TBI Recovery Support Specialist

Jun 14, 2017
Jul 17, 2017
Full Time
The TBI Recovery Support Program serves to assist, advise and support service members, veterans, National Guard/reservists and their families in finding and accessing TBI and psychological health clinical care, supportive services and information across the spectrum of care, with particular emphasis as they enter the rehabilitation stage of care, and/or reintegrate back to duty or return to the civilian community. Provide emotional support and advocacy so that patients can focus on their recovery and return to full, productive lives. Provide information about TBI resources, trainings, and research to TBI case managers and providers as they meet the clinical needs of TBI patients.


    TBI Recovery Support Specialist (RSS) Position Summary and skill set:
S/he is responsible for screening regional inquiries and providing assessment, direction to appropriate support and recovery services, education and emotional support to assigned caseload of active duty Service members, veterans, Guard/Reservists and their families with TBI.   Collaborates with DoD, Military, VA & civilian providers, agencies, organizations & groups to facilitate continuity of care and optimal patient outcomes. S/he will assist in the development and/or maintain a current comprehensive resource bank of medical and non-medical TBI services and programs that are available for the Service Member with TBI and their families. TBI resources will include military, VA, and civilian services/organizations. Provides care referral documentation in record systems.


Primary Responsibilities:

Responsible for screening regional inquiries and providing assessment, referral and education services to assigned caseload of active duty Service members and veterans with TBI (and co-morbid conditions) and their families, especially during periods of transition or re-integration. Provides follow-up for a population of active duty Service Members and veterans with TBI who reside within, PCS to, or retire within the regional catchment of the TBI RSS. Assesses patients’ needs, collaborate with patients’ system of care and intervene to make appropriate follow-up referrals as patients move through transition pointsSecures, organizes and documents standardized patient information for the identified population using appropriate and approved documentation and record keeping systems. Collaborates with DoD, VA & civilian providers, agencies, organizations & groups to facilitate continuity of care and optimal patient outcomes.Provides support, information and appropriate referrals for family members.Responds to requests and provide consultation and information regarding TBI resources in your region.Assists in the development and maintains a current comprehensive resource bank of medical and non-medical TBI services and programs that are available for active duty, Reserve, National Guard, and veteran populations and their families within a 50 mile radius of site. TBI resources will include military, VA, and civilian services/organizations.Conducts training and presentations related to TBI and care coordination to healthcare provider, leadership and other groups as needed.Participates in professional activities, including providing educational training and attending professional conferences on behalf of DVBIC.Develops professional relationships with MTFs, VAs and civilian providers within the catchment area to facilitate resource development and referrals.Develops and maintains relationships with state brain injury associations and other relevant organizations within the catchment area.Develops and maintains professional relationships with DoD assets and Veterans Administration assets within the catchment area.Local responsibilities will be determined by the site director in conjunction with the national care coordination manager, but will not impede the ability of the RSS to complete primary regional care coordination responsibilities.Local responsibilities will be limited to activities that are relevant and parallel to regional responsibilities. 

Non Primary Responsibilities:                                                                                                            

    Other duties consistent with the above responsibilities.


Position Requirements:

Knowledge, Skills and Abilities: Excellent oral and written communication skills required. Ability to communicate effectively with varied audiences (patients with TBI, family members, health care and case management professionals, military and administrative staff) required. Must be proficient with a multitude of Windows based, email and internet computer applications. Ability to present educational materials to varied audiences required. Excellent organizational and time management skills required. Demonstrates accountability for practice through planned and continuous professional growth. S/he must adhere to legal, professional and ethical codes with respect to confidentiality and privacy.

Minimum Education/Training Requirements: BSN for Nurses, Masters Level for Social Workers, Counselors and related fields. CCM, CBIS or other Case Management Certification preferred. Experience within clinically appropriate systems of care may be accepted in lieu of educational minimums. Must maintain Continuing Education credit sufficient to maintain both their clinical license and to meet medical facility specific Quality Assurance standards for credentialing.

Minimum Experience: Minimum 3 years of case management and/or care coordination experience required. Experience in the care of patients with TBI – in-patient, out-patient, or rehabilitation settings or obtain Certified Brain Injury Specialists (CBIS) certification within 6 months from the date of employment is required. Minimum of 3 years of TBI experience preferred. Prior experience within the DoD/VA systems of care strongly preferred.

Required Licenses: Must have national certification, CBIS or license in their specialty.

For personal service employees, the Contractor employee must have and maintain a current license to practice in any one of the 50 states, the District of Columbia, Puerto Rico, Guam or the U.S. Virgin Islands, or any US territory that allows for the independent practice of clinical services. This license must be current and unrestricted (not subject to restriction pertaining to the scope, location, or type of practice ordinarily granted to other applicants for similar licenses in granting jurisdiction).  

Physical Capabilities: Must be able to sit and stand for long periods of time. Must be able to carry light items – up to 25 lbs. May encounter patients who are confused, agitated, or abusive.

Supervisory Responsibilities/Controls: None.

Work Environment: Office and clinical environment. May involve travel to DVBIC HQ, within DVBIC Network Sites, other Government agencies and to meeting venues. Must be available to travel locally, regionally and nationally.


RSS effectiveness/value assessed by:

1-Level of self-motivation/ Ability to perform without strict supervision

2-Maintaining “acceptable” count of achieved and more importantly attempted encounters (intakes and follow-ups). With implementation of WIIR, will be able to track numbers. Increased interaction from DVBIC HQ with clinic sites to monitor Performance and production    

2-Accurate and timely documentation

3-Evidence of marketing and promoting RSP

4-Compassion for and support of Stakeholders (client satisfaction questionnaire)

5- Ability to view clients holistically—go beyond just what client says/verbalized needs. Recognize possibility of emotional challenges and or existence of PH issues and direct to appropriate resources.


    Proposed Changes in program elements: Follow up after Intake will take place at 1 month or even sooner if situation with patient warrants. Expand service delivery to address co-morbid conditions that may exist, even if primary medical
         symptoms have resolved.

    Family members/caregivers can be identified patient independent of Service member. Marketing activity will be an element of assessment for employee review. Specialists will be expected to engage in collaboration and resource gathering within their
         immediate geographic area and extend out into their assigned regions.

    Establish a standard referral process for all service locations Establish a formal referral agreement at clinics outside of the network

Education 1. Associate's Degree in Nursing required.

 2. Bachelor's Degree in Nursing preferred.

 3. Registered Nurse Certification is required.

 4. Additional certifications and licenses may be required, depending on job assignment and location.

Qualifications Typically requires 5-8 years of related nursing experience.

  As a trusted systems integrator for more than 50 years, General Dynamics Information Technology provides information technology (IT), systems engineering, professional services and simulation and training to customers in the defense, federal civilian government, health, homeland security, intelligence, state and local government and commercial sectors.With approximately 32,000 professionals worldwide, the company delivers IT enterprise solutions, manages large-scale, mission-critical IT programs and provides mission support services.GDIT is an Equal Opportunity/Affirmative Action Employer - Minorities/Females/Protected Veterans/Individuals with Disabilities.