Caregiver Support RN Clinical Assessor Care Coordinator

Veterans Health Administration, Department of Veterans Affairs; San Diego (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

VA San Diego Healthcare System seeks a Caregiver Support RN Clinical Assessor to provide direct nursing care, perform assessments, and coordinate applications and home visits for Veterans and their caregivers.

The role emphasizes advocacy, coordination with eligibility teams, and delivering comprehensive caregiver support within a VA clinical setting.

Qualifications

• Requires English proficiency per VA rules.
• Graduate of an approved nursing program with active RN license.
• State licensure and bridge program options may apply.
• Foreign education considerations may apply for licensure in some states.

Responsibilities

• Provides direct nursing care by administering assessments, planning and implementing interventions, and monitoring outcomes.
• Completes new enrollments, applications intake, Veteran Functional Assessments, and In-Home Assessments.
• Advocates for caregiver-veteran dyads to ensure available services and benefits.
• Performs assessments via phone, telehealth, or in-person visits.
• Maintains safety requirements and coordinates with eligibility teams.

Skills

English proficiency

RN licensure

Nursing program degree

Bridge program eligibility

Care coordination

Education

Nursing degree (ADN/BSN/higher)

Job description

Summary

he VA San Diego Healthcare System (VASDHS) is a Level 1a major interdisciplinary teaching healthcare system - offering a variety of Inpatient and Outpatient services to Veterans at the medical center in La Jolla and at the six Community Based Outpatient Clinics (CBOCs) located in Chula Vista - Escondido - Imperial Valley - Kearny Mesa - Oceanside - Sorrento Valley - and Rio Clinic. The VASDHS provides high quality care with advanced technologies and a compassionate service 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
• 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/13088113
• 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 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: 3 years full time employment as an RN
• Home/Community RN experience
• Case Management Nursing Certification
• Experience working in an autonomous role
• Contributions to performance improvement or evidence based activities in nursing practice
• Ability to use different technology and communication mediums such as computers - laptops - phones - software programs - and apps to communicate effectively with Veterans - Caregivers - Internal and External specialties/agencies
• Training/practice in Shared Governance - Relationship Based Care - and Culture of Excellence models
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.

Duties

• The Caregiver Support RN Clinical Assessor Care Coordinator assumes the following major duties and responsibilities: Provides direct nursing care by administering assessments - planning and implementing interventions - and monitoring outcomes
• Completes new enrollments - applications intake - Veteran Functional Assessments - and In-Home Assessments
• Assists in tracking and managing the Applications Intake spreadsheet to improve the accuracy and flow of new applications
• Advocates for Caregiver/Veteran dyads in ensuring availability of services and benefits for Caregivers and Veterans
• Participates in face-to-face or virtual contact with the caregiver and Veteran to assess function and the need for personal care services
• Administer the Veteran Functional Assessment Instrument (VFAI) and other assessments as needed via phone - clinical video telehealth - or in-person home or clinic visit
• Completes comprehensive In-Home assessments in accordance with program requirements
• Maintains VISN directed - national and local safety requirements
• Communicates with the Central Eligibility Team as needed to clarify any assessments rendered and follow-up on any deficient care needs involving the Veteran and Caregiver through resources or referrals
• Identifies area for performance improvement and system redesign and takes initiative to develop within the local PCAFC work group
• Serves as a preceptor or clinical resource for new nursing and social work team members
• Serves as a representative on local - VISN - or National Caregiver Support Program committees or work groups
• Provides consultation and education on Caregiver Support Program within the organization and to community Veterans and health care organizations
• Participates in development of educational tools and training to address specific caregiver needs and and issues
• Performs other duties as assigned
• 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: Full Time Compressed/Flexible: N/A Telework: Not Avaialble Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized