Registered Nurse - Community Care Home and Community Based Services Case Manager

U.S. Department of Veterans Affairs; Sioux Falls (SD); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Paid Time Off

Federal health/vision/dental

Retirement benefits

Job summary

The Sioux Falls VA Health Care System is seeking a Community Care Home and Community Based Services RN Case Manager to help Veterans remain independent at home. You will coordinate skilled home care, adult day health care, and respite services while guiding Veterans through care transitions.

Work with VA teams and community providers to connect Veterans with personalized services that honor their preferences and strengthen quality of life.

Qualifications

• English language proficiency required for direct patient care.
• Proficient in written and spoken English as per VA requirements.
• Graduate of an approved nursing program accredited by ACEN or CCNE.
• State nursing license in good standing; bridge options may apply.
• Current, full, active, and unrestricted RN license in the U.S.
• Foreign nursing education may require degree equivalency validation.
• GNT exception allows temporary appointment while pursuing licensure.

Responsibilities

• Make a meaningful difference by helping Veterans remain at home and in their communities.
• Coordinate comprehensive home and community-based services to support independence.
• Manage complex cases with personalized care plans and ongoing monitoring.
• Oversee coordination of skilled and non-skilled home care, adult day health, and respite services.
• Collaborate with interdisciplinary VA teams and community providers for integrated care.
• Facilitate transitions between VA and community services and engage families in care planning.
• Guide providers through VA processes to ensure timely service delivery.

Skills

English proficiency

Home health experience

Case management

Nursing assessment

Education

RN license (state)

Nursing degree (ADN/ Diploma/ BSN/ MSN)

BSN preferred

Job description

Summary

Join the Sioux Falls VA Health Care System as a Community Care Home and Community Based Services RN Case Manager and help Veterans remain independent at home. Coordinate skilled home care - adult day health care - and respite services while guiding Veterans through care transitions. Collaborate with VA teams and community providers to connect Veterans with personalized services that honor their preferences and strengthen quality of life. Make a difference where Veterans call home.

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/13090475
• 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
• Preferred Experience: Home Health Experience Case Management Experience 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

• Make a meaningful difference in the lives of Veterans by helping them receive the care and support they need to remain in their homes and communities
• As a Community Care Home and Community Based Services RN Case Manager at the Sioux Falls VA Health Care System - you will play an important role in promoting independence - preserving quality of life - and connecting Veterans with essential services
• This position offers the opportunity to apply your clinical judgment - build collaborative relationships with interdisciplinary teams and community providers - and help Veterans navigate complex care needs
• Join a dedicated team where your nursing expertise supports seamless care transitions - responsible use of health care resources - and compassionate - personalized care that empowers Veterans to age in place
• Duties include - but are not limited to: Coordinate comprehensive home and community-based services that support Veterans in maintaining independence - safety - and quality of life in their preferred living environments
• Manage complex cases by assessing individual care needs - developing personalized care plans - and monitoring services to ensure Veterans receive appropriate and effective care
• Oversee the coordination of skilled and non-skilled home care - adult day health care - and respite services to address Veterans' evolving health care and support needs
• Collaborate with interdisciplinary VA teams and community health care providers to promote integrated - Veteran-centered care and continuity across care settings
• Facilitate seamless transitions between VA and community-based services - helping Veterans maintain access to necessary care and minimizing disruptions in treatment
• Partner with Veterans - families - and caregivers to incorporate individual preferences - personal goals - and functional needs into care planning and shared decisions
• Guide community providers through VA care coordination processes and service authorization requirements to support timely - appropriate delivery of care
• Evaluate the effectiveness and utilization of home and community-based services - identifying opportunities to improve care coordination - prevent duplication - and maximize available resources
• 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 - Friday 8:00am - 4:30pm
• Telework: Not Available
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized
• 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.