Registered Nurse - Transitional Community Care (TCC) Coordinator

Transitional Community Care RN CoordinatorThe TCC RN is responsible and accountable for indirect patient care by facilitating and coordinating Veteran care needs through collaboration with community providers and TCC Nurse Practitioner. Duties of the Transitional Community Care RN Coordinator include but are not limited to:Conducts assessment of Veteran needs based on thorough review of clinical records obtained from community facilities.Coordinates a discharge plan of care that may require obtaining additional information from community providers to provide safe transition to home or Cleveland VAMC.Maintains patient confidentiality and privacy during interactions. Adheres to established information security policy and procedures.Supports patient advocacy in ethical issues and adheres to medical center policy regarding ethics and Advanced Directives.Participates in the identification and reporting of patient safety risks to the appropriate facility leadership.Identifies and reports potential deficiencies in process, making recommendations for improvement.Enters TCC E-Consult/Note initiationEnters Primary Care Provider appointment request, if needed (as a Return-to-Clinic order)Prosthetics/Durable Medical Equipment coordinationFor Social Work-driven requests, enters RN portion of GECEnters HBPC request, if neededEnters Geri Vet request, if neededCoordinates virtual face-to-face visit with patient, if neededCoordinates ID provider-to-provider report for Home IV antibiotics, if neededEnters Travel Consults, when neededTracks patient data/Transitional Community Care team actionsReviews Home IV antibiotic packet for completion, and emails to VA Infectious Disease teamAssists with coordinating patient transfer to the Cleveland VAMC when indicatedVA offers a comprehensive total rewards package: VA Nurse Total RewardsPay: Competitive salary, regular salary increases, potential for performance awardsPaid 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 VAInsurance: 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 territoryWork Schedule: Monday-Friday; 8:00am-4:30pmTelework: Not AvailableVirtual: This is not a virtual position.Relocation/Recruitment Incentives: Not AuthorizedPermanent Change of Station (PCS): Not Authorized