Registered Nurse - Care Coordinator

The Care in the Community (CITC) Clinical Review Nurse is a Registered Nurse with care coordination and/or case management experience. The incumbent serves as a coordinator in a multi-disciplinary environment interacting with Primary Care Service, Medicine Service, Nursing Service, Surgery Service, Radiology and community-based hospitals and providers which provide care for VA patients. An understanding of VA inpatient care, VA outpatient care, Ambulatory Surgery and Interventional Radiology.

The CITC Clinical Review Nurse maintains excellent interpersonal relationships with staff, interdisciplinary colleagues, patients and their families/significant others and Community Care providers and their staff. The Nurse is responsible for identifying, facilitating and coordinating patient-centered care options and services between VA and authorized Community Care providers. The Nurse functions as a liaison and is responsible for planning, coordinating and performing a wide range of case management, clinical, administrative, program and technical functions to support quality services for Veterans. The Nurse works to facilitate patient satisfaction, to reduce duplication of services or delay of care and to monitor quality of care and services received. The Nurse is responsible and accountable for the provision for the delivery of quality community care to a culturally diverse, Veteran patient population.

The incumbent must possess strong clinical skills and the ability to work independently. Incumbent has knowledge of computer technology and software application skills, specifically Microsoft Excel in order to develop effective data management. Incumbent will provide care for VA patients.

Must have an understanding of VA inpatient care, VA outpatient care, Ambulatory Surgery and Interventional Radiology procedures is necessary for successful completion of required duties. Incumbent has knowledge of regulatory standards and credentialing set forth by groups such as The Joint Commission and Office of Inspector General and works with a team to coordinate clinical review activities. The incumbent possesses knowledge of applicable rules and regulations, in particular as they relate to consult management and the MISSION Act.

Incumbent works on multiple projects at the same time and prioritizes duties effectively while coordinating work with and soliciting the cooperation of other Services. Incumbent interacts effectively with individuals orally and through written communication, both formal and informal. The incumbent organizes and coordinates the work performed by others and provides follow up as necessary.

The functions of the CITC Clinical Review Nurse include, but are not limited to: Clinical review of community care consults including Women's Health care for appropriateness and approval. Assist with consult coordination through Non-VA Care referrals to community providers. Tracks high risks consults for care coordination to include Women's Health care. Care coordination of patients with high risk diagnosis to include directly speaking with patients and or community partners.

Assist with obtaining and reviewing medical records from Non-VA providers to promote a smooth transition for the Veteran between Non-VA and VA care. Actively looks for opportunities to improve care delivery and provide feedback to management and team. Utilizes and maintains tracking spreadsheets, systems and outcomes as required by VHA Directives and Handbooks.

Timely notification of the Veteran and VA Provider of both normal and abnormal findings of diagnostic testing/procedures/imaging performed in the community. Understands and responds to gender-specific screening/diagnostics test results and reports. 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 Pay Scale: NF23 Work Schedule: Monday-Friday, 0800 - 1630 EST Telework: Not available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized