Managed Care Chief Nurse

<p>The Captain James A. Lovell Federal Health Care Center (FHCC) is seeking a candidate with excellent leadership, referral/consult management, coordination, and supervisory skills; a commitment to the highest standards of care; and a passion for advancing the health and well-being of those who have served.</p><h3>Major Duties</h3><p>VISN 12 is committed to fostering and sustaining an environment which celebrates diversity, provides equitable opportunities for employment and promotion, and supports inclusiveness in our culture. Together, we strive to create and maintain working and learning environments that promote professional growth and teamwork, and are inclusive, equitable and welcoming. We embrace our differences as individuals and unite as a team toward a common goal: to serve our nation's Veterans. The Nurse IV Chief Nurse functions as an advisor, administrator, educator, consultant, and mentor who possesses a wide range of experience and leadership ability and is responsible for administrative functions of their assigned units/programs. Major duties and responsibilities of the position: The Nurse IV Chief Nurse provides senior leadership and oversight for daily clinical and administrative operations within the Managed Care Department. The Nurse IV Chief Nurse coordinates and collaborates with the providers responsible for reviewing and approving Functional Statement: Nurse IV Page 2 referral requests, and providers who oversee the review, approval, or denial of unauthorized non-VA care claims in accordance with established eligibility criteria. The Nurse IV Chief Nurse functions in an advisory capacity to administration in evaluating proposed changes as it relate to patient care. The Nurse IV Chief Nurse provides executive leadership and oversight to the Nurse Managers of Referral Management and Office of Community Care (OCC). Oversight is also provide to the clinical and administrative staff, Referral Coordination Team (centralized referral coordination teams), Interfacility Consult Coordinators, and the Referral Management Coordinators (DoD Tricare network referrals). The Nurse IV Chief Nurse works effectively with other Associate Chief Nurses and Nurse Managers to ensure clinical oversight for nursing as well as providing essential support for planning and implementing appropriate resource utilization and distribution. The Nurse IV Chief Nurse collaborates with interdisciplinary team members, including other program and service leaders at the facility and network. They work closely to establish and maintain effective relationships with all levels of Veteran Affairs (VA) staff nationwide. 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 Work Schedule: Monday-Friday, 7:30 a.m. - 4:00 p.m. Telework: Not Authorized. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized.</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.<h3>Education</h3>IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.