Nurse (RN) - Care Manager
The Registered Nurse Care Manager is responsible and accountable for all elements of the nursing process when providing direct Veteran care in the ambulatory primary care (Patient Aligned Care Team) environment uses the nursing process and evidence?,Â based practice to perform nursing functions related to coordination of patient care utilizing patient centered practices, and a focus on excellence in nursing care and customer service. Coordination of care includes the facilitation of shared decision making, identification of patient care needs, facilitation of patient identified goals for care using motivational interviewing skills, development and modification of a patient specific plan of care, monitoring of patient outcomes, coordination of services between VA facilities and non-VA facilities, facilitation and utilization of established chronic disease management processes, and coordination of transitional care after discharge. The Registered Nurse Care Manager monitors and evaluates patient response to therapy based on Nursing Practice Standards, including monitoring lab results and other clinical data. She/he collaborates with patients to assess and identify needs, issues, care goals, and resources in critical factors for achieving desired outcomes related to discharge, post hospital recovery and health maintenance/wellness. The Registered Nurse Care Manager utilizes patient information databases to identify at-risk Veterans requiring coordination of care, utilization of and participation in shared medical appointments, and use of decision support tools along with critical thinking skills to triage Veterans with symptom related complaints. The Registered Nurse Care Manager will establish patient education goals and establish a nurse run follow-up clinic to obtain positive patient outcomes.
Work Schedule: 8:00 am - 4:30 pm, Monday - Friday; Intermittent
Financial Disclosure Report: Not Required
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing.
- The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6)
- 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.
- Bachelor's Degree in Nursing
- 2-3 years of ambulatory care/ home care experience within the last 5 years
- Excellent communication skills
- Ability to work with interdisciplinary team
Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
- Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
- Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
- Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
- Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
- Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree.
Participation in seasonal influenza program may be required.
Selected applicants will be required to complete an online onboarding process.
To apply for this position, you must provide a complete Application Package which includes:
- VA Form 10-2850a
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), etc.
- Cover Letter
- VA Form 10-2850a
- Other Veterans Document