Medical Social Work

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Medical Social Work has no subcategories

    The structure of the services index and definitions of the terms contained herein were originally published in A Taxonomy of Human Services: A Conceptual Framework with Standardized Terminology and Definitions for the Field by the Information and Referral Federation of Los Angeles County, Inc., 3035 Tyler Ave., El Monte, CA 91731; Copyright (c) 1983, 1987, 1991. No part of this listing of human services terms and definitions may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electrical, mechanical, photocopying, recording or otherwise without the prior written permission of the Information and Referral Federation of Los Angeles County, Inc.

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    Taxonomy Code: LH-6300.5500

    Programs that provide support services for patients and their families during hospitalization and upon discharge, for people receiving outpatient services, for previous patients and for other people not previously associated with the facility who need the service. Included are consultation and the coordination of available services for the patient's continuing care at home or in a short or long-term care facility; or whatever other support may be needed to help resolve the logistical, social and psychological problems related to the illness.

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    There are 49 matching records.
    Service NameDescriptionLocationProgramAgency
    Affilia Home Health - HarrisburgServices provided for persons of all ages include: - Skilled Nursing: Provides wound care, pain management, infusion therapy, IV medication treatment and more. - Physical Therapy: Provides exercises to restore the ability to use senses during activities and teaches ways to compensate for impairments. - Occupational Therapy: Provides training to improve level of independence in performing activities of daily living. - Speech Therapy: Provides exercise to improve overall communication and swallowing abilities - Home Health Aides: Provide assistance with daily living activities in patient's home. - Medical Social Work: Provides emotional support and connects VNA patients to financial and community support. DauphinAffilia Home Health - HarrisburgAffilia Home Health
    Affilia Home Health - LancasterServices provided for persons of all ages include: - Skilled Nursing: Provides wound care, pain management, infusion therapy, IV medication treatment and more. - Physical Therapy: Provides exercises to restore the ability to use senses during activities and teaches ways to compensate for impairments. - Occupational Therapy: Provides training to improve level of independence in performing activities of daily living. - Speech Therapy: Provides exercise to improve overall communication and swallowing abilities - Home Health Aides: Provide assistance with daily living activities in patient's home. - Medical Social Work: Provides emotional support and connects VNA patients to financial and community support. LancasterAffilia Home Health - LancasterAffilia Home Health
    Affilia Home Health - ReadingServices provided for persons of all ages include: - Skilled Nursing: Provides wound care, pain management, infusion therapy, IV medication treatment and more. - Physical Therapy: Provides exercises to restore the ability to use senses during activities and teaches ways to compensate for impairments. - Occupational Therapy: Provides training to improve level of independence in performing activities of daily living. - Speech Therapy: Provides exercise to improve overall communication and swallowing abilities - Home Health Aides: Provide assistance with daily living activities in patient's home. - Medical Social Work: Provides emotional support and connects VNA patients to financial and community support. BerksAffilia Home Health - ReadingAffilia Home Health
    Allentown VA Outpatient ClinicVeterans outpatient clinic. Services include primary care, audiology, dental care, dermatology, gynecology, podiatry, rehabilitation services, smoking cessation, social work and mental health services. No emergency services at this location. Must submit an application and be approved before receiving any services. Volunteer opportunities are available. LehighAllentown VA Outpatient ClinicUnited States Department of Veterans Affairs
    Calcutta House - AIDS Health and Social ServicesCalcutta House provides a variety of services to residents living with AIDS that are individualized based upon each person's need for care and support. Our nursing care conforms to Federal guidelines established by the U.S. Department of Health and Human Services. Client services provided by Calcutta House include: Round-the-clock nursing and home health aide services assist each resident with: - activities of daily living (bathing, dressing, eating, etc.) - housekeeping and laundry services - obtaining and administering prescribed medication - conferring with residents' primary care providers to assess changes in medical status and administer appropriate timely care and treatments - managing and keeping medical appointments - accessing additional prescribed medical services (physical therapy, hospice, etc.) - health education - recovering from and/or coping with physical disabilities - ongoing care assessments, treatment planning and monitoring Social services staff (full time social workers, life-skills counselor, addiction/recovery support staff, consulting psychiatrist) are available to provide each resident with: - assistance with accessing services and benefits for which they are eligible - referrals to case management and behavioral health services - social and therapeutic activities (individual and groups) - goal-oriented life-skills and educational support services - psychological and psychiatric consulting services - access to spiritual and holistic support services (on- and off-site) - family support services - assistance in seeking alternative and appropriately supportive or long term housing - 3 nutritious meals each day - snacks and nutritional supplements as needed - therapeutic and recreational activities program including, therapeutic massage, arts and crafts programs, in-house celebrations, and trips to cultural and social activities like movies, plays, concerts, picnics, shopping, bowling, bingo, sports events, etc. Transportation to medical appointments and activities is provided to residents.PhiladelphiaCalcutta House - Philadelphia; North PhiladelphiaCalcutta House
    Clarion Forest VNA - Social ServiceSocial Worker works closely with the patient and family to resolve such difficulties whenever possible.ClarionClarion Forest VNAClarion Forest VNA
    Community Nursing and Home Health, Inc. In Home Medical Social WorkSupport services provided for patients and their families in their homes upon discharge from a medical famility.CambriaCommunity Nursing and Home Health, Inc.Community Nursing and Home Health, Inc.
    Darling's Home CareProviding in-home medical care for individuals. Services include: Skilled Nursing: Wound Care, IV/Antibiotic Therapy, Medication Education, Chronic Disease Management, Diabetes Management, Pain Management, Catheter Care; Physical Therapy: Fall Prevention, Rehabilitation, Safety In All Activities; Occupational Therapy: Home Modification, Independent in Activities of Daily Living; Speech Therapy: Speech Concerns, Swallowing Issues, Cognitive Changes; Medical Social Work: Counseling for patients & families with social, emotional, and economic challenges that medical conditions pose. Provides care within 24 hours of discharge, 24/7 on call nursing staff, next day and weekend therapy for joint replacement patients.WarrenDarling's Home CareDarling's Home Care
    Delaware Valley Community Health - Social Work ServicesServices including referrals, insurance eligibility and prescription assistance are offered at the health centersPhiladelphiaDelaware Valley Community Health (DVCH) - Fairmount Primary Care Center - Philadelphia; FairmountDelaware Valley Community Health
    Delaware Valley Community Health - Social Work Services - Maria de los SantosServices including referrals, insurance eligibility and prescription assistance are offered at the health centersPhiladelphiaDVCH - Maria de los Santos Health CenterDelaware Valley Community Health
    Delaware Valley Community Health - Social Work Services - NorristownServices including referrals, insurance eligibility and prescription assistance are offered at the health centersMontgomeryDVCH - Norristown Regional Health CenterDelaware Valley Community Health
    Evangelical Community Hospital - Case Management/Social Services - Medical Social WorkUnionEvangelical Community Hospital - Case Management/Social ServicesEvangelical Community Hospital
    Family First Health - Caring TogetherServices include: - Primary HIV medical care - Pharmaceutical counseling - Nutritional services - Medical case management - Nurse care management - HIV outreach & education - Safe sex supplies - Dental care - Behavioral health care - Therapy groups - Assistance with prescription drugs - Referrals for drug/alcohol treatment - Assistance with applying for disability benefits - Financial assistance for eligible clients Provides assistance in obtaining the following: - Nutritional supplements - Food/delivery of food - Transportation - Affordable handicap accessible housing - Clothing/household supplies - Nursing care/IV drug treatment at home - Help/home with housekeeping, laundry, meal preparation, bathing and dressing - Medical supplies, (hospital bed, wheelchair, etc.) - Hospice care - Legal assistance - Clinical drug trials YorkFamily First Health - George Street CenterFamily First Health
    Home Health Care, Visiting Nurse Association of Hanover & Spring GroveThe VNA of Hanover & Spring Grove provides home health care to people experiencing an acute illness, recent hospitalization, surgery or accident. Our nurses, therapists, social workers and home health aides provide a range of services including: Nursing Care Medication Management Rehabilitation Services Social Work Services Home Health Aides Telehealth YorkVisiting Nurse Association of Hanover & Spring GroveVisiting Nurse Association of Hanover & Spring Grove
    Home Nursing Agency Home Health Care, State College OfficeServing all ages, Home Nursing Agency is the region’s only homecare agency offering patient education, innovative technologies, and specialized pediatric and adult services, as well as: •Nursing care •Physical therapy •Occupational therapy •Speech therapy •Nutrition services •Social services •Specialized wound care •IV and chemo therapy •Pediatric specialty care •Daily monitoring of vital signsCentreHome Nursing Agency Windmere Drive State College PA OfficeHome Nursing Agency
    Medical Social Work ServicesOur Medical Social Work services help clients of all ages and their families manage the emotional, social, environmental and financial concerns associated with illness through counseling, long-term planning, education and referrals for benefits and entitlements, community resource linkage, placement and housing referral advocacy, discharge planning and brief care-focused family counseling. Our Medical Social Workers are Masters Degree prepared in Social Work with health care experience. Additionally, they are required to participate in multiple yearly inservices and continuing education programs. They actively participate in professional organizations and advisory councils. Berks Visiting Nurse Association is a field supervisory site for local universities. Supervision is performed by a licensed MSW with many years of experience and ACSW accreditation.BerksBerks Visiting Nurse AssociationHome Health Care Management
    Medical Social Work ServicesOur Medical Social Work services help clients of all ages and their families manage the emotional, social, environmental and financial concerns associated with illness through counseling, long-term planning, education and referrals for benefits and entitlements, community resource linkage, placement and housing referral advocacy, discharge planning and brief care-focused family counseling. Our Medical Social Workers are Masters Degree prepared in Social Work with health care experience. Additionally, they are required to participate in multiple yearly inservices and continuing education programs. They actively participate in professional organizations and advisory councils. Berks Visiting Nurse Association is a field supervisory site for local universities. Supervision is performed by a licensed MSW with many years of experience and ACSW accreditation.BerksGreater Lehigh Valley Visiting Nurse AssociationHome Health Care Management
    Medical Social Work ServicesOur Medical Social Work services help clients of all ages and their families manage the emotional, social, environmental and financial concerns associated with illness through counseling, long-term planning, education and referrals for benefits and entitlements, community resource linkage, placement and housing referral advocacy, discharge planning and brief care-focused family counseling. Our Medical Social Workers are Masters Degree prepared in Social Work with health care experience. Additionally, they are required to participate in multiple yearly inservices and continuing education programs. They actively participate in professional organizations and advisory councils. Berks Visiting Nurse Association is a field supervisory site for local universities. Supervision is performed by a licensed MSW with many years of experience and ACSW accreditation.Berks*Main Site (Home Health Care Management, Inc.)Home Health Care Management
    Medical Social Work ServicesOur Medical Social Work services help clients of all ages and their families manage the emotional, social, environmental and financial concerns associated with illness through counseling, long-term planning, education and referrals for benefits and entitlements, community resource linkage, placement and housing referral advocacy, discharge planning and brief care-focused family counseling. Our Medical Social Workers are Masters Degree prepared in Social Work with health care experience. Additionally, they are required to participate in multiple yearly inservices and continuing education programs. They actively participate in professional organizations and advisory councils. Berks Visiting Nurse Association is a field supervisory site for local universities. Supervision is performed by a licensed MSW with many years of experience and ACSW accreditation.BerksVisiting Nurse Association of Pottstown and VicinityHome Health Care Management
    New Bloomfield Office - Visiting Nurse AssociationProvides skilled nursing services including wound care, diabetic instruction, medication management, and intravenous therapy; maternal child health programs; physical, occupational, and speech therapies; Hospice program; medical social services; home health aides; educational programs; flu vaccine clinics; and blood pressure screenings.PerryVisiting Nurse Association of Central Pennsylvania (New Bloomfield)Visiting Nurse Association of Central Pennsylvania, Inc.
    Northampton County Outpatient ClinicVeteran's outpatient clinic. Services include primary care, routine lab tests, patient education, social work services. No emergency services at this location. Must submit an application and be approved before receiving any services. Volunteer opportunities are available.NorthamptonNorthampton County Outpatient ClinicUnited States Department of Veterans Affairs
    Reading Hospital - Care/Case Management Service DepartmentNursing case management and medical social work assistance for hospitalized patients and their families in need of post-hospital planning to post acute level of care resources within the healthcare continuum and linkage with community based services.BerksReading HospitalTower Health
    Sacred Heart Visiting NursesProvides general home medical services, including skilled nursing, physical therapy, occupational therapy, speech therapy, social services and home health aide services. Also provides palliative care and hospice care in patients' homes.LehighSacred Heart Visiting Nurses and HospiceSacred Heart Health Care System
    Slate Belt Visiting NursesServices: - Home health aid service - Medical social worker - Occupational therapy - Physical therapy - Skilled nursing - Speech therapy NorthamptonSlate Belt Visiting NursesSlate Belt Visiting Nurses
    UPMC Altoona Medical Social WorkMedical social work.BlairUPMC Altoona Medical Social WorkUPMC Altoona
    Upper Dauphin Office - Visiting Nurse AssociationProvides skilled nursing services including wound care, diabetic instruction, medication management, and intravenous therapy; maternal child health programs; physical, occupational, and speech therapies; Hospice program; medical social services; home health aides; educational programs; flu vaccine clinics; and blood pressure screenings.DauphinVNACPA - Upper Dauphin OfficeVisiting Nurse Association of Central Pennsylvania, Inc.
    Veterans Administration Medical Center Wilkes-BarreMedical center provides a range of services for veterans. Services include visual impairment services team (VIST), women's health, geriatrics and extended care, mental health services, dental care, bereavement support, medical equipment, palliative care, outpatient services, pharmacy, primary care, rehabilitation and prosthetics and specialty care. LuzerneVeterans Administration Medical Center Wilkes-BarreUnited States Department of Veterans Affairs
    Veterans Health Administration, Altoona - James E. Van Zandt DuBois Veterans Outpatient ClinicOffers the following medical services:
    • Behavioral Health,
    • Laboratory Services,
    • Nutrition Services,
    • Preventive Care,
    • Primary Care,
    • Social Work Services,
    • Tobacco Cessation,
    • Prescriptions: Routine prescriptions processed through the mail.
    ClearfieldVeterans Health Administration, Altoona - James E. Van Zandt VA Medical CenterUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, Altoona - James E. Van Zandt State College Veterans Outpatient ClinicThe James E. Van Zandt VA Medical Center in Altoona, PA provides medical services to veterans in 14 counties. In addition to our main facility in Altoona, we offer services in three community based outpatient clinics. A Community Based Outpatient Clinic (CBOC) is a VA-operated clinic or a VA-funded or reimbursed health care facility or site that is geographically distinct or separate from the parent medical facility. The James E. Van Zandt Veterans Outpatient Clinic in State College offers the following medical services:
    • Behavioral Health,
    • Laboratory Services,
    • Nutrition Services,
    • Preventive Care,
    • Primary Care,
    • Social Work Services,
    • Tobacco Cessation,
    • Prescriptions: Routine prescriptions processed through the mail.
    CentreVeterans Health Administration, Altoona - James E. Van Zandt VA Medical CenterUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, Altoona - James E. Van Zandt VA Medical CenterThe James E. Van Zandt VA Medical Center in Altoona, PA provides medical services to veterans.BlairVeterans Health Administration, Altoona - James E. Van Zandt VA Medical CenterUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, Camden, NJ Community Based Outpatient ClinicThe Community Based Outpatient Clinic located in Camden, NJ provides primary care and behavioral health services for Veterans in Camden, NJ and surrounding areas by highly qualified primary care providers, with specialty care referrals to the Philadelphia VA Medical Center. Free parking is available to visitors at the One Cooper Plaza Parking Garage. The clinic is also easily accessible through the NJ public transit system. Speciality Clinics operating at this location include Podiatry and Social Work, as well as blood drawing services. The clinic is handicapped accessible providing full and easy access for all Veterans.Veterans Health Administration, Philadelphia VA Medical CenterUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, Gloucester County, NJ Community Based Outpatient ClinicThe Community Based Outpatient Clinic located in Sewell, NJ provides primary care services for Veterans in Southern New Jersey by highly qualified primary care providers, with specialty care referrals to the Philadelphia VA Medical Center. It also provides behavioral health services including individual, group and family counseling, and programs such as QuitSmart Smoking Cessation. Speciality Clinics operating at this location include: Optometry, Audiology, Cardiology, Driver's Rehab, Women's Health, Social Work services, as well as blood drawing. The clinic is handicapped accessible providing full and easy access for all Veterans.Veterans Health Administration, Philadelphia VA Medical CenterUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, Joint Base McGuire-Dix, NJ Community Based Outpatient ClinicThe Community Based Outpatient Clinic located at the Joint Base McGuire-Dix provides primary care services for Veterans in Burlington County, NJ and surrounding areas by highly qualified primary care providers, with specialty care referrals to the Philadelphia VA Medical Center. It also provides behavioral health services including individual, group and family counseling, and programs such as QuitSmart Smoking Cessation. Speciality Clinics operating at this location include Podiatry, Women's Health, as well as blood drawing services. The clinic is handicapped accessible providing full and easy access for all Veterans.Veterans Health Administration, Philadelphia VA Medical CenterUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Butler Healthcare - Clarion County VA Outpatient ClinicA Community Based Outpatient Clinic (CBOC) is a VA-operated clinic or a VA-funded or reimbursed health care facility or site that is geographically distinct or separate from the parent medical facility. VA Butler’s Clarion County VA Outpatient Clinic delivers care consistent with that received at our main facility. We recognize that a high percentage of our Veterans are better served close to their homes, and we appreciate the opportunity to offer the high quality care associated with VA Butler Healthcare, to all of our Veterans and their Services available: Registration, primary care, physical exams, tobacco cessation counseling, Coumadin clinic, routine laboratory, Tele-Health, Tele-Derm, Tele-Retinal Diabetic Eye Exams, Tele-MOVE!, nutrition, Women’s health care, social work services, palliative care, outpatient behavioral health services.ClarionVeterans Health Administration, VA Butler HealthcareUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Butler Healthcare - Cranberry Township VA Outpatient ClinicVA Butler Healthcare provides comprehensive medical care to Western Pennsylvania and Eastern Ohio-area Veterans. Veteran care includes primary, specialty, and mental health care, as well as health maintenance plans, management of chronic conditions, preventive medicine needs and social support services. Serves America’s Veterans at main campus as well as at five VA Primary Care Outpatient Clinics in Armstrong, Southern Butler County (Cranberry Township), Clarion, Lawrence and Mercer Counties. A Community Based Outpatient Clinic (CBOC) is a VA-operated clinic or a VA-funded or reimbursed health care facility or site that is geographically distinct or separate from the parent medical facility. Services available: Registration, primary care, physical exams, tobacco cessation counseling, pharmacy counseling, Coumadin clinic, routine laboratory, Tele-Health, Tele-Derm, Tele-Retinal Diabetic Eye Exams, Tele-MOVE!, nutrition, Women’s health care, social work services, palliative care, outpatient behavioral health services, and transportation assistance.ButlerVeterans Health Administration, VA Butler HealthcareUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Butler Healthcare - Lawrence County VA Outpatient ClinicVA Butler Healthcare provides comprehensive medical care to Western Pennsylvania and Eastern Ohio-area Veterans. Veteran care includes primary, specialty, and mental health care, as well as health maintenance plans, management of chronic conditions, preventive medicine needs and social support services. We proudly serve America’s Veterans at our main campus as well as at our five VA Primary Care Outpatient Clinics in Armstrong, Southern Butler County (Cranberry Township), Clarion, Lawrence and Mercer Counties. A Community Based Outpatient Clinic (CBOC) is a VA-operated clinic or a VA-funded or reimbursed health care facility or site that is geographically distinct or separate from the parent medical facility. VA Butler’s Lawrence County VA Outpatient Clinic delivers care consistent with that received at our main facility. We recognize that a high percentage of our Veterans are better served close to their homes, and we appreciate the opportunity to offer the high quality care associated with VA Butler Healthcare, to all of our Veterans and their families in Lawrence County. Services available: Registration, primary care, physical exams, tobacco cessation counseling, pharmacy counseling, Coumadin clinic, routine laboratory, Tele-Health, Tele-Derm, Tele-Retinal Diabetic Eye Exams, Tele-MOVE!, nutrition, Women’s health care, social work services, palliative care, podiatry, outpatient behavioral health services, and transportation assistance.LawrenceVeterans Health Administration, VA Butler HealthcareUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Butler Healthcare - Michael A. Marzano VA Outpatient Clinic (Mercer County)VA Butler Healthcare provides comprehensive medical care to Western Pennsylvania and Eastern Ohio-area Veterans. Veteran care includes primary, specialty, and mental health care, as well as health maintenance plans, management of chronic conditions, preventive medicine needs and social support services. We proudly serve America’s Veterans at the main facility in Butler, PA as well as at our five VA Primary Care Outpatient Clinics in Armstrong, Southern Butler County (Cranberry Township), Clarion, Lawrence, and Mercer Counties. A Community Based Outpatient Clinic (CBOC) is a VA-operated clinic or a VA-funded or reimbursed health care facility or site that is geographically distinct or separate from the parent medical facility. VA Butler’s Armstrong County VA Outpatient Clinic delivers care consistent with that received at our main facility. We recognize that a high percentage of our Veterans are better served close to their homes, and we appreciate the opportunity to offer the high quality care associated with VA Butler Healthcare, to all of our Veterans and their families in Armstrong County. Services available: Registration, primary care, physical exams, tobacco cessation counseling, pharmacy counseling, Coumadin clinic, routine laboratory, Tele-Health, Tele-Derm, Tele-Retinal Diabetic Eye Exams, Tele-MOVE!, nutrition, Women’s health care, social work services, palliative care, outpatient behavioral health services, and transportation assistance.MercerVeterans Health Administration, VA Butler HealthcareUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Pittsburgh Healthcare System - HJ Heinz Campus: Social Work ProgramThe HJ Heinz Community Living Center (CLC) Social Work Program provides comprehensive social work interventions to those patients and caregivers within the Community Living Center setting including: long-term care, short-term rehabilitation, dementia specialty care and hospice. Services include: comprehensive assessment and discharge planning, patient/caregiver education, psychosocial support, crisis intervention, grief counseling, and assistance with medical decision-making. Social Work facilitates referrals to both VA and community resources to maximize post-discharge support for patient and caregivers. Social Work also provides a wide range of clinical support services within respite programs. The H.J. Heinz Social Work Program also works closely with the outpatient, behavioral health and acute care social work programs to facilitate a smooth transition for veterans moving within various levels of care to more fully meet their care needs. AlleghenyVA Pittsburgh Healthcare SystemUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Pittsburgh Healthcare System - Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn ProgramVA Pittsburgh Healthcare System's Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) Program provides priority health care and benefit assistance to veterans even if they are on active duty or an activated member of the National Guard or Reserve. OEF/OIF/OND assures that returning combat veterans experience a seamless transition from the Department of Defense (DoD) to VAPHS. This includes coordination with a wide range of VAPHS clinics and programs including medical, surgical, behavioral and outreach services. The OEF/OIF/OND program provides social work case management for seriously injured and/or polytrauma veterans, in addition to veterans wishing to voluntarily participate in case management services. Case management is provided to assist the veteran in navigating the various VAPHS programs and community resources. A transition patient advocate will assist service members transitioning to veteran status engage in and navigate VA health care, serving as an advocate and resource for veterans in the OEF/OIF/OND clinic. AlleghenyVA Pittsburgh Healthcare SystemUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Pittsburgh Healthcare System - Primary Care Social Work Program: University Drive/HeinzSocial workers in primary care are a part of the VA Patient Aligned Care Team (PACT) initiative which involves a comprehensive approach to care in conjunction with other medical center disciplines. Social workers provide comprehensive clinical social work intervention with patients, families, and caregivers. Types of interventions include, but are not limited to, psychosocial support intervention, crisis intervention, risk assessments, advance directive education and preparations, resource identification/linkage (both VA and non-VA), placement procurement into nursing homes for those patients requiring skilled care, respite placements, transportation resources, assistance with homeless needs and advocacy within the VA system for our patients. AlleghenyVA Pittsburgh Healthcare SystemUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Pittsburgh Healthcare System - Transplant Program CoordinatorVA Pittsburgh Healthcare System's Transplant Program Coordinator's primary focus is social work to help veterans achieve the goal of a successful transplant. This includes helping the veteran and their families to understand the non-medical problems, challenges„ and changes that transplant brings. The transplant social worker provides support, education, and counseling throughout the transplant process and completes a thorough psychosocial evaluation of the candidate’s emotional, social, housing and financial resources that may adequately support or not support a successful transplant. They counsel the veterans and their families before, during and after the transplant. The transplant social worker is an important member of the transplant team, attending transplant clinics, selection committee meetings and multidisciplinary meetings. It is also the responsibility of the transplant social worker to arrange lodging in the community for both the veteran and their families and to keep monthly lodging reports. AlleghenyVA Pittsburgh Healthcare SystemUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Pittsburgh Healthcare System - University Drive Campus: Home Based Primary CareVA Pittsburgh Healthcare System's Home Based Primary Care program (HBPC) provides primary and tailored health care and skilled nursing services for the home bound, chronically ill, and frail elderly Veteran population within Allegheny County The HBPC interdisciplinary team provides medical and psychiatric care, nurse case management, clinical social work services, rehabilitation services, dietician and pharmacy services. All interventions are designed to meet the Veterans' individual needs in order to allow them to remain in their homes and manage their chronic disease processes. Veterans who cannot safely live alone must have a caregiver who is willing and available to assist in their care. HBPC program provides:
    • Medication management,
    • Anticoagulation management,
    • Chronic disease management,
    • Oxygen safety evaluations,
    • Home safety evaluations,
    • Primary care,
    • Caregiver support,
    • Psychology services,
    • Physical therapy,
    • Occupational therapy evaluations for adaptive equipment,
    • Nutritional support.
    AlleghenyVA Pittsburgh Healthcare SystemUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, VA Pittsburgh Healthcare System - University Drive Campus: Social Work ProgramVA Pittsburgh Healthcare System's University Drive Social Work Program provides comprehensive social work interventions to those patients and caregivers within the acute care setting including: medical, surgical, intensive care units, and the emergency department. Services include: comprehensive assessment and discharge planning, patient /caregiver education, psychosocial support, crisis intervention, grief counseling, and assistance with medical decision making. Social Work Facilitates referrals to both VA and community resources to maximize post discharge support for patient and caregivers. Social Work also provides a wide range of clinical support services within the Same Day Procedures Unit, 23 Hour Observation Unit, Rainbow Team, Radiation/Oncology, Infectious Disease, Spinal Cord Injury, Renal, GEM, the Transplant Program, Primary Care, Physical Medicine and Rehabilitation Program, VIST/Low Vision Program, and within inpatient and outpatient behavioral health programs. AlleghenyVA Pittsburgh Healthcare SystemUnited States Department of Veterans Affairs - Veterans Health Administration
    Veterans Health Administration, Victor J. Saracini Community Based Outpatient Clinic (Montgomery County)The Community Based Outpatient Clinic located in Horsham, PA provides primary care services for Veterans in Montgomery County, PA and surrounding areas by highly qualified primary care providers, with specialty care referrals to the Philadelphia VA Medical Center. It also provides behavioral health services including individual, group and family counseling, and programs such as QuitSmart Smoking Cessation. Speciality Clinics operating at this location include Podiatry and Social Work, as well as blood drawing services. The clinic is handicapped accessible providing full and easy access for all Veterans. MontgomeryVeterans Health Administration, Philadelphia VA Medical CenterUnited States Department of Veterans Affairs - Veterans Health Administration
    Visiting Nurse Association of Central Pennsylvania (Harrisburg) - Visiting Nurse AssociationProvides skilled nursing services including wound care, diabetic instruction, medication management, and intravenous therapy; maternal child health programs; physical, occupational, and speech therapies; Hospice program; medical social services; home health aides; educational programs; flu vaccine clinics; and blood pressure screenings.DauphinVisiting Nurse Association of Central Pennsylvania (Harrisburg)Visiting Nurse Association of Central Pennsylvania, Inc.
    VNA Health System - Medical Social WorkNorthumberlandVNA Health SystemVNA Health System
    WellSpan Health - Lebanon - WellSpan VNA HomecareProvides skilled nursing care, home health aides, physical, and occupational therapy, IV therapy, wound and ostomy care, and phlebotomy services in home.LebanonWellSpan Health - Lebanon - WellSpan VNA HomecareWellSpan Health
    WellSpan VNA Home Care - GettysburgProvides part-time, skilled, intermittent home health services that have been ordered by a physician and are medically necessary to the treatment of an illness or injury. Provides care for people of all ages-from infants to children and adults-recovering from an injury or recuperating from an illness. All services are provided in the comfort and privacy of the patient's own home. Services may include: •Skilled nursing care •Home health aides •Physical, occupational and speech therapy •IV therapy •Wound and ostomy care •Phlebotomy services •Social services •Nutritional counseling •Patient education •Lifeline AdamsWellSpan VNA Homecare - GettysburgWellSpan Health
    WellSpan - VNA Home Care - YorkProvides part-time, skilled, intermittent home health services that have been ordered by a physician and are medically necessary to the treatment of an illness or injury. Provides care for people of all ages-from infants to children and adults-recovering from an injury or recuperating from an illness. All services are provided in the comfort and privacy of the patient's own home. Services may include: •Skilled nursing care •Home health aides •Physical, occupational and speech therapy •IV therapy •Wound and ostomy care •Phlebotomy services •Social services •Nutritional counseling •Patient education YorkWellSpan VNA Homecare - YorkWellSpan Health

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