The incumbent will determinate appropriate level of case management being offered based on Veterans level of acuity for Veterans psychosocial circumstances; Completes assessments timely for at-risk Veterans in crisis to identify immediate needs, evaluate risk, and initiate safety plans in consultation with their supervisor; Establish and maintain professional interactions and relationships with stakeholders both within the VA and the community; Act as a consultant to other team/staff members in regard to different Social Work program areas; Provide education for the Veteran on how to get assigned a PACT provider; Complete assessments via phone, VVC, or face to face; Provide case management to Veterans with high care assessment need (CAN) scores or other complex needs; Uses clinical social work skills and knowledge to maintain Veteran privacy and confidentiality per policies, handbooks or directives; Assess and document identified behaviors or symptoms of abuse, neglect, exploitation and/or intimate partner violence; Serve on committees, work groups, and task forces at the facility and/or Veterans Integrated Service Network (VISN) level and/or in the community; Knowledge of the PACT team approach and the role of each health and allied health care team members, as well as an understanding of the role of the Social Worker in the PACT model. Duties may include but are not limited to: The incumbent has the primary responsibility to assist PACT Veterans with navigating care, facilitating access to care, and follow-up with the PACT team to ensure appropriate care is being provided; Serves as the liaison between community agencies and VA providers; Complete psychosocial assessments and coordinate care to facilitate the most appropriate delivery of health care services, while linking the Veteran and/or their families with services, resources and opportunities in order to maximize their knowledge, independence, health and well-being; Identifies family/caregiver stressors and conducts assessments and provides specific interventions or referrals on their behalf.