Registered Nurse - Home Telehealth Case Manager/Care Coordinator - EDRP Authorized

Veterans Health Administration; Big Spring (TX); Hybrid; USD 83,000 - 153,000; Full time

Benefits offered by this job

Paid time off

Federal pension

Health insurance

Vision insurance

Dental insurance

Life insurance

Job summary

U.S. Department of Veterans Affairs in Texas seeks a Registered Nurse for Home Telehealth Case Manager/Care Coordination. The role emphasizes leadership in nursing process, patient education, self-management, and coordinating care across the continuum for Veterans.

The incumbent applies case management principles using HT technologies to ensure timely, right-care in the right place. Telework eligibility is noted, with a typical M-F schedule and competitive federal benefits.

Qualifications

• ADN/BSN/MSN required with ACEN/CCNE accreditation.
• Verification of accreditation must be provided with the application.
• If education is foreign, a Certificate of Foreign Equivalency is required.

Responsibilities

• Executes nursing process and coordinates care across the continuum.
• Coordinate care using health informatics and HT technologies to improve access.
• Triages data from HT patients and intervenes to prevent complications.
• Collaborates with HBPC, MH, SW, Pharmacy, and Nutrition teams.
• Delivers patient education and healthcare coaching for self-management.
• Supports interdisciplinary team with evidence-based practice.

Education

Associate Degree Nursing (ADN)

Bachelor of Science in Nursing (BSN)

Master of Science in Nursing (MSN)

Job description

Registered Nurse - Home Telehealth Case Manager/Care Coordinator - EDRP Authorized

• Department: Department of Veterans Affairs

The Incumbent is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.

Key Responsibilities

Duties Include: Executes position responsibilities that demonstrates leadership, experience, and creative approaches to the management of complex patient care. Applies care and case management principles to coordinate care using health informatics, disease management and HT technologies to facilitate access to care and to improve the health of Veterans with the specific intent of providing the right care, in the right place, at the right time.

Incumbent works to improve clinical outcomes and access to care while reducing complications, hospitalizations, and clinic or emergency room visits for Veterans in post-acute care settings and high-risk patients with chronic and mental health disease. Provides initial and ongoing comprehensive assessment to include a review of systems which establishes a comprehensive plan of care.

Triages and assesses all data received from HT patients such as vital signs, reported symptoms and question responses. Identifies and intervenes for potential exacerbations of complications to facilitate timely care in Patient Aligned Care Team (PACT) clinic, Emergency Department (ED)/Urgent Care (UC), and or/care in the community. Provides communication and data exchange with community-based providers when there is co-managed care.

Provides interdisciplinary consultation and interventions such as with Home Based Primary Care (HBPC) and other non-institutional care programs and venues, Mental Health (MH), Social Work (SW), Pharmacy, Nutrition, etc. identifies patients' knowledge, health factors, skills, and behaviors that support self-management and identify gaps Provides health care coaching, patient education, and motivational counseling.

Communicates and facilitates with the interdisciplinary team regarding progress to goals; patterns or trends of data, symptoms or findings; concerning findings; need for provider assessment and/or interventions. Provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals.

Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Supports colleagues through knowledge sharing to provide safe, quality nursing care. Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care. Participates in activities and strategies to sustain evidence-based-practice.

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 or 7:30am - 4:00pm Telework: Adhoc Eligible Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VHA EDRP Program Support, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized

Requirements & Education

The Associate Degree Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE).

Verification of accreditation may be obtained from http://www.acenursing.us/accreditedprograms/programsearch.htm or https://directory.ccnecommunity.org/reports/accprog.asp If your school has changed names, or is no longer in existence, you must provide this information in your application.

If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

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 $82714 - $153177/yr.

Is this position remote or telework eligible?

This position is eligible for telework.

What is the application deadline?

Applications close on 2026-11-12.

Who is eligible to apply?

This position is open under the 'Fed Competitive' hiring path.