Nurse (Community Care, Case Manager)-Intermittent

SummaryResponsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses - plans - implements - and evaluates the effectiveness of the Veteran's care. Supports delivery of high-quality - timely care to Veterans receiving services in the community - with a focus on patient education - self-management - and customer satisfaction throughout the continuum of care.QualificationsBasic Requirements:English Language ProficiencyIn 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 EnglishGraduate 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 programUpon 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 programCredit 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 ColumbiaGraduate 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/certificationGrade 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 gradeThe 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: https://apply.usastaffing.gov/ViewQuestionnaire/12967781Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competenciesAn Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing requiredNurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complexAn 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 requiredNurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planningSelf-directed in goal setting for managing complex client situationsAn ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2OR a Master's degree in nursing (MSN) and no additional professional nursing experienceOR a Master's degree in a *related field with a BSN and no additional professional nursing experienceNurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersA BSN with 2 years of professional nursing equivalent to Nurse I - Level 3OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Doctoral degree in Nursing with no professional nursing experienceOR a Doctoral degree in a *related field with a BSN with no additional professional nursing experienceNurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice settingMSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 IIIOR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 degreesReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Preferred Experience: Bachelor of Science in Nursing (BSN)Experience in care coordination - case management - or community careUtilization management and/or clinical documentation experienceStrong critical thinking and problem-solving skills.DutiesDuties The Community Care (CC) Nurse Case Manager (NCM) is responsible for executing a streamlined approach to receiving - triaging - and directing timely - coordinated careKey duties include: Clinical Practice & Decision-Making Demonstrates proficient practice and decision-making - deliberate planning - and critical thinking skillsAssesses - plans - implements - and evaluates the effectiveness of each Veteran's care using the full nursing processEvaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populationsFollows procedures per established policies and guidelinesCommunity Care Knowledge & Coordination Possesses in-depth 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 guidelinesUses 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 communityServes as a liaison to both internal and community providers - managing the care of the Veteran throughout the consult processCare Coordination & IVC Collaboration Works collaboratively within the Office of Integrated Veteran Care (IVC) to triage Requests for Services (RFS) and coordinate care processes as defined by the IVC Field GuidebookDevelops care coordination plans - reviews medical documentation from community providers - communicates care coordination needs - and supports the Veteran through the completion of the episode of careAssumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of careInterdisciplinary Collaboration & Outcomes Influences care outcomes by collaborating with members of the interdisciplinary team both within the VA and in the communitySupports 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 appropriately - and support the delivery of high-quality - timely careResponsible for documented outcomes at the program or service leveloutcomes must be broad and complex and can be demonstrated at any organizational level within a facilityCompliance & Health Information Complies with VA-mandated processes and utilizes health information solutions that serve to assess - document - exchange - and track care coordination informationUtilizes delegation of authority - if applicable - to function at the highest level of role performance and aligns high-quality care with key performance indicators to ensure practice standards meet patient care needsLeadership & Quality Improvement Executes position responsibilities that demonstrate leadership - experience - and creative approaches to the management of complex patient careActively participates in unit/program level quality improvement processes - initiatives - and customer service programsSupports colleagues and other nurses through knowledge sharing to provide safe - quality nursing careFosters a safe and supportive environment conducive to the professional development of health care professionalsVA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards 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 - 7:30 AM to 4:00 PM (actual hours will be determined by service needs) Telework: Not availableVirtual: This is not a virtual position.