Registered Nurse - Care Coordination and Integrated Case Management

<p>The Registered Nurse - Care Coordination and Integrated Case Management (CCICM) utilizes an interdisciplinary approach to coordinate care required by patients with chronic, catastrophic, or complex high-risk or high-cost health issues. They provide structure and standards to support interprofessional collaboration and optimal utilization of healthcare resources.</p><h3>Major Duties</h3><p>The Registered Nurse - CCICM assures the physical and mental health, and psychosocial needs are addressed to enhance Veteran's wellness, level of functioning and quality of life with the goal of providing safe, efficient, and cost-effective interventions integrated throughout the continuum of healthcare. Major Duties include, but are not limited to: Utilize a framework that provides standardized definitions and tools designed to integrate care horizontally and vertically to include but not limited to: bridging medical care and mental health care; transitioning inpatient care and outpatient care; and integrating community care and VA care thereby creating a seamless continuum experience for Veterans. Provide support at the unit, service, and organizational levels. Serve as a representative on medical center and service committees. Manage the daily operations of the program and assists with ensuring facility-wide compliance with VHA Directive 1110.04, Integrated Case Management Standards of Practice. Assist with the development of policies and procedures, contributes to the community of practice across the Veterans Health Administration (VHA) through use of a data-driven quality improvement approach to case management practice with established goals and outcomes to evaluate and document case management effectiveness. Identify and monitor case management metrics in collaboration with health informatics and prepares program and performance metric reports for VA medical facility leadership on a quarterly basis. Assist with the completion of facility readiness assessments and other assignments as tasked locally or through VISN actions. Oversee the Care Coordination Review Team (CCRT), an inter-professional and inter-departmental team comprised of specialty case management staff including primary care and mental health staff with experience in care coordination that conducts high-level reviews of cases needing special attention. All other duties as assigned, pertaining to this occupation, to meet the needs of the Agency, Department, Facility, and/or Service. 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: Full-Time. Various; that may include: both 8 and 12 hour shifts, days, nights, weekends, and holidays. Schedule will ultimately be determined by Supervisor and/or needs of the Facility. Telework: Not available. 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 evaluation. 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.