherapy/recovery services.
Direct clinical and associated administrative responsibilities include:
1. Comprehensive Case Management Assessment and Reassessments. The CM completes a comprehensive assessment of the concerns, needs, and preferences of the Veteran and their family or caregiver. The assessment includes elements such as military history, social supports, housing, transportation, education and employment, income and finances, and initial care plan. Subsequent reassessments/monitoring are created in collaboration with the Veteran, their family or caregiver, and interprofessional team, as clinically indicated. Assessments are documented in the EHR.
2. Goal(s) and Resource Identification. The CM identifies and prioritizes the Veteran and their family/ , as well as a resource assessment to identify available benefits, assistive options, and appropriate services and resources within and outside VHA. Resources may include existing natural supports, and internal skills and coping mechanisms.
3. Care Planning, Implementation, and Communication. The CM plans and implements a care plan through coordination and collaboration with the Veteran, the family or caregivers, and VHA and community providers. The CM will facilitate proactive, patient-centric communication and information sharing between the Veteran or Servicemember, their family or caregiver, providers, and other care team members.
4. Therapeutic Engagement and Psychosocial Intervention. The CM will engage, develop, and maintain therapeutic relationships with both the Veteran, families, and caregivers, utilizing resiliency-based, recovery-oriented, Veteran-centered communication and practice techniques (e.g., Health Education, Health Coaching, Shared Decision Making, Motivational Interviewing, Solution Focused Work, Psychosocial Problem Solving, Strength-Based work) as well as time-limited psychotherapy to facilitate progress, growth, and positive lifestyle changes. The CM provides emergency/crisis intervention services to outpatients experiencing acute psychological crises, helping to stabilize these individuals, assisting in the referral arrangements for transfer to a psychiatric facility for inpatient care if necessary and providing follow up care as needed.
5. Care Collaboration, Coordination, Referrals, and Transitions. The CM coordinates effective and timely referrals to ensure the appropriate level and type of care, working collaboratively with VA teams based in Eugene e.g., PACT, Home Based Primary Care, primary-care mental health integration, Whole Health, specialty substance abuse and PTSD, Suicide Prevention Coordinators, Local Recovery Coordinator, Veterans Justice Outreach, Housing and Urban Development Department of Veterans Affairs Supportive Housing; Health Care for Homeless Veterans; Grant and Per Diem, Transition and Care Management, Caregiver Support Program, APU, and MHRRTP), and other resources across VISN 20. The CM manages transitions of the Veteran to other VHA, DoD, other Federal, State, and local home and community-based services (to include the Office of Community Care).
6. Program and Outcome Evaluation. The CM uses CM best practice processes, procedures, tools, and templates in their work to allow for better tracking, monitoring, and reporting of quality and performance metrics.
7. Documentation. The CM completes all clinical charting and documentation accurately and in a timely manner as required by and according to procedures outlined by applicable accrediting organization, VHA, Medical Center, and Service policies.
8. Other duties as assigned.
Work Schedule: Monday-Friday, 8:00am-4:30pm
Recruitment Incentive (Sign-on Bonus): Authorized.
Permanent Change of Station (Relocation Assistance): Not Authorized.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact , the EDRP Coordinator for questions/assistance. Learn more
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)
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.
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: Not authorized for telework.
Virtual: This is not a virtual position.
Permanent Change of Station (PCS): Not Authorized.
How to Apply
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 02/12/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12668929.
- To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
- Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
To verify your application is complete, log into your USA JOBS account,
https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
Next steps
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.