Registered Nurse - Care Coordination and Integrated Case Management (CC&ICM)

CCICM RN Position

The primary purpose of the CCICM RN is to provide coordination and direct clinical evidence based services including:

• Assessments and interventions
• Program development
• Veteran, family, caregiver and staff education on Care Coordination (CC) and Integrated Case Management (ICM)
• Resource development
• Community outreach
• Continuous quality improvement activities
• Evaluation/consultation

The CCICM Coordinator is administratively responsible, in collaboration with the CCICM Social Worker (SW), for the clinical programming and daily operations of the CCICM throughout the facility. They develop and implement policies and procedures to ensure compliance with the facility. The RN develops and implements policies and procedures specific to CVAMC and ensures compliance with local facility, VISN, Office of Nursing Service (ONS) and Care Management and Social Work (CMSW), and VA Central Office directives and handbooks, as well as the Joint Commission, and other accrediting bodies and regulatory standards as needed. The incumbent manages and controls the use of data related to these programs regarding day-to-day functioning and program evaluation. In conjunction with the Service Chief and/or supervisory designee and nursing counterparts, plans, organizes and directs administrative, operational, Veteran and personnel activities for the service. The RN CC&ICM Initiative Coordinator develops and implements a facility level framework for implementation of national standardized processes and tools that integrate communication, collaboration and coordination across services and programs to expand upon existing VHA program approaches and address concerns about care coordination service delivery gaps and service duplication. The responsibilities that fall under the RN CC&ICM Initiative Coordinator include but are not limited to the following tasks:

1. Identify cohort of Veterans across CVAMC with the highest opportunity and highest need.
2. Identify potential areas where care coordination is taking place to include but not limited to primary care, surgical care, mental health, community care, specialty clinics, geriatrics, and chronic disease. Integrate inpatient and outpatient care coordinators, care managers, and case managers for seamless continuity of care.
3. Develop, implement, and monitor process for ongoing screening of identified cohort.
4. Identify care coordinators and support services across the specialized services of HVAMC and ensure continued participation by setting expectations, clear roles and responsibilities.
5. Develop and implement facility wide CC&ICM education plan to key stakeholders to include Service Chiefs, supervisors/managers, frontline staff, and Veterans with plan for ongoing sustainment education plan.
6. Coordinate and collaborate with the facility level care coordination and case management teams to include but not limited to nurse and social worker navigators, care coordinators, care managers, and case managers.

VA offers a comprehensive total rewards package:

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: Monday thru Friday 7:30 A.M. to 4:00 P.M.

Telework: Not Available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized