**Overview** Social Worker (Substance Abuse) Joint Base San Antonio Time to invest in some new footwear because if you’re San Antonio-bound, you’d better _show up in boots_ ! The Alamo City is one of the military’s most envied postings and is often referred to as “Military City USA”. Low cost of living, affordable homes, and the lack of state tax on retirement income are a few financial perks to living and retiring in this Texas city. A robust job market that seems partial to government and defense/security contracting ensures employment opportunities for spouses or transitioning service members. San Antonio is the country’s seventh fastest growing city yet has somehow managed to retain a “small town feel.” Quality schools and friendly locals (most with military ties) are additional perks to living in San Antonio. Some things you should know before you get here: trucks are the norm (the bigger, the better), love for The Spurs (NBA) runs deep, the H-E-B obsession is real (it’s a grocery store), rodeos are life, and don’t call it “San Antone”—that’s just wrong. The community boasts a vibrant Hispanic population, and enhances everything from the food, to the music, to community events. You don’t necessarily need to speak Spanish to get around, but you’d better know how to say barbacoa, tamales, and cascarones. Name brand shopping (IKEA is the latest arrival of note), restaurants, and all variety of entertainment all add to San Antonio’s quality of life. SeaWorld, the San Antonio Zoo, Six Flags Fiesta Texas, and downtown museums are all fun outings for kids and families. Tube or kayak down a river, play or fish in the lakes, or relax by San Antonio’s famous downtown River Walk. Museums, art galleries, and historical landmarks— _remember The Alamo?_ —round out San Antonio’s cultural offerings. Tex-mex cuisine arguably originated here, and some up and coming culinary trendsetters are making a name for themselves in the Pearl District downtown, alongside several notable breweries. San Antonio has over 300 days of sunshine with some hot summers, mild winters and pleasant spring and fall seasons. San Antonio is in Bexar County (it’s pronounced “BEAR”) in south central Texas, and is just south of the gorgeous Hill Country. It’s only about two hours from Austin, the beach, or the desert. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. **Responsibilities** **MAJOR DUTIES:** Performs professional counseling and addiction medicine treatment in support of patients with an alcohol and substance abuse diagnosis. The incumbent handles cases that present multiple issues, and the need for more complex and long-term treatment. Requires advanced knowledge of the principles, concepts, procedures, and practices associated with substance abuse. The work also requires advanced knowledge, skill, and ability to interview patients, analyze psychosocial data, develop clinical treatment plans, and provide consultation and training. 1. Identification and Assessment: Use a broad range of professional knowledge of advanced concepts, principles, procedures, and practices relevant to the substance abuse program and addiction medicine outpatient program to conduct comprehensive substance abuse treatment of patients. Conducts evaluations of Soldiers, family members, retirees, and eligible Federal civilian employees referred for consultation from the individual, family members, commanding officers, supervisors, agents of the courts, and medical personnel; counsels patients on primary and secondary illnesses; integrates information in clear and concise manner in order to formulate accurate diagnostic impressions consistent with established criteria and Joint Commission standards; makes clinical assessments to inform treatment decision-making; advises commanders, supervisors, and referring providers as to patient's status, treatment needs, and prognosis where appropriate; performs analysis of data, develops findings, and tracks progress. Applies complex rehabilitation principles to conduct comprehensive substance use evaluations. Assesses primary and secondary problems to include behavioral health diagnosing. Applies regulatory guidance to meet program requirements. Collaborates with management/command officials to identify substance abuse issues. Collects data to evaluate treatment outcomes. Uses professional instruments to make assessments and evaluations. Counsels complex cases. Meets quality control goals and milestones. 2. Treatment and Rehabilitation: Holds primary case management responsibility for patients, using professional knowledge of outpatient and inpatient addiction medicine programs and alcohol and drug rehabilitation program concepts, principles, procedures, and practices and applies this knowledge to difficult and complex case assignments; develops new methods, approaches, or procedures to meet changing program requirements and patient needs; counsels patients on primary and secondary illnesses; prepares written findings and diagnoses in a detailed, clear, and concise manner; demonstrates knowledge and ability to make clinical assessments; prepares treatment plans that incorporate psychological theory and counseling techniques, and goals needed to restore patients to their normal work and social environment; provides strategic interventions, motivational interviewing techniques and crisis counseling for patients and families; provides family rehabilitation treatment services. Develops and implements comprehensive treatment plans. Conducts ongoing review of patient progress; evaluates and modifies treatment plans to meet changing needs. Uses specialized treatment techniques for amelioration of substance abuse. Provides individual, group, and family psychotherapy. Provides relapse prevention counseling. Provides crisis intervention counseling. Applies motivational interviewing strategies. Serves as consultant to managers/supervisors, commanders, medical personnel, and the extended garrison community concerning addictions medicine intensive outpatient programs and drug and alcohol rehabilitation and treatment. Develops therapeutic relationship with patients whose substance abuse and emotional problems vary in degrees of resistance to treatment, and in ethnic and socioeconomic backgrounds. 3. Case Management and Documentation: Holds primary case management responsibility for implementing complex treatment plans, arranging for required services with other providers and/or outside resources as needed. Case management complexity is intensified by the fact that many of the patients are resistant, uncooperative and have co-occurring (primary and secondary) diagnoses requiring close coordination with other resources (ex., health care professionals, legal services, workplace representatives, commanders). Documents case findings, diagnoses, and recommendations in a clear and concise manner. Applies professional knowledge of intensive outpatient programs and rehabilitation program concepts, principles, procedures, and practices to difficult and complex case assignments, developing new strategies and procedures as needed. Performs qualitative and quantitative analyses of pertinent data for evaluation of patient progress and for purposes of program evaluation. Uses word-processing and data management tools, as necessary. Documents case records consistent with clinical standards of care. Conducts peer review of case records. Adheres to established formats. Maintains confidentiality of records. Collects data and submits reports in a timely manner 4. Consultation, Training and Education: Develops and implements orientation and training for patients, medical staff, commanders and key unit personnel, supervisors, and in the community. May also provide training and/or supervision for graduate students, medical students, interns, and other healthcare professionals, using professional knowledge of general concepts, principles, procedures, and practices related to the addiction medicine outpatient and inpatient programs.. Provides instruction in areas of expertise, to include interviewing, communications, decision-making, problem-solving, and behavioral dynamics. Consults with commanders and supervisory personnel to improve identification and referral procedures. Develops and implements formal and informal training plans. Establishes instructional design of classes. Develops training evaluation criteria. Modifies training plans to accommodate changing target population and situations. Conducts formal and informal trainings. Ensures that all requirements for licensure and certification are maintained. Performs other duties as assigned. **Qualifications** **Basic Requirements:** US Citizenship required This is an inclement weather position. The incumbent is expected to make every attempt to report for duty on time and/or remain on duty during inclement weather conditions. Incumbent may be required to perform call duties; work overtime to include weekends and federal holidays, out of cycle, or unscheduled training or on an emergency basis. The work will require the incumbent to work evenings/nights, rotating shifts, extended hours or other schedules common to hospital operations. This position requires occasional TDY - 5%. This position has a mandatory seasonal influenza vaccination requirement and is therefore subject to annual seasonal influenza vaccinations. Applicants tentatively selected for appointment to this position will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations. ALL EMPLOYESS ASSIGNED TO A MTF ARE REQUIRED TO BE SCREENED FOR APPLICABLE IMMUNIZATIONS REGARDLESS OF SERIES, BASED ON OCCUPATIONAL RISK, AND ARE SUBJECT TO MISSING/REQUIRED IMMUNIZATIONS IAW AR 40-562, CHAPTERS 3 & 4. This position requires credentialing. Applicants tentatively selected for this position will be required to meet credentialing requirements. Valid state license as a clinical social worker. Incumbent will have to pass a pre-employment physical to meet Physical Efforts requirements. This position may require an annual physical or medical surveillance examination. This position requires the ability to lift 30 lbs. This position requires Basic Life Support training certification from, or in accordance with, the American Red Cross. Must obtain within 30 days of employment and maintain certification in Basic Life Support (BLS). Apply for this Job Online (https://careers-civilianmedicaljobs.icims.com/jobs/8559/social-worker-%28substance-abuse%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336268516) **Location** _US-TX-JBSA Fort Sam Houston_ **Job ID** _2025-8559_ **Recruitment Bonus** _Negotiable_ **Relocation Assistance** _Negotiable_ **Student Loan Repayment** _Negotiable_