VA Central Iowa Health Care System is a multi-campus health care system, with approximately 1700 employees, providing primary care, acute medicine, surgery, behavioral health, nursing home and domiciliary care located on the main campus in Des Moines Iowa, as well as a staffed Community Based Outreach Clinics in Carroll, Fort Dodge, Knoxville, Mason City, and South Des Moines. GS-11 (Full Performance Level): 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.