Nurse (Community Living Center Care Coordinator/Staff RN)

at Veterans Affairs, Veterans Health Administration in Boise, Idaho, United States

Summary This position is eligible for the Education Debt Reduction Program ( EDRP ), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities Nurse (Community Living Center Care Coordinator/Staff RN) Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care in the Community Living Center ( CLC ). Collaborates with the interdisciplinary team to identify and place Veterans appropriate for CLC admission, focusing on education, self-management, and customer satisfaction. Duties The CLC Registered Nurse (RN) Care Coordinator demonstrates leadership, experience, and creative approaches to the management of complex resident care. Admission Screening & Placement Serves as an active member of the interdisciplinary team with primary focus on CLC screening and placement processes. Maintains a keen understanding of the admission criteria for each program area. Collaborates with healthcare system members and stakeholders to provide a seamless, timely referral system for CLC admission. Screens and reviews each referral for disposition and planning. Collaborates with both referring and accepting staff to ensure Veterans are placed in the program area that best meets their needs. Monitors bed availability and serves as the point of contact for the outcome of screening decisions. Care Coordination & Transition Planning Follows the patient throughout their stay in the CLC . Assists with assessments, identification of barriers, and activities required to successfully transition patients into the CLC setting and post-discharge. Completes discharge planning and sets up home services as needed. Coordinates and collaborates with other VA and non-VA departments, community agencies, and healthcare providers to ensure patient needs are addressed. Initiates consultation for complex administrative and clinical issues. Clinical Practice & Nursing Process Assesses, plans, implements, and evaluates care based on age-specific components. Applies the nursing process, which includes systematic data gathering, assessment, and appropriate nursing judgment