Registered Nurse - Home and Community Based Services Case Manager

In this role, you'll ensure Veterans receive quality home and community-based services. Lead compassionate, patient-centered care while collaborating with interdisciplinary teams. Apply your clinical skills to a mission-driven team that values your leadership and dedication to Veterans.This is an indirect patient care position. All patient interactions are completed via medical record, telephone, or other electronic means.This is an open continuous announcement that will remain open until May 18th, 2026 or all vacancies are filled. Qualified applicants will be considered and referred on a regular basis as vacancies exist.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.VA 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 territoryThe Registered Nurse - Home and Community Based Services (HCBS) Case Manager is responsible for coordinating the review and disposition of HCBS consults. These consults include Provider Agreement, Patient Centered Care Coordination (PC3), and Community Care referrals. Reviews consults, collaborates with the Community Care provider and administrative support staff to ensure timely and correct processing of consults and Request for Services (RFS) forms. Evaluates resources and trends to support continuous improvement of resource utilization and management of Community Care expenditures. Serves as the primary point of contact for clinical questions associated with HCBS.Additional duties of the RN HCBS Case Manager include, but are not limited to:Uses knowledge of VISN 23 HCBS and VA programs to organize delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning.Applies advanced nursing clinical knowledge/judgement to promote staff involvement in planning, decision making, and evaluating Veteran needs and outcomes.Coordinates care for veterans receiving both internal VA and community based home and community based services including but not limited to skilled home care, personal care services, adult day health care, and respite care. This includes close collaboration with other connected internal VA programs including but not limited to caregiver support program, inpatient care, outpatient services, Veteran Directed Care, Home Based Primary Care, Bowel and Bladder, and other programs.Evaluates current practice and formulates outcomes for groups of patients and/or organizational processes within an area of expertise.Works with interprofessional team members at VISN and facility levels to ensure services and eligibility determinations are delivered objectively with strong, consistent reliability with documentation and communication of outcomes in a direct and coordinated manner.Conducts comprehensive clinical review of patient records to identify the presence of veteran medical necessity for services.Evaluates and documents veteran progress and changing needs.Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care.Performs other duties as assigned.Work Schedule: Monday through Friday 0800-1630Telework: Not AuthorizedVirtual: This is not a virtual position.Relocation/Recruitment Incentives: Not AuthorizedPermanent Change of Station (PCS): Not Authorized