Nurse - Community Care Coordinator

Summary

The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse (RN) for a Community Care Coordinator position - aligned under the Chief of Staff service.

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.) 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
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
• Transferring patients and objects may be required
• Mechanical inpatient lifts are provided
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures - or home settings
• 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
• Must complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment
• The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.

Duties

• The Registered Nurse - Community Care Coordinator works closely with all providers and other healthcare professionals and team members both in internal and external services to assure timely - appropriate and high quality patient care
• Duties include - but are not limited to: Provides direct staff support as well as oversight to the VA Community Care program in planning - designing - integrating - implementing - modifying - and evaluating the effectiveness of program components and services to improve the quality of patient care and the appropriateness and timeliness of services provided
• Facilitates and coordinates services between providers of the VAAAHS and non-VA providers in the local community for outpatient and inpatient care that cannot be provided by the VA - or cannot be provided due to access
• Processes consults utilizing clinical judgment - VACC processes - and VA guidelines and resources
• Works collaboratively with fellow RN coordinators in Community Care along with supportive medical staff to ensure timely care occurred in the community
• Care coordination of episodes of care in the community will be done within the guidelines set forth by the office of Community Care
• Functions independently within his/her scope of practice and demonstrates decision making capacity
• Applies the nursing process to systems or processes at the unit/team/service level to improve care
• Determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care
• Recognizes subtle changes in patient's condition and responds timely - choosing the correct interventions
• Demonstrates evidence of critical thinking skills in identifying - analyzing - and resolving patient care problems
• Initiates and implements an interdisciplinary plan of care using ongoing assessment of patient condition and response to treatment
• Provides leadership in establishing goals - evaluating the plan of care - and in discharge planning
• Initiates referrals to other disciplines and/or services as appropriate
• Accurately documents in the medical record patient findings - assessments - and care provided
• Effectively functions as the charge nurse - team leader - or in other leadership role that guides and directs others who provide patient care
• Uses a team approach to identify - analyze - and resolve patient care problems that result in improved patient outcomes
• Practices with compassion and respect for the inherent dignity - worth - and uniqueness of every individual - unrestricted by considerations of social or economic status - personal attributes - or the nature of health problems
• Safeguards patient privacy and maintains confidentiality of all electronic and printed patient information according to HIPAA guidelines - the Privacy Act - and as stated in the Medical Center Memo on ADP Security
• Identifies potential and actual problems involving resources and/or safety
• Takes action to avert or manage the situation in a manner which meets the needs of patients in a safe/therapeutic manner by assessing staffing allocation - equipment supply levels - and directing the flow of patient care
• Consults with other disciplines for post-discharge care
• Complies with safety rules and regulations for work practices
• Acquires knowledge and skills to maintain expertise in area of practice
• Participates in educational activities to improve clinical knowledge and enhance role performance
• Participates in establishing - maintaining and improving healthcare environments Demonstrates positive effective communication skills and professional behaviors that promote cooperation and teamwork 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 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 7:30am to 4:00pm Compressed/Flexible: Not Available Telework: Ad-Hoc Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Available Permanent Change of Station (PCS): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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