RN- Women's Health - PACT Care Coordinator
Palo Alto, CA
ABOUT THIS ROLE
<p>The Women's Health RN Care Coordinator is a member of the Patient Aligned Care Team (PACT) Core Team (Patient, Primary Care Provider and Clinical Care Associate) and Expanded Team (family, care giver, internal and community based resources) involved in providing veteran care and developing patient centered care plans. The Women's Health RN Care Coordinator collaborates with internal and external VA services to facilitate care transition and effectively meet Women Veteran patients' needs.</p><h3>Major Duties</h3><p>Duties include, but are not limited to: Demonstrating advanced clinical knowledge in assessing, planning, implementing, documenting, and evaluating care for the Woman Veteran across the continuum of care. Recognizing age related and gender specific cognitive, physical, emotional, and chronological maturation needs of the adult woman Veteran. Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. Collaborates with patients to assess and identify needs, issues, care goals, and resources in critical factors for achieving desired outcomes for discharge, post hospital recovery and health maintenance/wellness. Maintains current knowledge of multidisciplinary resources, programs, and services, referring patients for community resources as appropriate. Demonstrates ability to collaborate with all levels of services and disciplines. Collaborates with patient, family, and care providers in all settings where care is being provided to evaluate and update changes in the patient-driven life plan and patient management. Advocates fiscal responsibility through monitoring utilization of resources. Assists with the navigation of health care systems and intervenes or refers as needed to facilitate the achievement of patient outcomes. Enhances patient self-management by providing information regarding all options, choices, and resources. Provides care, respecting patient's personal values, cultural, and belief system. Actively participates in care delivery with priority attention to patient preference. Maintains confidentiality of all patient information, including electronic, print, and conversations. Provides and promotes patient-driven care in a safe, efficient, and cost-effective manner, using evidence-based principles. Promotes cost effective use of resources; effective least-expensive strategies expected in non-face-to- face approaches (including telehealth). Serves as a resource for patient and family rights, responsibilities, and decision-making information and processes. Applies skills, such as motivational interviewing to promote patient self-management toward patient-driven holistic care plan for life. Supports the facility's EEO/affirmative action programs by executing assigned duties and responsibilities in a professional manner. Provides age and population specific care and education. Promotes health promotion and risk reduction strategies. Guides others in the recognition of and participates in the resolution of ethical issues. Works with interdisciplinary teams on care coordination, disease prevention and population health management. Maintains professional knowledge and skills based on current evidence-based practice. Demonstrates leadership by sharing knowledge with colleagues or students to enhance professional growth, development, and practice. Formally shares information gained from continuing education experiences within or across units and/or within the medical center. Provides health care advice to patients and family members seeking advice, utilizing the nursing process and triage protocol and policies. Completes work assignments within established time frames; adapts to changes or additions to work on projects. Maintain and stay up to date on assigned competencies, including BLS. Maintains current emergency training and can instantly report responsibilities of the position in the event of an emergency. Report any problems with coworkers or patients or process issues to the Manager in a timely manner. Completes mandatory training, updates, memo/minutes updates, and annual training updates. Participates in process improvement activities and huddles. Performs other duties as assigned by the supervisor and/or manager. 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, 8am - 4:30pm Telework: Not Available Virtual: This is not a virtual position.</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.<h3>Education</h3>IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. All Registered Nurses must be a 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. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Applicants with foreign education can obtain a credential evaluation through the International Consultants of Delaware (ICD) to determine education equivalency in the US. For more information, please see: http://www.icdeval.com/
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