Description
The Department of Veterans Affairs Palo Alto Health Care System (VAPAHCS) is seeking a contractor to provide geriatric services as part of its Community Based Health Care for Homeless Veterans (HCHV) program. The contractor will provide supportive medical, mental health, and rehabilitative case management services to high-needs geriatric homeless Veterans. The services will be provided on-site at the location where the Veteran resides, and the contractor will work with involved agencies to facilitate timely access to housing for Veterans enrolled in the program. The contractor will also provide medication reminders, prompting, medication education, and assistance with organizing medication as therapeutically indicated. Some key responsibilities include:
• Facilitating room and board for Veterans
• Providing dietetic services, including access to food and nutrition education
• Ensuring access to laundry facilities
• Providing case management services, including counseling on self-care skills and financial planning
• Coordinating with the VA Liaison to ensure Veteran's goals are reflected in the Individual Care Plan (ICP)
• Providing medical case management services, including scheduling medical appointments and providing customized education for medical diagnosis and medication management
• Facilitating connections to non-VA entities and coordinating care and transportation for Adult Day Health Centers and other Geriatric Services
• Providing housing support and coordination to a higher level of care if needed
The contract is for a one-year period with no option periods, and the contractor will be required to maintain a minimum staffing ratio of one dedicated, full-time, on-site primary daytime medical and/or nursing case manager per a maximum of 12 Veterans.