Registered Nurse -Remote Patient Monitoring Home Telehealth Case Manager

<p>The Registered Nurse (RN) for Remote Patient Monitoring-Home Telehealth (RPM-HT) delivers knowledge-based, patient-centered care to Veterans across the care continuum. The RN provides comprehensive assessment, monitoring, and care coordination for Veterans in home and community settings using telehealth technologies.</p><h3>Major Duties</h3><p>Major Duties include, but are not limited to: - Provides comprehensive care coordination for Veterans enrolled in Remote Patient Monitoring-Home Telehealth (RPM-HT), including ongoing assessment, monitoring, and evaluation of clinical data such as vital signs, symptoms, and patient-reported responses. - Utilizes Home Telehealth technologies to identify changes in condition, triage health concerns, and facilitate timely interventions through the Patient Aligned Care Team (PACT), Emergency/Urgent Care, or community providers as appropriate. - Develops, implements, and evaluates individualized plans of care using the nursing process, integrating age-specific considerations, health teaching, counseling, and motivational coaching to support Veteran self-management of chronic and acute conditions. - Collaborates with interdisciplinary team members-including Home Based Primary Care (HBPC), Mental Health, Social Work, Pharmacy, Nutrition, and others-to review patient progress, share findings, and coordinate care transitions to ensure continuity and quality of care. - Provides health education and coaching to promote wellness, disease prevention, adherence to treatment plans, and improved health outcomes. Communicates regularly with Veterans between scheduled visits to ensure ongoing support and access to needed services. - Identifies gaps in care, recognizes patterns or trends in clinical data, and escalates findings that require provider assessment or intervention. - Participates in peer review, documentation improvement efforts, and continuous quality improvement initiatives within the HT program. - Performs clinical duties requiring physical stamina, including walking, standing, bending, lifting, and patient transfers with the use of mechanical lifts when needed. - Adheres to all required infection control and safety protocols, including wearing protective equipment when exposed to infectious patients, contaminated materials, or home environments requiring isolation precautions. - May encounter patients who are combative due to delirium, dementia, or psychiatric conditions and responds using appropriate safety techniques. - Will provide care in home or off-site locations. - Applies care management principles integrating health informatics, disease management, and telehealth technologies to ensure Veterans receive the right care, in the right place, at the right time. - Demonstrates beginning leadership skills appropriate by managing assigned workload, seeking guidance when needed, and contributing to program goals. 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, 07:30am - 4:00pm Telework: Ad-Hoc as determined by agency policy. 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.