Registered Nurse - Community Nursing Home (CNH) Coordinator

U.S. Department of Veterans Affairs; Kansas City (MO); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Paid Time Off

Healthcare benefits (VA)

Federal retirement plan

Job summary

The U.S. Department of Veterans Affairs in Kansas City, MO is seeking a Registered Nurse (RN) Coordinator for Community Nursing Homes (CNH) to provide skilled nursing care and clinical oversight for Veterans.

You will coordinate individualized care plans with Veterans, families, CNH staff, VA providers, and interdisciplinary teams, while supporting education, advocacy, consultation, and quality improvement activities.

Qualifications

• Graduate of a nursing program approved by the appropriate accrediting agency and accredited by ACEN or CCNE
• English language proficiency as required by 38 U.S.C. 7403(f) for direct patient care positions
• Current, full, active, and unrestricted RN license in a US state/territory/DC; GNT exception provisions may apply

Responsibilities

• Adheres to established policies, procedures, standards of care, and practice guidelines; demonstrates leadership in holistic patient care
• Provides nursing case management addressing health-related self-care deficits
• Evaluates care and outcomes; coordinates care across inpatient and outpatient settings within VA CNH contracts
• Develops and coordinates seamless transitioning and discharge planning; reviews referrals to CNH facilities to ensure continuity of care
• Performs follow-up and oversight visits to Veterans after admission to CNH to ensure safe, adequate care

Skills

Nursing leadership

Case management

Discharge planning

Interdisciplinary collaboration

Education and advocacy

Quality improvement

Education

Associate Degree in Nursing (ADN) or Diploma in Nursing

Bachelor of Science in Nursing (BSN)

Master of Science in Nursing (MSN) or related field with BSN

Registered Nurse (RN) License in the United States

Job description

Summary

The Community Nursing Home (CNH) Registered Nurse (RN) Coordinator providers skilled nursing care and clinical oversight for Veterans residing in Community Nursing Homes (CNHs); coordinates individualized care plans with Veterans - families - CNH staff - VA providers - and interdisciplinary teams. The incumbent supports education - advocacy - consultation - and quality improvement activities.

Summary

The Community Nursing Home (CNH) Registered Nurse (RN) Coordinator providers skilled nursing care and clinical oversight for Veterans residing in Community Nursing Homes (CNHs); coordinates individualized care plans with Veterans - families - CNH staff - VA providers - and interdisciplinary teams. The incumbent supports education - advocacy - consultation - and quality improvement activities.

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/13087312
• 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Preferred Experience: Case Management Physical Requirements: See VA Directive and Handbook 5019 - Employee Occupational Health Services
  

Duties

• Major duties include but not limited: Adheres to established policies - procedures - standards of care - and practice guidelines while demonstrating leadership in delivering and improving holistic patient care through collaborative strategies Conducts assessments - monitors health status - reviews documentation - facilitates transitions of care - addresses changes in condition - promotes safety and quality - and ensures services comply with VA policies - regulations - and contractual requirements Addresses the health care needs of Veterans receiving inpatient care - outpatient primary and specialty care - and extended care services Provides nursing case management to address and assist with the health-related self-care deficits of Veteran patients Evaluates care and outcomes to ensure the timely and appropriate provision of services and assumes responsibility for coordinating care throughout the continuum Develops and coordinates seamless transitioning of patients throughout the inpatient and outpatient care process with a focus on discharge planning needs Reviews and assists 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 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: 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