Registered Nurse - Community Care Coordinator

Qualifications English Language Proficiency In accordance with 38 U.S.C. 7403(f) – no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE) OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program Upon achievement of a State license – the individual may be appointed on a temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program (Reference VA Handbook 5005 - Appendix G6) OR In cases of graduates of foreign schools of professional nursing – possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program Credit for foreign nursing education higher than associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD) Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e. Puerto Rico) of the United States – or the District of Columbia Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements – but do not possess the required licensure – may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120‑day temporary appointment while actively pursuing licensure (may be extended up to two years on a case‑by‑case basis). NOTE: Grandfathering Provision – All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: The following Scope – Education and Dimension criteria must be met in determining the grade assignment of candidates – and if appropriate – the level within a grade The Dimension requirements (Practice – Veteran/Patient Driven Care – Leadership – Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: Grade/Level Scope Education Nurse I – Level I delivers fundamental knowledge‑based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing – with no additional professional nursing required. Nurse I – Level II demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex needs. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I – Level I; OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I – Level III demonstrates proficiency in practice based on conscious and deliberate planning. Self‑directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I – Level II. OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I – Level II. OR a Masterʼs degree in nursing (MSN) and no additional professional nursing experience. OR a Masterʼs degree in a related field with a BSN and no additional professional nursing experience. Nurse II demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I – Level III. OR an MSN with one year of specialized nursing experience equivalent to Nurse I – Level III. OR a Masterʼs degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse I – Level III. OR a Doctoral degree in Nursing with no professional nursing experience. OR a Doctoral degree in a related field with a BSN and no additional professional nursing experience. Nurse III executes position responsibilities that demonstrate leadership – experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience – one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III. OR a Masterʼs degree in a related field with BSN and two years of specialized nursing experience – one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III. OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. OR a Doctoral degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Reference: For more information on this qualification standard – please visit Physical Requirements: Satisfactory physical examination as determined by the Employee Health Unit upon appointment only. The population of male and female veterans served ranges from the adult – age 18 – to the elderly adult – age 65 and over. The VA Medical Center is a major interdisciplinary teaching facility – serving medical – surgical – and neurological inpatients and outpatients. There is a large outpatient psychiatric population – with admissions for medical co‑morbidities. This position requires visual acuity (glasses permitted) – keen hearing (hearing aid permitted) – clear distinctive speech and manual dexterity. This position requires potentially long periods of continued walking (up to 8 hours) – standing (up to 8 hours) – stooping – sitting – bending (up to 8 hours) – pulling – and pushing. Light lifting under 15 lbs. Light carrying 15‑44 lbs. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. Use of rapid mental and muscular coordination simultaneously. The incumbent may occasionally be exposed to patients who are combative secondary to delirium – dementia – or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations – able to shift priorities based on patient needs. Duties Functions of Assigned Duties: The Nurse Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach to receiving and triaging within two days – and directing timely – coordinated care. The nurse demonstrates proficient practice and decision‑making – deliberate planning – and critical thinking skills. The CC Coordinator will self‑manage time to prevent idleness and maintain a productivity average of consult and care coordination notes of thirty‑five per day for eight‑hour and fifty per day for twelve‑hour shifts. The CC Coordinator possesses intimate knowledge of the internal referral care process – clinical review criteria – utilization management standards – clinical documentation requirements – community care regulations – and Veterans Health Administration (VHA) standards and guidelines. The CC Coordinator demonstrates knowledge and use of general business rules outlined in VHA Directive 1230 Outpatient Scheduling Management – VHA Directive 1232(5) – Consult Processes and Procedures and VHA Notice 2019‑09(2) – Minimum Scheduling Effort Requested for Outpatient Appointment – and Office of Integrated Veteran Care (IVC) Community Care Field Guidebook. The CC Coordinator uses nursing knowledge and systems theory to assess – organize – facilitate – and guide Veterans through their full range of care options including internal/direct care in Veterans Affairs (VA) and care in the community. In order to deliver high quality care – the CC Coordinator will maintain a consult accuracy score of ninety‑five percent or greater. The CC Coordinator serves as a liaison to both internal and community providers and is responsible for managing the care of the Veteran throughout the consult process. The CC Coordinator supports the medical center’s mission to improve timely access to care – ensure Veterans who want to receive care in the community are referred and scheduled into the community – and support the delivery of high quality – timely care to the Veteran receiving community services. The CC Coordinator will assess a Veteran’s care coordination needs utilizing the Screening Triage (S/T) tool within the Consult Toolbox (CTB). The S/T Tool will provide a care coordination level (basic – moderate – complex/chronic – or urgent) with recommended care coordination activities for the Veteran. The S/T Tool utilmately assigns the Veteran to one of four coordination levels – which are reflective of the intensity – frequency – duration and care coordination services required. The CC Coordinator will perform clinical review of the medical record to select the appropriate Standardized Episode of Care (SEOC) based on the order/referral for the clinically appropriate SEOC that outlines allowable services related to a specialty or sub‑specialty within two days. The CC Coordinator will work collaboratively within the Office of Integrated Veteran Care (IVC) to triage Request for Services (RFS) to coordinate care processes defined by the IVC Field Guidebook to include developing a care coordination plan – reviewing medical documentation from community providers – communication of care coordination needs – and supporting the Veteran through the completion of the episode of care. The CC Coordinator will influence care outcomes by collaborating with members of the interdisciplinary team both within the Veterans Affairs (VA) and in the community. The CC Coordinator will comply with VA‑mandated processes and use of health information solutions that serve to assess – document – exchange – and track care coordination information. 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: Monday – Friday 0800‑1630. Telework: Ad‑hoc – as determined by the agency. Relocation/Recruitment Incentives: Not Authorized. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact View email address on click.appcast.io – the EDRP Coordinator for questions/assistance. Learn more: Permanent Change of Station (PCS) – Not Authorized; PCS Appraised Value Offer (AVO) – Not Authorized. #J-18808-Ljbffr