Social Worker - Patient Aligned Care Team (PACT)

Summary

The PACT Social Worker provides Veteran-centered primary care focused on prevention, health promotion, education, care coordination, clinical services, and chronic disease management. They support Veterans across various primary care areas, help set Specific, Measurable, Achievable, Relevant, and Time-bound (SMART) goals, and deliver comprehensive services using their training and VA/STVHCS policies.

Duties

Please note that duty stations include : Audie L. Murphy Memorial Veterans' Hospital, 7400 Merton Minter Boulevard, San Antonio, TX 78229-4404 Northeast Bexar VA Clinic 2391 Northeast Loop 410 Suite 309 San Antonio, TX 78217 North West San Antonio VA Clinic, 9939 State Highway 151, San Antonio, TX 78251-1900 Shavano Park VA Clinic, 4350 Lockhill-Selma Road, Suite 200, San Antonio, TX 78249-2166. Major Duties include but are not limited to: - Assist PACT Veterans in navigating care, accessing services, and ensuring follow-up with the PACT team. - Serve as liaison between VA providers and community agencies. - Complete psychosocial assessments and coordinate care, linking Veterans and families with needed resources. - Identify caregiver/family stressors and provide interventions or referrals; determine appropriate case-management level. - Assess at-risk Veterans in crisis, evaluate needs, and initiate safety plans. - Build and maintain professional relationships within VA and community partners. - Provide consultation to staff on Social Work programs. - Educate Veterans on obtaining a PACT provider and using VA services (VVC, MyHealtheVet, Whole Health, Community Care). - Conduct assessments via phone, VVC, or in person. - Provide case management for high-acuity or high-need Veterans (e.g., high CAN scores). - Protect Veteran privacy and confidentiality per policy. - Assess and document signs of abuse, neglect, exploitation, or intimate partner violence. - Participate in facility, VISN, or community committees and work groups. - Demonstrate knowledge of PACT roles, homelessness factors, discharge planning, and community placement options. - Facilitate timely community placements with Veterans, families, and interdisciplinary teams. - Provide consultation to treatment teams on psychosocial factors affecting care and compliance. - Educate Veterans on VA benefits, services, and community/governmental resources. - Promote and complete Advance Care Planning and Advance Directives. - Respond to consults within required timeframes using multiple care modalities. - Follow suicide-risk procedures including C-SSRS, CSRE, Safety Plans, and SBOR completion. - Participate in peer review, case conferences, or research to evaluate Social Work practice. - Support telework, clinic coverage, and care for unassigned Veterans as needed. - Perform additional duties as assigned. Work Schedule: Monday - Friday, 7:30 a.m. - 4: 00 p.m. or 8:00 a.m. - 4:30 p.m. Telework: Ad-hoc telework may be available as determined by the agency policy. Virtual: This is not a virtual position. Functional Statement #: PD53794-F and PD53793-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements

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. Pre-Employment Physical: May be required, depending on the needs of the organization 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 and evaluation

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.

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/. NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application. NOTE: If your school was accredited by the Council on Social Work Education (CSWE) at the time of graduation but is no longer listed on the CSWE website, you must provide documentation of accreditation with your application packet.

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 10/16/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/13086278. 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.

Required documents

To apply for this position, you must provide a complete Application Package which includes: Long-form resume/Curriculum vitae (CV) The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc. Cover Letter DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) License Long-form resume/Curriculum vitae (CV) Other (1) PCS Orders Performance Appraisal Professional Certification Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Transcript Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference. Veterans' preference does not apply for internal or other current permanent Federal agency employees.

Additional information

Preferred Experience: GS-9: Fully licensed at a Master's level Former VA Trainee Prior experience in similar role or with population served GS-11: EBP Certification Prior experience in similar role or with population served Clinical supervision certification Quality or utilization management experience Former VA Trainee 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-09 to GS-11. 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.