Registered Nurse - Patient Aligned Care Team Care Manager

Summary Registered Nurse (RN) Patient Aligned Care Team Care Manager coordinates Veteran-centered care with Veterans, families, and the interdisciplinary team; supports care planning, discharge follow-up, and continuity of care; documents accurately in the electronic health record; advocates for patients; and participates in performance improvement, education, safety, and compliance activities. 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 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: 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 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 an 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 conditions. 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 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 III. OR an MSN with one year of specialized nursing experience equivalent to Nurse I – Level III. OR a Master’s 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 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 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: You will be asked to participate in a pre‑employment examination or evaluation as part of the pre‑employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. Duties Major duties include – coordinate Veteran-centered care with Veterans, family members, and the interdisciplinary team. Ensure accurate documentation and follow care coordination guidelines in the electronic health record. Promote positive clinical, financial, and psychosocial outcomes for assigned Veterans with chronic and acute diagnoses. Assist with post‑hospital planning by identifying community resources and evaluating nursing care needs. Integrate living conditions, family dynamics, and cultural background into the plan of care. Complete post‑discharge follow‑up contacts to support understanding of medications, instructions, appointments, and appropriate level of care. Advocate in the care management process by supporting decisions, clarifying options, and problem solving with the interdisciplinary team. Collaborate across the health care system and Community‑Based Outpatient Clinics to ensure continuity of care. Monitor, analyze, and evaluate care outcomes to identify barriers and improve patient care delivery. Provide nursing care for Veterans with a variety of health care needs and diagnoses while communicating effectively 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 401(k) with up to 5% contributions by VA; Insurance – Federal health, vision, dental, term life, long‑term care (many federal insurance programs can be carried into retirement); Licensure – one full and unrestricted license from any U.S. state or territory; Work Schedule – intermittently scheduled Monday‑Friday 08:00 am‑04:30 pm; Telework – not available; Virtual – this is not a virtual position; Relocation/Recruitment Incentives – not authorized; Permanent Change of Station – not authorized; The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well‑being and live their lives to the fullest. As an employee operating in a Whole Health System of care – you will operate in a model with three core elements – seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to honor America's Veterans by providing exceptional health care that improves their health and well‑being. #J-18808-Ljbffr