Registered Nurse - Homeless PACT Care Manager

Case Management Society of America (CMSA) ®; Everett (WA); On-site; USD 70,000 - 95,000; Full time

Job summary

A well-established organization in healthcare is seeking a Registered Nurse Care Manager (RNCM) responsible for leading a team in providing outstanding patient outcomes. This role involves coordinating care, utilizing a Patient Aligned Care Team model, and requires a strong nursing background with licensure. The RNCM will work in a dynamic setting focusing on patient-centered care.

Benefits

50 days of paid time off per year

Comprehensive retirement benefits

Federal insurance programs

Qualifications

• Proficient in basic written and spoken English.
• Hold an active nursing license in the US.
• Graduate from an accredited nursing program.

Responsibilities

• Assess, plan, implement, document, and evaluate patient care.
• Collaborate and communicate with patients regarding care needs.
• Maintain knowledge of multidisciplinary resources and programs.

Skills

Clinical knowledge

Patient care

Triage

Education

Graduate of a school of professional nursing

Current full and unrestricted registration as a nurse

Job description

Summary

The Registered Nurse Care Manager (RNCM) is responsible for organizing and directing team members to achieve desirable patient outcomes through day-to-day and/ or telephonic case management. The RNCM functions in the Primary Care Clinic which utilizes a Patient Aligned Care Team (PACT) model. The RNCM uses the nursing process and evidence-based practice to collaborate with the Core Team in developing the patient-driven care plan.

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/12735463
• 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Heavy lifting - 45 pounds and over - Straight pulling ( 6 hours) - Pushing ( 2 hours) - Reaching above shoulder - Use of fingers - Walking ( 6 hours) - Standing ( 2 hours) - Repeated bending ( 6 hours) - Specific visual requirement (see computer screen) - Ability to distinguish basic colors - Hearing ( aid may be permitted) - Visual acuity 20/30
• Environmental Factors: Working with hands in water - Working closely with others

Duties

• Duties: Demonstrates clinical knowledge in assessing - planning - implementing documenting and evaluating care for a designated group of patients across the continuum of care
• Provide patient care in an outreach settings
• Triage and apply a collaborative team approach in identifying - analyzing and resolving patient care problems
• Collaborates with patients to assess and identify needs - issues - care goals and resources in critical factors for achieving desired outcomes for discharge - post hospital recovery and health maintenance/wellness
• Maintains current knowledge of multidisciplinary resources - programs and services - referring patients for community resources as appropriate
• Utilizes problem-solving methodologies and advances clinical knowledge to resolve system and/or processes that impact patient care
• Assists with navigation of health systems and intervenes or refers as needed to facilitate the achievement of patient outcomes
• Provides care - respecting patient's personal values - cultural and belief systems
• Assists with the development - assessment - and monitoring/ evaluation of comprehensive plans of care to ensure efficient - effective - and coordinated care in meeting and promoting standards of wellness
• Coordinates an interdisciplinary approach to assure physical - psycho-social - and environmental needs and resource delivery to achieve patient goals
• Preferred Experience: 1-2 years Ambulatory Care Experience 1-2 years Med Surg Experience Triage Experience: Telephone and/or Face to Face Care Coordination Experience/Certification Ambulatory Care Certification 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 7:30am-4:00pm
• Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: May Be Authorized for highly qualified applicants Permanent Change of Station (PCS): Not Authorized