Registered Nurse (Inpatient Case Management)

Job description

Summary

This position is located at the Audie L. Murphy Memorial Veterans' Hospital in San Antonio - TX. The Case Management (CM) Registered Nurse (RN) provides patient management - care coordination - and discharge/disposition planning for inpatient/outpatient settings. The CM RN is in a growth and development practice on assisting Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their complex health care needs.

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.) 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:

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

Preferred Experience: Case Management - Registered Nurse Able to communicate and collaborate effectively with internal and external customers

2-5 years recent Case Management Experience

Certification in Case Management

Knowledge in disease process and InterQual Criteria

Physical Requirements: The work is sedentary

Some work may require movement between offices - hospitals - warehouses - and similar areas for meetings and to conduct work

Work may also require walking/standing - in conjunctions with travel to and attendance at meetings and/or conferences away from the work site

Incumbent may carry and lift light items weighing less than 15 pounds.

Duties

Nurse I - Level 1 Provides fundamental inpatient nursing care with close supervision using the nursing process

Assesses patient needs - and evaluates responses to 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

The nurse brings principles and theory with limited application of critical thinking skills

Nurse I - Level 2 Provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings

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 has fundamental experience with the situations in which they are ultimately expected to perform - integrating theoretical concepts - basic critical thinking skills - and technically skilled practice

Nurse I - Level 3 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

Functions as an emerging leader or charge nurse by directing staff and coordinating care

Validates understanding of the rationale for care processes and decisions

Questions clinical practices for the purpose of providing evidence-based care

Educates colleagues and students - mentors staff - and supports evidence-based performance improvement

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

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

Evaluates practice in an ongoing process - based on best evidence

Provides peers with informal constructive feedback for improvement

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

Contributes professional nursing perspective in discussions with the interdisciplinary team

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

Shares educational findings - experiences - and ideas with peers

Questions clinical practices for the purpose of providing evidence-based care

Participates in activities and strategies to sustain evidence-based-practice

Nurse III The Nurse III Case Management (CM) Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches in providing complex patient management

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

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

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: Rotating shifts - must be flexible

Shifts maybe added or changed

Compressed/Flexible: 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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Worksite address

san antonio, TX, 78208, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.