Registered Nurse Community Care (Clinical Coordinator/Case Manager)
Veterans Affairs, Veterans Health Administration
Location: Madison, Wisconsin
Internal Number: 677413900
The Community Care Clinical Coordinator is a Registered Nurse aligned within the Coordinated Community Care Program. Their function is to assist in clinical review and care coordination in support of Veterans accessing VA-paid care in the community (Community Care). Local Travel Required-Less than 10% Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Preferred Experience: BSN preferred Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting. ["The Clinical Coordinator executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex patient care provided through Community Care. This includes organizing and coordinating the clinical components for the authorization of non-VA services in response to individual healthcare needs along the illness and care continuum and in multiple settings. The goals are to center services around the patient, to foster patient self-managed care, and maximize efficient and cost-effective use of healthcare resources. The clinical coordinator utilizes all avenues of resources available to provide safe, efficient and timely coordination of quality healthcare services. The Clinical Coordinator should possess knowledge of federal regulations regarding the use of Community Care, VHA guidelines, medical review criteria, utilization management processes, clinical documentation requirements, and current standards of care and compliance guidelines. Additional duties include, but are not limited to: Assess the needs of Veterans described in Community Care referrals and determine where the service can be provided according to established guidelines, keeping the Veterans' unique needs central to the provision of care. Utilize the Delegation of Authority from the Chief of Staff Office for authorizing care for Veterans in the community. Provide clinical coordination and case management for Veterans authorized for care in the community until episode is complete. Review incoming requests from community providers for secondary authorization of services, determining efficacy of requested services, and authorizing requests according to established guidelines. Serve as liaison between community providers and VA providers, when warranted. Work Schedule: Monday-Friday 8:00am-4:30pm\nFinancial Disclosure Report: Not required\nTelework: May be available based on facility guidelines. A Recruitment/Relocation incentive is NOT authorized for this position."]
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.