The Office of Community Care Nurse possesses intimate knowledge of Community Care criteria and guidelines, utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines. Accountable for applying critical thinking skills and sound judgment to ensure positive outcomes, maximizing third-party collections, and delivering quality Veteran/resident care performance improvement activities.

Duties

The Office of Community Care Nurse demonstrates performance and leadership that is broad enough to improve the care for the group of patients eligible for community care. Duties and Responsibilities include but are not limited to the following: Work collaboratively with clinical services to ensure the completion of all steps necessary for timely access and coordination of care for patients utilizing Community Care. Work with VISN 20 facilities and coordinators to facilitate the continued treatment or consultative care of veterans utilizing Community Care. Provide community care clinical reviews for referrals and makes recommendations as to the appropriate location for the Veteran to receive that care. Authorize care for the Veteran in the community according to VA regulations. Review and route complex outpatient care requests into the community when clinical interface or consultation is required. Provide quality and performance measures analysis and reporting of referral trends and systems issues through the utilization of the nursing process. Make recommendations for payment based on a clinical review performed within the context of existing VA regulations regarding Community Care when such has not been preauthorized. VACC RN will be a member of the COS/OCC review board. Complete daily reviews of referrals and additional care requests after clinical review and application of care routing business rules. Be in communication with team Licensed Independent Practitioner (LIP) regarding need for entry of referrals, labs, diagnostic, pharmacy, durable medical equipment, travel, lodging, and other clinical orders as appropriate for urgent requests for Veterans with/without VA providers and routine requests for Veterans without VA providers. Track diagnostic order results placed by OCC LIP for Veterans with urgent needs or without VA provider; ensuring provider is aware of results and results are routed to community provider as appropriate for follow up. Utilize the Oracle Cerner reminder system in Message Center, or other electronic tool as directed by OCC leadership for follow up of care coordination efforts as deemed appropriate. Complete quality review with analysis of trends within nursing scope of practice. Report quality concerns and/or patient safety concerns, following proper chain of command and facility processes. Place an emphasis on returning patients without VA provider to VA panel as soon as possible. VA 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 - Friday; 8:00am - 4:30pm Telework: Available; 6+ days per bi weekly pay period. Virtual: This is not a virtual position. 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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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: Community Care and CERNER experience is 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's 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's 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 Master's 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. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: Use of fingers; Both hands required; Specific visual requirement (See computer screen); Hearing (aid may be permitted). Environmental Factors: Silica, asbestos, etc.; Working closely with others.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Roseburg VA Medical Center 913 Northwest Garden Valley Boulevard Roseburg, OR 97471 US
• Name: Aaron Dorris
• Phone: (208) 422-1000 X7017
• Email: [email protected]