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Nurse (Care Coordinator)

U.S. Department of Veterans Affairs
Full-time
On-site
Portland, Oregon, United States
U.S. Department of Veterans Affairs provided pay range
This range is provided by U.S. Department of Veterans Affairs. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range
$95,284.00/yr - $160,200.00/yr

Summary
The Nurse (Care Coordinator) demonstrates expert leadership - experience - and innovation in managing complex patient care. Provides patient management - care coordination - and discharge planning across inpatient and outpatient settings. Assists Veterans - families - and caregivers in accessing appropriate services and resources to meet complex health care needs.

Qualifications

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 (ACEN or 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/12825991

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 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: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/

Preferred Experience: RN care coordination/ case management experience

Physical Requirements: Light lifting - under 15 pounds; Light carrying - under 15 pounds; Reaching above shoulder; Use of fingers; Both hands required; Walking (5 - 10 hours); Standing (5 - 10 hours); Hearing (aid may be permitted); Environmental Factors: Working closely with others.

Duties

Functions or Scope of Assigned Duties The Care Coordinator Registered Nurse (RN) provides comprehensive care coordination for Veterans with a wide range of health conditions - including but not limited to: acute - chronic - multiple - complex - catastrophic - or life‑threatening illnesses; combat‑related stress; residuals of traumatic brain injury; community reintegration challenges; substance use disorders; and other physical or mental health concerns.

Key responsibilities include: Coordinating care across multiple providers - levels - and sites of care to ensure continuity and integration of services within the VA and community‑based programs.

Addressing the psychosocial - nursing - and medical needs of Veterans and their families/caregivers through active participation in interdisciplinary care teams.

Facilitating timely care from diagnosis through treatment - including managing and analyzing laboratory and radiology results and communicating findings to providers.

Utilizing population health management tools and databases to track patient care across all episodes of care.

Evaluating care delivery and patient outcomes to ensure timely - appropriate - and effective services.

Advocating for holistic - Veteran‑centered care through patient and family education and provider collaboration.

Developing and implementing individualized educational plans to meet patient care needs.

Participating in the development - implementation - evaluation - and revision of clinical policies - procedures - and guidelines.

Demonstrating leadership and performance that positively impacts care for groups of patients.

Providing constructive feedback to peers and supporting colleagues through knowledge sharing to promote safe - high‑quality nursing care.

Fostering a safe - supportive environment that encourages professional development among healthcare team members.

Evaluating outcomes of evidence‑based decisions and practice changes for individuals - groups - and populations.

Documenting broad and complex outcomes at the program or service level - with measurable impact across organizational levels within the facility.

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 through Friday - between 6:00 a.m and 6:00 p.m.; tour of duty varies based on organizational needs; Telework: Not available; Virtual: This is not a virtual position.

Seniority level

Entry level

Employment type

Full‑time

Job function

Other

Industries

Government Administration

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