Registered Nurse - Home and Community Based Services Case Manager

Registered Nurse - Home And Community Based Services

Summary 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.

Responsibilities 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)
• 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

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).

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

Requirements Conditions of Employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Acceptable form(s) of identification will be required to complete pre-employment requirements.
• Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

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