Summary

The Registered Nurse Care Manager (RNCM) is a team member who provides comprehensive and coordinated nursing care to an assigned panel of patients. The RNCM collaborates with both VA services and community services - as appropriate - to effectively meet the health promotion or disease prevention - acute - chronic - and long-term needs - based on the Veteran's goals and plan of care with a focus on self- management.

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
• Preferred Experience: Patient Care Coordinator/Case Manager experience - 1 year Admissions/Dishcharge Coordinator Critical Care or Emergency Dept experiences - 1 to 3 years Acute Care/ Pact experiences - 2 to 3 years ANCC 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: https://apply.usastaffing.gov/ViewQuestionnaire/12698364
• 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 https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Incumbent must possess the mental and physical ability to satisfactorily perform the duties of the proposed assignment
• Physical requirements include visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• May involve potentially long periods of lifting - carrying - pulling - pushing - reaching above shoulder - walking - standing - sitting - kneeling - pulling - pushing - and repeated bending
• Transferring patients and objects may be required
• Safe patient handling equipment is 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 as a condition of employment.

Duties

• ***PLEASE NOTE THAT THIS ANNOUNCEMENT IS OPEN ONLY TO THE PUBLIC
• IF YOU ARE A PERMANENT VA EMPLOYEE - YOU SHOULD APPLY UNDER THE ANNOUNCEMENT CBTC-12680788-25-CB*** VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse (RN) Telehealth Care Coordinator works closely with providers and other healthcare professionals and team members - other clinics - internal or external services and community agencies
• Provides professional assessment - coordination and planning of multiple health care services
• acts on behalf of the veteran to assure that necessary clinical services are received and that progress is being made
• In addition - the Telehealth Care Coordinator provides ongoing evaluation of care management services
• This position is under the supervision of the Director of Primary Care and Nurse Manager of Telehealth who provides the administrative supervision and general instruction
• The RN Telehealth Care Coordinator demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• This person practices in the Outpatient area with responsibilities for reporting performance statistics to the program leadership
• Responsible for assessing their own and others performance - and reporting problems to the Lead Coordinator and the Nurse Manager
• Incorporates the OTS (Office of Telehealth Services) functional statement guidelines into current practice
• Meeting program performance goals is a prime responsibility
• The CCHT program works with any veteran enrolled at the Miami VA Healthcare System/CBOCS who meets the program criteria
• The Care Coordinator - Home Telehealth Nurse other duties: Patient enrollment and discharge from CCHT Patient monitoring and telephone triage and advice Coordination of care for a panel of veterans Assisting other coordinators as needed Adhering to program requirements for documentation of patients and progress monthly/quarterly Assisting in updating orientation/ patient resource materials Marketing the CCHT program to both Providers and Veterans Incorporating Telehealth (CVT) modalities with the Spinal Cord Injury Department Working with Prosthetics to ensure adequate equipment is on hand for Veterans Assesses patients for use of appropriate Telehealth devices
• Follows procedures for ordering through Remote Order Entry System (ROES)
• Documents installation and education in computerized patient record as appropriate
• Leading and organizing delivery of care to assure continuity of care and peer accountability for practice - including access to care and discharge planning
• Using advanced clinical knowledge/judgment to promote staff involvement in planning - decision-making - and evaluating outcomes - Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities - Systematically evaluating current practice - and formulating outcomes for groups of patients and/or organizational processes within an area of expertise - Guiding - developing - and supporting staff from a leadership perspective - and Using professional standards of care - scientific evidence - and practice to evaluate programs and/or service activities
• 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 7:30 AM - 4:00 PM Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized