The Primary Care RNCM works with the Primary Care and Specialty Services to develop and implement comprehensive patient care for adult/geriatric patient population assessing, planning, implementing and evaluating activities and programs.

Duties

Duties: The RN Care Manager: Provides support to providers daily: coordinating dual care with community and other VA facilities: ensuring all needed records, tests and other information is available to provider at time of appointment to allow provider to focus on treatment plan and Veteran questions in an appropriate and timely manner. Responsible for PACT coordination, including panel management, triage of patients, patient education, monitoring of patient progress toward predetermined goals and timely follow-up. Utilizes and follows Primary Care Nurse Protocols and clinic process SOPs to improve efficiency and care delivery. Works closely with other VA Medical Centers and community facilities to remove obstacles that would impede the Veteran from utilizing the service of those medical centers not available to our facility. Participates in clinic for setting patient goals of care as part of the interdisciplinary team. Utilizes the nursing process in managing, developing, implementing, and evaluating each patient's individual plan in collaboration with the interdisciplinary care team to attain specific clinical outcomes in outpatient clinic settings. Participates in clinic for setting patient goals of care as part of the interdisciplinary team. Participates in activities which meet the performance standards contract for the Medical Center. Participates in the development and implementation of recommended policies and procedures as related to Care Management and/or designated clinical area. Provides for the educational needs of the healthcare team regarding Care Management and/or topics specific to Primary Care. Maintains and upgrades own knowledge base and skills regarding Care Management and/or specific clinical areas and applies this knowledge to nursing practice. Participates in clinic research/EBP within designated area and/or related to Care Management. Establishes effective networking relationships with peers and professionals within the community as related to Care Management. Receives alerts for reassigned new patients to Primary Care, assist with ordering and coordinating appropriate tests, obtaining outside reports and communications with specialty and local medical doctors to expedite patient appointments. Uses Clinical Reminders model and VISTA reports to manage, coordinate and optimize the care for Veterans. Collaborates with clinic staff to ensure patients are given timely appointments and expedite new patient consults. Follow up with patients monitoring and ensuring adherence to treatment plans, intervene in accordance with prescribes clinical guidelines and provide reports on all cases. Provides clinic care and care management to Veterans in Primary Care clinics. Delegates to PACT Team care members and extended primary care members in accordance with Nurse Practice Act. Triages and applies a collaborative team approach in identifying, analyzing, and resolving care problems for scheduled and unscheduled encounters (via phone or face to face) within Primary Care, and Specialty. Communicates and collaborates with the interdisciplinary team to develop and coordinate the treatment plan for Veterans in the outpatient setting. Facilitates and leads HRO clinic huddles with clinic staff. Serves as a resource for other team members and participates in planning for program improvements at the local level. Participate in nontraditional care methods such as telephone, VA Video Connect (VVC), online communication via secure messaging, Shared medical and Group medical appointments. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: M-F, 0800-1630 Day Shift Telework: Telework-per manager discretion Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May Be Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: BSN Preferred, MSN Preferred, Primary Care Experience Preferred. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Masters degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Walking, bending, stooping, and some lifting in the direct care of patients. There may also be extended periods of sitting.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address William S Middleton Memorial Veterans Hospital 2500 Overlook Terrace Madison, WI 53705 US
• Name: John Wade
• Phone: (646) 884-2038
• Email: [email protected]