Registered Nurse- Primary Care Case Manager

Summary The Registered Nurse- Primary Care Case Manager is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses - plans - implements - and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care.

Qualifications

English Language Proficiency

In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English

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)

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

Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification

Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade

The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12848808

Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies

An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required

Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex

An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required

Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning

Self-directed in goal setting for managing complex client situations

An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2

OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2

OR a Master's degree in nursing (MSN) and no additional professional nursing experience

OR a Master's degree in a *related field with a BSN and no additional professional nursing experience

Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others

A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3

OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3

OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3

OR a Doctoral degree in Nursing with no professional nursing experience

OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience

Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting

MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III

*Note: Foreign education programs/degrees are not creditable as related degrees

Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/

Physical Requirements: Lifting up to 35 pounds for 8-12 hours - intermittently

moderate carrying (15-35 pounds) for 8 to 12 hours - intermittently

lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care

pulling for 8 to 12 hours - intermittently

pushing for 8-12 hours - intermittently

reaching above the shoulders for 8-12 hours - intermittently - both hands required

walking 8-12 hours - intermittently

standing 8-12 hours intermittently

kneeling 8 to 12 hours - intermittently

repeated bending for 8-12 hours - intermittently

climbing and use of both legs and arms for 8-12 hours - intermittently - both legs required

near vision at 13 to 16\" Jaeger 1 to 4 - far vision correctable in one eye to 20/20 and to 20/40 in the other eye

ability to distinguish basic colors

hearing aid permitted

twisting - simply grasp and fine manipulation

The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures

The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders

The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs

The incumbent must complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment.

Duties

The Registered Nurse- Primary Care Case manager executes position responsibilities that demonstrate leadership - experience - and creative approaches in providing complex patient management

Provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings

The CM RN assists Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their complex health care needs

This includes - but is not limited to - acute - chronic - multiple - complex - catastrophic - or life-threatening illnesses

combat stress - residuals of traumatic brain injury

community adjustment

addictions and other health problems

Coordinates care with multiple providers across all levels and sites of care

The CM RN addresses psychosocial - as well as nursing and medical needs of patients and their families/caregivers - through participation in interdisciplinary patient care management practice

The CM RN also evaluates care and outcomes to ensure timely and appropriate provision of services

Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines

Demonstrates performance and leadership that is broad enough to improve the care for a group of patients

Provides peers with formal or informal constructive feedback for improvement

Supports colleagues and other nurses through CM knowledge sharing to provide safe - quality nursing care

Fosters a safe and supportive environment conducive to the professional development of health care professionals

Evaluates CM outcomes of evidence based decisions and practice changes for individuals - groups - and populations

Responsible for the documented CM outcomes at the program or service level

Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility

PRACTICE: Demonstrates expertise in professional practice using the nursing process (assessment - diagnosis - outcome identification - planning - implementation - and evaluation) with improved evidence-based and/or data-driven outcomes beyond the immediate practice setting

VETERAN/PATIENT DRIVEN CARE: Leads initiatives to improve Veteran/patient experience - satisfaction and/or safety beyond the immediate practice setting

LEADERSHIP: Communicates and collaborates as an effective leader of the interprofessional team - at the expert level - with improved evidence-based and/or data-driven outcomes beyond the immediate practice setting

PROFESSIONAL DEVELOPMENT: Enhances knowledge base and practice evaluation - at the expert level - with improved outcomes beyond the immediate practice setting

EVIDENCE-BASED PRACTICE/RESEARCH: Leads the identification and integration of evidence based practice/research with clinical expertise to improve quality of care and resource utilization at the expert level with improved outcomes beyond the immediate practice setting

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: 7:30a- 4:00p Telework: Not Available Virtual: This is not a virtual position

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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