Nurse (Community Care - Case Manager)-Intermittent

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. Supports delivery of high-quality - timely care to Veterans receiving services in the community - with a focus on patient education - self-management - and customer satisfaction throughout the continuum of care.

• 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: Bachelor of Science in Nursing (BSN)
• Experience in care coordination - case management - or community care
• Utilization management and/or clinical documentation experience
• Strong critical thinking and problem-solving skills.

• Duties The Community Care (CC) Nurse Case Manager (NCM) is responsible for executing a streamlined approach to receiving - triaging - and directing timely - coordinated care
• Key duties include: Clinical Practice & Decision-Making Demonstrates proficient practice and decision-making - deliberate planning - and critical thinking skills
• Assesses - plans - implements - and evaluates the effectiveness of each Veteran's care using the full nursing process
• Evaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populations
• Follows procedures per established policies and guidelines
• Community Care Knowledge & Coordination Possesses in-depth 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
• 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
• Serves as a liaison to both internal and community providers - managing the care of the Veteran throughout the consult process
• Care Coordination & IVC Collaboration Works collaboratively within the Office of Integrated Veteran Care (IVC) to triage Requests for Services (RFS) and coordinate care processes as defined by the IVC Field Guidebook
• Develops care coordination plans - reviews medical documentation from community providers - communicates care coordination needs - and supports the Veteran through the completion of the episode of care
• Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care
• Interdisciplinary Collaboration & Outcomes Influences care outcomes by collaborating with members of the interdisciplinary team both within the VA and in the community
• 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 appropriately - and support the delivery of high-quality - timely care
• Responsible for documented outcomes at the program or service level
• outcomes must be broad and complex and can be demonstrated at any organizational level within a facility
• Compliance & Health Information Complies with VA-mandated processes and utilizes health information solutions that serve to assess - document - exchange - and track care coordination information
• Utilizes delegation of authority - if applicable - to function at the highest level of role performance and aligns high-quality care with key performance indicators to ensure practice standards meet patient care needs
• Leadership & Quality Improvement Executes position responsibilities that demonstrate leadership - experience - and creative approaches to the management of complex patient care
• Actively participates in unit/program level quality improvement processes - initiatives - and customer service programs
• 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
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards 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 - Friday - 7:30 AM to 4:00 PM (actual hours will be determined by service needs) Telework: Not available
• Virtual: This is not a virtual position.