The Connected Care Department in Atlanta, GA has three vacancies available.

Duties

Duties: Provides initial and ongoing comprehensive assessment, including a review of systems that establish a comprehensive plan of care. The Care Coordinator identifies, analyzes, and prioritizes problems and interventions and sets appropriate measurable goals (i.e., Specific, Measurable, Attainable, Realistic, and Timely [SMART] goals). Collaborates with PACT< HBPC, mental health care, and other specialty services as needed. Triages and assesses all data received from RPM-HT Program patients, such as vital signs, reported systems, and question responses. Reviews daily responses each work day and contacts Veterans as needed. Completes an assessment of patients who may have multiple and complex comorbidities that necessitate additional coordination of care and case management to ensure easily accessible, continuous, high-quality care across all settings. Provides ongoing professional assessment and care management to an adult population of older (but not limited to) Veterans. Completes assessment and plan of care on assigned patients and provides individualized nursing care. Conducts ongoing reassessments to evaluate changes in patients' status. Identifies and intervenes to address potential exacerbations or complications in order to facilitate timely care in a clinic, emergency response urgent care setting, or care in the community. Provides appropriate interventions, such as medication management, case management, and patient education. Completes protocol-based interventions as needed. Triages incoming calls and concerns of Veterans or families, resolves those within their scope of practice, and routing others to interdisciplinary staff or services, as indicated. Provides interdisciplinary consultation and interventions with programs and departments such as mental health, social work, pharmacy, nutrition, etc. Identifies patient knowledge, health factors, skills, and behaviors that support self-management and identifying gaps. Provides health coaching, patient education, psychosocial support and patient advocacy as required. Documents and communicates with PACT or specialty care service members about changes in status, progress toward goals, patterns or trends in data, symptoms or finding of concern, and the need for provider assessment or intervention. Facilitates, documents, and communicates treatment changes to the Veteran, as directed by providers, and provides a follow-up evaluation of the Veteran after changes are implemented. Provides support and guidance and reviews and reviews changes in medications, goals, and the treatment plan with Veterans during and after transitions in care, such as after a hospital discharge. Assesses and analyzes outcome indicators and develops action plans for both individuals Veterans and aggregate populations to enable continuous performance improvement. Participates in peer review of documentation for continuous performance improvement. Plans for discharge/referral of patients to the L2 program, including completing discharge/transfer notes in CPRS. Monitors recovery process and related medical, physical and psychological problems and other intervention defines by unit policy. Promotes and provides health care teaching to patients, including family members, when feasible and appropriate. Demonstrates ability to manage daily routine patient care and workload operations. Seeks to improve work processes continuously and offer suggestions for the improvement of patient care. Is proactive in identifying potential crises and responds appropriately in emergency situations. Acts as a preceptor/mentor to new staff and/or nursing students. 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 0730-1600. Telework: Available-regularly teleworks 6+ days/pp Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not authorized

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/12524033. 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. Preferred Experience: Minimum of 1-2 years of case management experience, including telephone triage Certified Case Manager (CCM) certification. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. It requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling and pushing. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations and able to shift priorities based on patient needs. The incumbent must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.

Contacts

• Address Atlanta VA Medical Center 1670 Clairmont Road Decatur, GA 30033 US
• Name: Angie Nottingham
• Phone: (509) 743-6974
• Email: [email protected]