Registered Nurse

<p>The Patient Care Team (PCT) Registered Nurse (RN) Care Manager is responsible for coordinating comprehensive patient care to ensure optimal outcomes for Veterans within the VA healthcare system. The RN Care Manager works collaboratively with interdisciplinary team members, including physicians, social workers, and ancillary staff, to facilitate patient-centered care and promote health, wellness, and disease management.</p><h3>Major Duties</h3><p>Care Coordination: Coordinates care across the continuum, including primary, specialty, inpatient, and community services. Ensures seamless communication and collaboration among multidisciplinary team members. Comprehensive Patient Assessment: Conducts initial and ongoing assessments of patients' physical, psychosocial, and educational needs. Identifies Veterans at risk for deteriorating health or complex care requirements. Care Planning and Implementation: Develops individualized care plans based on assessment data, patient goals, and evidence-based practices. Implements nursing interventions to achieve desired health outcomes. Care Monitoring and Evaluation: Monitors patient responses to care, evaluates the effectiveness of interventions, and revises care plans as needed. Tracks and manages follow-up care, test results, and preventive services. Patient Advocacy and Education: Educates Veterans and their families about health conditions, treatments, self-management, and available resources. Advocates for patient needs and preferences in the care planning process. Care Transition Management: Coordinates safe, timely transitions between care settings (e.g., hospital to home, specialty referrals). Facilitates discharge planning and provides post-discharge follow-up. Population Health Management: Participates in population health initiatives, such as preventive screenings and chronic disease management programs. Analyzes and uses data to identify care gaps and improve outcomes. Documentation and Compliance: Accurately documents nursing assessments, interventions, and patient progress in the medical record. Adheres to VA policies, procedures, and regulatory requirements (including confidentiality and privacy). Quality Improvement Activities: Participates in quality improvement projects aimed at enhancing patient care and operational efficiency. Identifies trends, barriers, and opportunities for improvement. 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 through Friday, 08:00 - 16:30 Telework: Not eligible for telework. 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. 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.