Nurse (Care Coordinator)

SummaryThe Care Coordinator RN provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings. The Care Coordinator assists Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their health care needs including - but is not limited to - acute - chronic - complex - catastrophic - or life-threatening illnesses; combat stress - residuals of traumatic brain injury; addictions and other health problems.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/12928442Grade/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: Oncology experience2+ years RN experiencePreferred candidate has a BSN or higherCare coordination/Case management experiencePhysical Requirements: Moderate carrying (15-44lbs)Moderate carrying (15-44lbs)Use of fingersBoth hands requiredWalking (3 hours)Standing (4-6 hours)Repeated bending (2 hours)Both legs requiredAbility for rapid mental and muscular coordination simultaneouslyNear vision correctable at 13"" to 16"" to Jaeger 1 to 4Far vision correctable in one eye to 20/20 and to 20/40 in the otherBoth eyes requiredDepth perceptionAbility to distinguish basic colorsAbility to distinguish shades of colorsHearing (aid may be permitted)Mental and emotional stabilityEnvironmental Factors: Working closely with othersWorking alone.DutiesPortland is a port city in the Pacific Northwest and the most populous city in the U.S. state of OregonSituated in the northwestern area of the state at the confluence of the Willamette and Columbia riversPortland is known for having the amenities of a major city (such as an international airport - an efficient public transit system - major league sports teams and many museums and art galleries) and the charms of a small city (such as plentiful arts and crafts fairs - independent bookstores and local traditions like the annual Rose Festival Parade)Rain or shine - you can take advantage of the city's proximity to nature by playing in the Willamette River - wandering through lush public parks and gardens - biking the city's 162 miles (261 km) of bike lanes and hiking trails both within city limits and in the nearby Columbia River GorgeDuties include - but not limited to: Coordinates care with multiple providers across all levels and sites of careCoordination also includes assuring services interface within the Veterans Affairs (VA) and community programs to provide continuity of care to patientsAddresses psychosocial - as well as nursing and medical needs of patients and their families/caregivers - through participation with the interdisciplinary care teamCoordinates and expedites care from diagnosis to treatmentAnalyzes and manages laboratory and radiology results and provides information to the providersUtilizes databases to provide population management to track patient care through all episodes of careEvaluates care and outcomes to ensure timely and appropriate provision of servicesAdvocates for holistic care through patient/family education and provider interaction and implements an educational plan to meet the patient care needsCollaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelinesDemonstrates performance and leadership that is broad enough to improve the care for a group of patientsProvides peers with formal or informal constructive feedback for improvementSupports 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 professionalsEvaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populationsResponsible for the documenting broad and complex outcomes at the program or service level - that can be demonstrated at any organizational level within a facilityResponsible and accountable for all elements of the nursing process when providing and/or supervising direct patient careAssesses - plans - implements - and evaluates care based on age specific componentsAssumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of careFollows procedures per established policies and guidelinesInfluences care outcomes by collaborating with members of the interdisciplinary teamExecutes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex client careVA 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 0630-1700 Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual positionRelocation/Recruitment Incentives: May Be Authorized Permanent Change of Station (PCS): Not Authorized