The Specialty Clinics RN Care Manager interprets the philosophy and goals of Nursing Service to others in the work setting; functions within established guidelines and demonstrates the ability to work effectively and develop sound relationships with clients, their caregivers, and other professional and supportive personnel who provide client care. Duties include but are not limited to: Executes position responsibilities that demonstrate leadership, complex case management and care coordination within the VA and between the VA and civilian services. Interprets the philosophy and goals of the Nursing Service to others in the work setting; functions within established guidelines and demonstrates the ability to work effectively and develop therapeutic relationships with patients, their families and other professional and supportive personnel who provide patient care. Collaborates with staff and creates a positive work environment which enhances care delivery and professional development. Promotes, creates, demonstrates, and ensures a culturally diverse workforce in which the values and needs of all individuals are respected. Performs and/or makes provisions for the educational instruction and material to meet the learning needs of the patient and family members. Identifies and addresses pre and post procedure needs to include preoperative planning, consults, appointments, inpatient course, and discharge needs as directed by the physician Develops a comprehensive multidisciplinary program for patient/care giver education, specific to the specialty services patient, which can be utilized by all members of staff. Assists and supports the attending physician(s), Nurse Practitioner, Physician Assistant, and Resident(s) to facilitate patient care and outcomes in a complex medical system. Facilitates arrangements that support the patient's continuum of care (this included but is not limited to the ER, Specialty Clinic, OR, acute and long-term wards, non-VA care). Directs patient care within specialty clinic facilitating patient care and work flow Review consults with providers and coordinate with MSAs to schedule patients appropriately. Review patient list prior to clinic to ensure that pre clinic testing/images have been ordered and test results are available. Prepares documentation related to healthcare and limitations of patients for signature of provider. Coordinates inter-facility consults, non-VA-care consults, Choice consults, Home care, PT and OT. Collaborates with consulting services and primary care to identify patient problems which might impede optimal outcomes. Performs and/or makes provisions for the educational instruction and material to meet the learning needs of the patient and family members Member of Referral Coordination Team Integrates appropriate and efficient resource utilization into quality patient care by concurrently monitoring and analyzing information that encourages the appropriate level of care to patients through utilization of Interquel Criteria Analyzes variances in patient care outcomes and collaborates with multidisciplinary team to improve those outcomes Answers patient phone calls, secure messages, and voicemails daily. Documents clinic notes, patient telephonic communications, and all patient care interventions in the electronic medical record. Holds self and others accountable for patient care outcomes. Assists other health care providers to utilize resources responsibly. Must be able to perform any and all routine duties of all RNs within the Veteran's Administration. Maintains all RN competencies, and performs other duties as determined by patient care needs. Work Schedule: Monday - Friday (8:00am - 4:30pm) Financial Discloser Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.