Nurse (Community Nursing Home Coordinator)

Veterans Health Administration; Winter Park (FL); On-site; USD 72,000 - 149,000; Full time

Job summary

The Veterans Health Administration in Florida’s Winter Park is seeking a Nurse (Community Nursing Home Coordinator) to manage care for Veterans under a CNH contract. The RN coordinates care, discharge planning, and service referrals across VA and CNH facilities to ensure seamless transitions.

Responsibilities include assisting Veterans and families, coordinating with multiple providers, and monitoring post‑admission care to guarantee safe, holistic treatment aligned with VA policies.

Qualifications

• Licensed Registered Nurse (RN) with current licensure.
• Experience providing patient management and care coordination.
• Familiarity with discharge planning and transitions of care.

Responsibilities

• Coordinate care with multiple providers across VA and CNH programs.
• Manage discharge planning and transition of Veterans to appropriate care settings.
• Review referrals to CNH facilities to ensure continuity of qualified care.
• Provide follow-up visits and patient/family education to ensure safe care under VA contract.

Skills

Care coordination

Discharge planning

Patient education

Team collaboration

Job description

Nurse (Community Nursing Home Coordinator)

• Department: Department of Veterans Affairs

The Community Nursing Home (CNH) Coordinator Registered Nurse (RN) is responsible for providing competent, evidence-based care to assigned patients by providing patient management, care coordination, and discharge/disposition planning for both internal and community providers and is responsible for managing the care of the Veteran throughout the CNH contract.

Key Responsibilities

Duties include but are not limited to: Assisting Veterans, family members, and caregivers with receiving the most appropriate options and services to meet their complex health care needs, which includes, but is not limited to, acute, chronic, multiple, complex, catastrophic, or life‑threatening illnesses; combat stress, residuals of traumatic brain injury; community adjustment; addictions and other health problems.

Coordinating care with multiple providers across all levels and sites of care. Coordination includes assuring services interface within the Veterans Affairs (VA) and CNH programs to provide continuity of care to patients. Developing and coordinating seamless transitioning of patients throughout the inpatient care process with a focus on discharge planning needs.

Reviewing and assisting in patient referrals to CNH facilities to ensure continuity of qualified comprehensive care. Participates as needed in the discharge planning assessment and implementation of community health services, to include skilled nursing care, hospice, adult day health services, respite services and activities required to successful transition the patient to the appropriate non‑acute care setting.

Performs follow‑up and oversight visits to the Veteran after admission to the CNH to ensure that adequate and safe care is being provided while under VA contract. Advocates for holistic care through patient/family education and provider interaction and implements an educational plan to meet the patient care needs. Serves as a liaison to both internal and community providers and is responsible for managing the care of the Veteran throughout the CNH contract.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday - Friday, 0800-1630 Telework: Not available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $72273 – $148502/yr.

What is the application deadline?

Applications close on 2026-09-28.

Who is eligible to apply?

This position is open under the 'Fed Internal Search' hiring path.