Overview
Are you seeking a career where you can truly impact lives? Join the Community Care team at the Fargo VA Health Care System as a Registered Nurse - Home and Community Based Services (HCBS) Case Manager. In this vital role - you'll ensure Veterans receive quality home and community-based services. Lead compassionate - patient-centered care while collaborating with interdisciplinary teams. Apply your clinical skills to a mission-driven team that values your leadership and dedication to Veterans.
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
Preferred Experience: BSN Homecare nursing experience 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/12828494
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: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position
Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.
Duties
The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers
This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest
As an employee operating in a Whole Health System of care - you will operate in a model with three core elements - seeking to create a personalized health plan for each Veteran
This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community
This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being
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)
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
The Registered Nurse - Home and Community Based Services (HCBS) Case Manager is responsible for coordinating the review and disposition of HCBS consults
These consults include Provider Agreement - Patient Centered Care Coordination (PC3) - and Community Care referrals
Reviews consults - collaborates with the Community Care provider and administrative support staff to ensure timely and correct processing of consults and Request for Services (RFS) forms
Evaluates resources and trends to support continuous improvement of resource utilization and management of Community Care expenditures
Serves as the primary point of contact for clinical questions associated with HCBS
Additional duties of the RN HCBS Case Manager include - but are not limited to: Uses knowledge of VISN 23 HCBS and VA programs to organize delivery of care to assure continuity of care and peer accountability for practice - including access to care and discharge planning
Applies advanced nursing clinical knowledge/judgement to promote staff involvement in planning - decision making - and evaluating Veteran needs and outcomes
Coordinates care for veterans receiving both internal VA and community based home and community based services including but not limited to skilled home care - personal care services - adult day health care - and respite care
This includes close collaboration with other connected internal VA programs including but not limited to caregiver support program - inpatient care - outpatient services - Veteran Directed Care - Home Based Primary Care - Bowel and Bladder - and other programs
Evaluates current practice and formulates outcomes for groups of patients and/or organizational processes within an area of expertise
Works with interprofessional team members at VISN and facility levels to ensure services and eligibility determinations are delivered objectively with strong - consistent reliability with documentation and communication of outcomes in a direct and coordinated manner
Conducts comprehensive clinical review of patient records to identify the presence of veteran medical necessity for services
Evaluates and documents veteran progress and changing needs
Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex patient care
Performs other duties as assigned
Work Schedule: Monday through Friday 0800-1630 Telework: Ad hoc may be authorized
(Employees who Teleworks on an occasional - episodic - or short-term - and have completed required telework training and telework agreement)