Registered Nurse (Community Care Coordinator)

The Community Care (CC) Nurse is a licensed professional registered nurse assigned to coordinate care for Veterans requesting or referred for community care. The RN is responsible for evaluating requested care as a delegate of authority (DOA), as established by the Chief of Staff, and providing the clinical guidance and expertise in coordinating of community care. This includes assessing, planning, implementing and evaluating care.

https://youtu.be/LM35k1p_3Tc?si=OYdVLJgrv6Jbwh7l Duties and responsibilities include, but are not limited to, the following: Utilize multiple approved resources including: CPRS, Consult Tracking Manager (CTM), Consult Toolbox (CTB), JLV (Joint Legacy Viewer), Virtru Pro, Scanning, Vista Imaging Display, Vista Imaging Capture, External Provider Scheduling (EPS), Enterprise Precision Scanning and Indexing (EPSI), Provider Profile Management System (PPMS), HSRM, Bizcom, ECfax, Milliman Care Guidelines (MCG), the TriWest Portal and associated program guidebooks. Review and evaluate community care requests as a delegate of authority (DOA), as established by Chief of Staff, for specific categories of care. Review supporting documentation for medical appropriateness and completeness, and authorize or deny requests. Verify the veteran's enrollment status, and place an enrollment LEAF request as needed when veteran is listed as "Not Enrolled" or "In Progress." Determine the most appropriate Standardized Episodes of Care (SEOC) for a consult, can clearly outline the consult authorization coverage and specific relevant limitations, and effectively explain these details to the veteran. Utilize the Decision Support Tool (DST) through Consult Toolbox to determine Community Care eligibility as outlined in the Mission Act and IVC Field Guidebook. Utilize Care Management Tool (CMT) for complex care coordination and coordinate with VA providers and community provider. Review incoming records from the community providers for medical appropriateness, completeness and significant findings. Assure scanned results are placed in medical record and attached to the associated consults. Speak with veterans and be a resource for helping veterans understand care or treatments as well as the expected process for community care. Act as a resource of knowledge for the community care process for fellow VA staff. Coordinate care with Internal VA Specialty Providers and/or Primary Care teams on consults and veteran needs. Coordinate care with the Community Care LIPs. Collaborate with other health care team members and staff (social workers, travel team etc.) to facilitate complete care of the veteran. Educate and train incoming CC Nurse staff. Appropriately document nursing evaluations, assessments and interventions in the medical record. Remain flexible in response to changing office workload and patient needs. Base care on current evidenced-based, best practices, technological advances and research findings. Maintain a knowledge of federal regulations governing Community Care, VHA-Guidelines, and care management processes. Identify personal learning needs and assume responsibility for own professional growth. Advocate fiscal responsibility in the management of patient care through effective utilization of resources. Maintain a working knowledge of resources available in the community. Participate in quality improvement activities. Schedule veteran appointments, generate authorizations utilizing scheduling software (e.g., HSRM and RefDoc) and communicate with both Veteran and community provider to coordinate appointment. 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: 8:00 a.m. - 4:30 p.m. Monday - Friday Telework: Available. This position may be eligible to telework on a limited Ad-Hoc basis only. This is not a remote position The Veterans Health Administration, including VISN 4 (legacy VISN 19) and the VA Salt Lake City Health Care System, will comply fully with the intention and instructions contained in the "Return to Office" Executive Order. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized

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 evaluation. 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.