Registered Nurse - Community Care

About the Role

Aptive Resources is hiring twelve Registered Nurses to support the Patient Business Office / Community Care program at the Dayton VA Medical Center. This is a clinic-based, Monday-through-Friday RN role focused on care coordination rather than bedside care: you will review consults and referrals, assess Veterans' clinical needs, coordinate follow-up on labs, imaging and procedures, take clinical phone calls, and keep the record complete so Veterans get timely care inside and outside the VA. You will work under the professional direction of the VA Nurse Manager as part of an interdisciplinary team that includes VA providers, Advanced Medical Support Assistants and community providers.

Responsibilities

• Provide nursing care coordination for an assigned panel of Veterans: contribute to the patient assessment, determine priorities, identify nursing measures and therapeutic objectives, and evaluate outcomes
• Own the follow-up on labs, imaging and procedures ordered at clinic appointments, and handle RN phone consultation and clinical review for the service
• Determine the appropriate course of action on consults and referrals and communicate in person or by phone with referring clinicians and community health care providers
• Obtain patient and pertinent family history, assess the patient, plan nursing care, and reassess and revise the plan as needs change
• Instruct patients and families on prescribed medications, therapies and upcoming procedures; assess understanding and document teaching
• Verify transcription of provider orders, carry out prescribed orders, and review laboratory data and the electronic record
• Administer medications and IV therapies within scope when assigned to a clinic setting; recognize emergencies and initiate appropriate measures, including life-saving measures in the absence of a physician
• Document all care and communications in the VA electronic health record (CPRS/EHR) before the end of each shift, and select appropriate E&M and procedure codes as directed
• Report patient safety events in the VA Patient Safety Reporting System within 24 hours and report any patient complaint to the COR or designee within 24 hours
• Participate in discharge planning, daily team huddles, and required meetings: weekly All Call, weekly Nurse Call, and monthly Admin meeting