RN Community Care Coordinator

The Community Care Case Manager RN is accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age-specific components. Assume responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction.

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 Duties to include but not limited to the following: Possess knowledge of clinical documentation requirements. current standards of care. and compliance guidelines.

Accountable for utilizing critical thinking skills and sound judgment to ensure positive outcomes. Develops and coordinates seamless transitioning of patients throughout the inpatient and outpatient care process with a focus on discharge planning needs. Demonstrates knowledge and ability to apply principles of evidence-based practice.

Provides support at the unit level, the service level. and the organizational level. A key aspect of the role will be discharge planning assessment and implementation of home health services, supplies.

and activities required to successful transition the patient to the appropriate non-acute care setting. Serves as a representative on medical center and service committees. Work Schedule: Monday thru Friday 7:30 am - 4:00 pm or 8:00 am - 4:30 pm Telework: Per Agency policy Virtual: This is not a virtual position.

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