Registered Nurse- Spinal Cord Injury/Disease (SCI/D) Integrated Case Manager

Summary The Registered Nurse Case Manager reports to the Chief of Spinal Cord Injury Service. Qualifications Basic Requirements: English Language ProficiencyIn 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 EnglishGraduate 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 programUpon 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 programCredit 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 ColumbiaGraduate 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/certificationGrade 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 gradeThe 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: https://apply.usastaffing.gov/ViewQuestionnaire/13088072Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competenciesAn Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing requiredNurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complexAn 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 requiredNurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planningSelf-directed in goal setting for managing complex client situationsAn ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2OR a Master's degree in nursing (MSN) and no additional professional nursing experienceOR a Master's degree in a *related field with a BSN and no additional professional nursing experienceNurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersA BSN with 2 years of professional nursing equivalent to Nurse I - Level 3OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Doctoral degree in Nursing with no professional nursing experienceOR a Doctoral degree in a *related field with a BSN with no additional professional nursing experienceNurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice settingMSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 IIIOR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 degreesPreferred Experience:The ideal candidate should be flexible - self-directed - organized - clinically strong - customer-service oriented - and comfortable working across multiple care settingsBecause this is a dual-responsibility position - the individual must be able to transition effectively between home healthcare coordination - outpatient Annual Examinations - case management - and emerging program needs while maintaining high-quality Veteran-centered careCase Management (CCM) board certification preferredMSN preferred.2-3 years in case management in SCI/D or rehabilitation settings preferredReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: Heavy lifting (45 lbs and over)Heavy carrying (45 lbs and over)Straight pulling and pushingreaching above shoulderuse of fingersboth hands requiredwalking and standing up to 8 hoursrepeated bendingAbility for rapid mental and muscular coordination simultaneouslyhearing aid permitted. Duties The Case Manager will provide comprehensive case management and care coordination services to Veterans across inpatient - outpatient - and home-based settingsThe position will have dual responsibilities - including coordination and oversight of Home Healthcare services - outpatient Annual Examinations - and other case management activities as assignedThe Case Manager will work collaboratively with Veterans - families/caregivers - providers - social workers - nursing staff - and other interdisciplinary team members to promote continuity of care - timely access to services - and safe transitions across healthcare settingsCoordinate and manage Home Healthcare services for eligible Veterans - including assessment of needs - coordination of services - follow-up - and communication with healthcare providersConduct and/or coordinate outpatient Annual Examinations for Veterans - ensuring required evaluations and follow-up needs are addressedPerform comprehensive assessments of Veteran needs - including medical - functional - psychosocial - environmental - and support-system needsDevelop - implement - monitor - and update individualized care plansCoordinate referrals and services with VA programs - community resources - specialty services - and other healthcare agenciesFacilitate communication among Veterans - caregivers - providers - and interdisciplinary team membersIdentify barriers to care - discharge - access to services - and continuity of care and assist in developing solutionsMonitor Veterans requiring ongoing case management and ensure appropriate follow-upProvide education to Veterans and caregivers regarding available healthcare services - resources - and care plansDocument assessments - interventions - coordination activities - and outcomes accurately and timely in the electronic health recordParticipate in interdisciplinary team meetings - case conferences - huddles - and quality-improvement activitiesMonitor program requirements - performance measures - and documentation standardsAssist with process improvement initiatives designed to improve Veteran outcomes - access - patient flow - and continuity of careVA 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 - 7:0am to 3:30pm Compressed/Flexible: May be considered for highly qualified candidatesTelework: Not available Virtual: This is not a virtual positionRelocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized