Registered Nurse - Patient Flow - Inpatient Case Manager

Job Title

Major duties include, but are not limited to:

• Demonstrates clinical competence in the assessing, planning, services. He/she performs an initial and ongoing assessment of patients to identify needs, issues, resources, and care goals, and identifies critical factors for achieving desired outcomes for discharge.
• Functions as a systems coordinator for the plan of care; monitors progress through the expected hospital course and coordinates discharge planning with the patient and their physician team.
• Collaborates with the patient and care providers to evaluate and update changes in the management of the patient and the discharge plan.
• Advocates for fiscal responsibility in the management of care through effective utilization of resources.
• Establishes ongoing relationships with professional/health related groups within the community.
• Recognizes complex situations that impact patient care and intervenes using sound judgement, professional knowledge and appropriate conduits to resolve issues.
• Monitors length of stay in order to meet VHA and National Standards.
• Reverts to analytical thinking when dealing with events that are unexpected.
• Educates rotating resident physicians on the essential elements of discharge and the care coordination process.
• Provides support to the in-patient nursing unit(s) by coordinating outpatient home care.
• Initiates follow-up as needed.
• Focuses on problems, initiates referrals to other disciplines and/or services as appropriate.
• Accurately documents in the medical record patient findings, assessments, and care provided.
• Demonstrates and/or verbalizes correct responses to emergencies as well as initiates effective action in emergencies.
• Demonstrates understanding of infection control precautions appropriate for the patient population.
• Leads unit-based shared governance, performance improvement and safety initiatives.
• Pursues an education plan to maintain/improve knowledge in their case management and discharge planning nursing.
• Participates in educational activities to improve and maintain clinical knowledge and skills and enhance role performance.
• Leads others in the application of knowledge/skills in caring for patients.
• Assumes responsibility/accountability for evaluation of all delegated tasks and is self-directed in the identification of learning needs and development of individual performance plans.
• Initiates and utilizes positive, effective communication skills and professional behaviors that promote cooperation, teamwork, and effective interaction with internal and external customers.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards

Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: Various; that may include: both 8 and 12 hour shifts, days, nights, weekends, and holidays. Schedule will ultimately be determined by Supervisor and/or needs of the Facility.

Telework: Available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized