Registered Nurse Clinical Coordinator

<p>The Community Care RN Clinical Coordinator utilizes comprehensive clinical practice, case management, and utilization review principles to assess, triage, and plan the appropriate level of care and to ensure compliance with established guidelines resulting in approvals, denials, and coordination of care for individuals referred within the Community Care Network (CCN) or other VHA program as applicable.</p><h3>Major Duties</h3><p>Major duties: Conducts clinical reviews to interpret and evaluate complex data directly related to diagnosis, condition, and treatment plan to assure appropriate medical necessity, care coordination, and timely utilization of CCN health care services. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care within the CCN. Organizes and coordinates the clinical components for the authorization of care within the CCN in response to individual healthcare needs along the illness and care continuum. Centers services around the patient, to foster patient self-managed care, and maximize efficient and cost-effective use of health care resources. Utilizes all avenues of resources available to provide safe and efficient timely coordination of quality health care and services. Completes clinical medical records review within specified time limits of receipt. Completes request for service (secondary authorizations) clinical review within specified time limits of receipt and manage requests until completed. Collaborates with Referral Coordination Team and manages entire episode of care in the community to re-integrate veteran back to VA services. Educates Veterans and family/caregivers on care coordination process. Communicates with patient and serves as consistent point of contact throughout episode of care. Coordinates ancillary services provided by the VA in conjunction with episodes of care in the community (pre-op clearance, durable medical equipment requests, rehab services, etc.). Conducts comprehensive assessment of the Veteran and the Veteran's family/caregiver needs. Collaborates with internal VA providers and community providers. Completes all required clinical notes during life of consult. Manages, coordinates, and completes Emergency Care Notifications to re-integrate back into the VA. Other duty and assignment to meet the needs of service to ensure timely veteran care. 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, TBD Compressed/Flexible: Not Available Telework: Not Authorized Virtual: This is not a virtual position. Relocation/Recruitment Incentives: 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. As a condition of employment for accepting this position, if needed, you will be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.<h3>Education</h3>Graduate of a school of professional nursing approved by the appropriate 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program.