Nurse-RN-CM (RN Care Manager) -Clinical Resource Hub (CRH)

Accountable for all elements of the nursing process in providing or supervising direct patient care: assessing, planning, implementing, and evaluating age-specific care. Coordinates care across the continuum with a focus on patient education, self-management, and customer satisfaction; follows established policies and guidelines; collaborates with the interdisciplinary team to influence outcomes; participates in unit- or program-level quality improvement and customer service programs. Major duties: The Clinical Resource Hub (CRH) Registered Nurse (RN) provides direct patient care, telephone triage, and care coordination to Veterans through telehealth and face-to-face services for the Veterans Integrated Service Network (VISN) CRH. Duties and responsibilities include, but are not limited to: Nursing Process and Direct Patient Care Accept responsibility and accountability for all elements of the nursing process when providing and/or supervising direct patient care. Assess, plan, implement, and evaluate care based on age-specific components. Provide direct care to one or multiple panels of patients. Follow procedures per established policies and guidelines. Provide direct patient care to Veterans. Care Coordination and Telehealth Operations Coordinate care with a focus on patient education, self-management, and customer satisfaction throughout the continuum of care. Coordinate scheduling of appropriate labs and appointments, perform screenings, and complete visit and consult triage. Provide professional assessment, coordination, telephone triage, and planning of multiple health care services. Act on behalf of the Veteran to ensure that necessary clinical services are received and that progress is being made. Facilitate coordination and transition of care between services. Provide ongoing care management and coordination services. Minimize fragmentation of health care delivery and optimize quality of patient and family outcomes in a cost-effective manner. Provide critical medical, technical, and program support necessary to sustain efficient telehealth operations for the VISN CRH. Support the locations to and from which care is delivered, including, but not limited to, Department of Veterans Affairs (VA) clinical locations and provider alternate worksites. Support the VISN CRH in providing telehealth and face-to-face services to clinical areas within the VISN CRH and to other VISN CRHs throughout the nation. Interdisciplinary Collaboration Influence care outcomes by collaborating with members of the interdisciplinary team. Collaborate with other members of the expanded health care team and may involve the patient and family in the decision-making process. Collaborate effectively with all levels of staff, including other health professionals. Leadership, Mentoring, and Education Demonstrate leadership, experience, and creative approaches to the management of complex outpatient care. Demonstrate performance and leadership broad enough to improve care for a group of outpatients. Provide peers with formal or informal constructive feedback for improvement. Support colleagues and other nurses through knowledge sharing to provide safe, high-quality outpatient nursing care. Foster a safe and supportive environment conducive to the professional development of health care professionals. Provide training and support to CRH and Spoke site staff as appropriate. Quality Improvement and Outcomes Demonstrate knowledge of, and actively participate in, the unit- and program-level quality improvement process and initiatives, as well as customer service programs. Evaluate outcomes of evidence-based decisions and practice changes for individuals, groups, and populations. Remain responsible for documented, broad, and complex outcomes at the program level that can be demonstrated at any organizational level. 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: Monday through Friday, 8:00 a.m. to 4:30 p.m. Compressed/Flexible: Negotiable Telework: Pending exemption for remote status: Under the 180-day Mid-Term Extensions (MTE). This position could be approved for Mid-Term Extensions (MTE). MTE allows for the facility leader to grant employees in the identified positions an extension up to 180-days to RTO; in which case approved positions would be approved locally to grant telework/remote for those 180-days. Selectee is hired "remote" on a delay for space. They will be expected to RTO as soon as a space is identified If selectee lives outside of V20 catchment area or more than 50 miles from a V20 facility, they must move w/in 50 miles before beginning employment. EDRP: Not authorized. Permanent Change of Station (PCS): Not authorized Requirements: 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.