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Ava Health

Registered Nurse - Community Care Coordinator

Birmingham, AL

FULL-TIMEONSITE$75K-$142K
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ABOUT THIS ROLE

<p>This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.</p><h3>Major Duties</h3><p>Functions of Assigned Duties: The Nurse Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach to receiving and triaging within two days, and directing timely, coordinated care. The nurse demonstrates proficient practice and decision-making, deliberate planning, and critical thinking skills. The CC Coordinator will self-manage time to prevent idleness and maintain a productivity average of consult and care coordination notes of thirty-five per day for eight hours and fifty per day for twelve hour shifts. The CC Coordinator possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care regulations, and Veterans Health Administration (VHA) standards and guidelines. The CC Coordinator demonstrates knowledge and use of general business rules outlined in VHA Directive 1230 Outpatient Scheduling Management, VHA Directive 1232(5), Consult Processes and Procedures and VHA Notice 2019-09(2), Minimum Scheduling Effort Requested for Outpatient Appointment, and Office of Integrated Veteran Care (IVC) Community Care Field Guidebook. The CC Coordinator uses nursing knowledge and systems theory to assess, organize, facilitate, and guide Veterans through their full range of care options including internal/direct care in Veterans Affairs (VA) and care in the community. In order to deliver high quality care, the CC Coordinator will maintain a consult accuracy score of ninety-five percent or greater. The CC Coordinator serves as a liaison to both internal and community providers and is responsible for managing the care of the Veteran throughout the consult process. The CC Coordinator supports the medical center's mission to improve timely access to care, ensure Veterans who want to receive care in the community are referred and scheduled into the community, and support the delivery of high quality, timely care to the Veteran receiving community services. The CC Coordinator will assess a Veteran's care coordination needs utilizing the Screening Triage (S/T) tool within the Consult Toolbox (CTB). The S/T Tool will provide a care coordination level (basic, moderate, complex/ chronic, or urgent) with recommended care coordination activities for the Veteran. The S/T Tool utilmatley assigned the Veteran to one of four coordination levels, which are reflective of the intensity, frequency, duration and care coordination services required. The CC Coordinator will perform clinical review of the medical record to select the appropriate Standardized Epidose of Care (SEOC) based on the order/referral for the clinically appropriate SEOC that outlines allowable services related to a specialty or sub-specialty within two days. The CC Coordinator will work collaboratively within the Office of Integrated Veteran Care (IVC) to triage Request for Services (RFS) to coordinate care processes defined by the IVC Field Guidebook to include developing a care coordination plan, reviewing medical documentation from community providers, communication of care coordination needs, and supporting the Veteran through the completion of the episode of care. The CC Coordinator will influence care outcomes by collaborating with members of the interdisciplinary team both within the Veterans Affairs (VA) and in the community. The CC Coordinator will comply with VA-mandated processes and use of health information solutions that serve to assess, document, exchange, and track care coordination information. 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; 0800-1630 Telework: Ad-hoc - as determined by the agency Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact vhaedrpprogramsupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): 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.

Posted Expires Employer: U.S. Federal Government

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