VA Office of Community Care (OCC) Assistant Nurse Manager registered nurse (VACC ANM) is responsible for assisting the Nurse Manager of the assigned unit in the assessment, planning, provision, and evaluation of nursing services in Office of Community Care. The ANM is also responsible for organizing the unit based orientation, training, and development of staff, and providing input for the evaluation of their performance in collaboration with the Nurse Manager. The incumbent is expected to function in a care coordination role that may include, but is not limited to, charge nurse and/or staff relief for meetings, sick call, etc., as needed. The ANM will function in the care coordination role at least 50% of the time. The ANM will facilitate the development and implementation of nursing standards for the management of consults for Office of Community Care. The ANM assists the Nurse Manager and should have experience in overseeing the three roles in Office of Community Care, below: A Community Care RN Coordinator registered nurse (VACC RN) demonstrates performance and leadership that is broad enough to improve the care for the group of patients eligible for community care. Works collaboratively with clinical services to ensure the completion of all steps necessary for timely access and coordination of care for patients utilizing Community Care. Work with Veterans Integrated Service Network (VISN) facilities and coordinators to facilitate the continued treatment or consultative care of veterans utilizing Community Care. VACC RN provides community care clinical reviews for consults and makes recommendations as to the appropriate location for the Veteran to receive that care. VACC RN can authorize care for the Veteran in the community according to VA regulations. S/he will review and route complex outpatient care requests into the community when clinical interface or consultation is required. VACC RN will provide quality and performance measure analysis and reporting of consult trends and systems issues through the utilization of the nursing process. S/he will make recommendations for payment based on a clinical review performed within the context of existing VA regulations regarding Community Care when such has not been reauthorized. VACC RN will complete daily reviews of consults and requests for service after clinical review and application of care routing business rules. S/he will be in communication with OCC Licensed Independent Providers (LIPs) regarding need for entry of consults, labs, diagnostic, pharmacy, durable medical equipment, travel, lodging, and other clinical orders as appropriate for urgent requests for Veterans with/without VA providers and routine requests for Veterans without VA providers. S/he will track diagnostic order results placed by OCC LIPs for Veterans with urgent needs or without VA provider; ensuring provider is aware of results and results are routed to community provider as appropriate for follow up. S/he will utilize the Care Management Tool (CMT) or other electronic tool as directed by OCC leadership for follow up of care coordination efforts as deemed appropriate. S/he will complete quality review with analysis trends within nursing scope of practice. S/he will report quality concerns and/or patient safety concerns, following proper chain of command and facility processes. VACC RN will place an emphasis on returning patients without VA provider to VA panel as soon as possible. Geriatric and Extended Care (GEC) in addition to the Community Care RN responsibilities above, the registered nurse who oversees the Geriatric and Extended Care (GEC) Community Care programs at RVAHCS (which includes the following programs: Contract Nursing Home, Adult Day Care, Non-Skilled Homemaker/Home Health Aide, Skilled Home Healthcare, Bowel and Bladder, Hospice/Respite Care, and Veterans Directed Home and Community-Based Services) will perform facility and patient visits for initial assessment/quality assurance, will perform Veteran Directed phone assessments to determine appropriate level of care and services required, will perform quality oversight of above programs. Inpatient/Emergency Department Review, in addition to the Community Care RN responsibilities above, the registered nurse provides Emergency, Inpatient, and Ambulance clinical reviews and makes recommendations as to the appropriateness of care received outside RVAHCS. The inpatient/ER RN can approve care for the Veteran in the community according to VA regulations. RN has knowledge and understanding of the Veterans Community Care Program. Inpatient/ER RN influences final decision-making authority affecting payment for Veteran care in Community facilities. Work Schedule: Monday - Friday 8:00am - 4:30pm; Other options available upon selection; Financial Disclosure 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.