Registered Nurse-Utilization Management/Discharge Coordinator

Summary Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses - plans - implements - and evaluates the effectiveness of the Veteran's care. Serves to support delivery of high quality - timely care to the Veteran receiving services in the community. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care.

Qualifications Basic Requirements

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.) HPTs who are on track to graduate/complete the requirements should respond as if they have met the requirements

Provide details in the narrative sections of the assessment

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/12860246

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

Preferred Experience: Education Level: BSN - MSN Minimum of 1 year of Customer Service communicating clearly in written and verbal mediums to all levels of knowledge and experience Minimum of 2 years¿ experience in clinical and administrative nursing Minimum 1 year experience effectively performing on a Multi/Interdisciplinary health care team providing health care to adult populations

Possess an advanced level of experience with Microsoft Office Suite software preparing and delivering statistical reports - documents - memorandums - and presentations to all levels of an organization

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 8-12 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 - simple grasp and fine manipulation.

Duties

The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach to receiving - triaging - and directing timely - coordinated care

The nurse demonstrates proficient practice and decision-making - deliberate planning - and critical thinking skills

The CC Coordinator possesses intimate knowledge of the internal referral care process - clinical review criteria - utilization management standards - clinical documentation requirements - community care regulations - and Veterans Health Administration (VHA) standards and guidelines

The CC Coordinator uses nursing knowledge and systems theory to assess - organize - facilitate - and guide Veterans through their full range of care options including internal/direct care in Veterans Affairs (VA) and care in the community

The CC Coordinator serves as a liaison to both internal and community providers and is responsible for managing the care of the Veteran throughout the consult process

The CC Coordinator supports the medical center's mission to improve timely access to care - ensure Veterans who want to receive care in the community are referred??and scheduled into the community - and support the delivery of high quality - timely care to the Veteran receiving community services

The CC Coordinator will work collaboratively within the Office of Integrated Veteran Care (IVC) to triage Request for Services (RFS) to coordinate care processes defined by the IVC Field Guidebook to include developing a care coordination plan - reviewing medical documentation from community providers - communication of care coordination needs - and supporting the Veteran through the completion of the episode of care

The CC Coordinator will influence care outcomes by collaborating with members of the interdisciplinary team both within the Veterans Affairs (VA) and in the community

The CC Coordinator will comply with VA-mandated processes and use of health information solutions that serve to assess - document - exchange - and track care coordination information

The CC Coordinator will utilize delegation of authority - if applicable - to function at their highest level of role performance and align high-quality care

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

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

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

Responsible for the documented 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

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: 08:00am-04:30pm Telework: Available Ad Hoc Only Virtual: This is not a virtual position

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

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