Registered Nurse - Telehealth Case Manager
Veterans Health Administration, Department of Veterans Affairs
Summary The VA Northeast Ohio Healthcare System is recruiting for a Registered Nurse Telehealth Case Management within Community Outpatient Services. Responsible for providing competent - evidence-based care to assigned patients. Provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings. Assists Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their complex health care needs. Qualifications Basic Requirements: 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 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 that 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.) Driver's License: Must possess a valid - unrestricted state driver's license Must have a safe driving record Must be medically qualified to operate the appropriate motor vehicle safely 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 An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;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 2 OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2 OR a Master's degree in nursing (MSN) and no additional professional nursing experience OR a Master's 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 3 OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3 OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3 OR a Doctoral degree in Nursing with no professional nursing experience OR a Doctoral degree in a *related field with a BSN with 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 Master's degree in *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 Preferred Experience: Primary Care Experience Home Telehealth Care Coordinator/Case Management Experience Mental Health Experience Telepresenter Experience Reference: For more information on this qualification standard - please visit Physical Requirements: This clinical position includes a level of physicality normally associated with direct patient care duties performed by nurses for potentially long periods of time This may include walking - standing - stooping - bending - sitting - reaching - pushing - and pulling It may include moderate lifting/carrying - not greater than 35 pounds following Safe Patient Handling and Mobility (SPHM) guidelines Employees are expected to employ proper body mechanics during lifting and seek assistance or use mechanical lifts for weights greater than 35 pounds following Safe Patient Handling Guidelines Requires adequate vision to accurately perform the assigned duties - distinguish basic colors and assess patients and the environment safely The position requires the ability to hear at a level to perform the assigned duties - and the use of hearing aids is permitted. Duties Provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings Assists Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their complex health care needs This includes - but is not limited to - acute - chronic - multiple - complex - catastrophic - or life-threatening illnesses combat stress - residuals of traumatic brain injury community adjustment addictions and other health problems Addresses psychosocial - as well as nursing and medical needs of patients and their families/caregivers - through participation in interdisciplinary patient care management practice Works in partnership with the Patient Aligned Care Teams (PACT)/Specialty providers - other healthcare professionals and team members - other clinics - internal or external services and agencies - and medical center leadership for their assigned panel of patients for effective disease and chronic care management to improve resource utilization (timely - appropriate - high quality - and cost effective care) Assumes responsibility for the coordination of care focused on patient transition through the continuum of care - patient and family education - patient self-management after discharge - and supporting factors that impact customer satisfaction Considers all characteristics of the individual - including age and life stages - state of health - race and culture - and previous experiences Administers medications and procedures per established policies and guidelines Responsible for collaboration with services internal and external to the VA to facilitate care transition in order to effectively meet the patient's needs Demonstrates leadership by serving as an advocate for the patients - team player to colleagues as she/he continues to enhance her/his own professional growth - development - and practice Promotes cost effective use of resources employing the most effective and least-expensive strategies to achieve assessment and expected outcomes in non-face-to-face approaches Coordinate care for the panel of patients through-out the continuum of care for a variety of conditions including but not limited to: Hypertension - congestive heart failure - chronic obstructive pulmonary disease - diabetes mellitus - post traumatic stress disorder - dementia - depression/anxiety - bipolar disorder - schizophrenia - weight management - and infectious diseases Assists with promotion of the Telehealth programs via case finding patients in collaboration with specialty services and PACT along with formal and informal recruitment efforts and outreach Actively participates in policy - procedures - and standards to promote and enhance evidence-based patient-driven care Provides a wide range of clinical and technical services to the veteran that demonstrates complex technical judgment in collaboration with an provider Facilitator and provides support and manages telehealth clinical encounters from the patients side location for video appointments for specialty services Serves as Telehealth Asynchronous Imager (Tele-Eye and Teledermatology Imager) Provides education and training on VA Video Connection/Video visits Subject matter expert on Telehealth equipment Frequent/Occasional Travel/Medical Clearance: This position requires operation of a Government-owned or leased motor vehicle to properly carry out assigned duties A valid state-issued driver license is required - along with medical Functional Statement: Nurse I Level 2 Page 6 clearance by Personnel Health Telehealth staff with RPM-HT only workload are classified as exception vs incidental operator/drivers and are not required pre-placement or periodic examinations Telehealth leadership will assist in identifying these staff 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 8am - 4:30pm Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized #J-18808-Ljbffr Veterans Health Administration, Department of Veterans Affairs
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