HUD-VASH is an intensive clinical case management program for chronically homeless Veterans aimed at providing psychosocial services to Veterans who reside in stable housing through the voucher program. The HUD-VASH Program aligns with the Health Care for Homeless Veterans (HCHV) Programs within the VASDHS Social Work Service. Nursing supervision is provided by the Nurse Manager HBPC/Telehealth and program expectations are communicated through the HUD-VASH Social Work Supervisors.

Duties

The HUD-VASH RN Case Manager contributes clinical expertise for supportive health care interventions to support stable housing and collaborates with the Veteran to identify care goals and coordinate care resources within the VA and Community. The HUD-VASH RN Case Manager assumes the following major duties and responsibilities: 1. Serves as a member of the HUD-VASH Intake Team completing assessments and assisting with coordination of eligibility and resources. 2. Provides direct nursing care by administering assessments, planning and implementing interventions, and monitoring outcomes. 3. Provides health teaching, health counseling, provision of care supportive to or restorative to life and well-being. 4. Documents patient care assessments, interventions, care coordination, and care plan outcomes in the electronic medical record. 5. Provides nursing care coordination to ensure comprehensive service delivery including referrals to resources/clinical services with the VA San Diego Health care System and/or community agencies. 6. Plans, schedules, and completes nursing visits in the home, clinic, by phone, or using approved video technologies. 7. Establishes individualized nursing care plan and contributes to the Interdisciplinary Care Plan. 8. Provides care coordination with the HUD-VASH interdisciplinary team, transportation, community home care agencies, community hospital/providers, RCFE, skilled nursing facilities, and homeless shelters. 9. Maintains a panel of Veterans requiring ongoing chronic disease management and nursing intervention. 10. Completes HUD-VASH VA Grant and Per Diem clinical inspections at assigned locations. 11. Provides nursing medication management, education, and monitoring. 12. Provides leadership in unit performance improvement, HRO, and system redesign initiatives. 13. Participates on local, VISN, and/or national HCHV HUD-VASH committees, councils, or workgroups. 14. Develops/Updates unit-based policies and standard operating procedures. 15. Maintains valid and unrestricted driver's license for travel to Veteran homes, community outreach activities, and various VASDHS locations during both day and night time tour of duty hours. 16. Serves as preceptor or clinical resource for nursing students and interdisciplinary HUD/VASH team. 17. Performs other duties as assigned. Preferred Experience: 2 years Full Time experience working as an RN Experience working with Homeless Veteran population Nursing experience in Home Care and Community Settings Certification in Case Management, Mental Health, and/or Ambulatory Care Contributions to performance improvement or evidence-based activities in nursing practice. Ability to use different telehealth mediums such as computers, laptops, smart phones, software to communicate effectively with Veterans, caregivers, internal & external agencies. 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 Position Located: VA San Diego Aspire Center 2121 San Diego Avenue San Diego, CA 92110-2928 Work Schedule: Monday - Friday, Weekends, Holidays and Overtime may be needed to provide patient care needs. Compressed 9 or 10 hour tours Telework: Not Available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Basic Requirements: English Language Proficiency. In 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 English. Graduate 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 program. Upon 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 program. Credit 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 Columbia. Graduate 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/certification. Grade 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 grade. The 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/12439501. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An 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 required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR 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 III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR 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 degrees. 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: Heavy Lifting (45 lbs and over); Straight Pulling, Pushing, Walking, Standing, Repeated bending (8 - 12 hours); Reaching above shoulder; Use of fingers; Both hands and legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted); Emotional/Mental stability; Keyboarding and reading computer screen (8-12 hours intermittently over scheduled shift).

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 San Diego VA Medical Center 3350 La Jolla Village Drive San Diego, CA 92161 US
• Name: Ruben Cabral
• Phone: (858) 642-3553
• Email: [email protected]