Registered Nurse (Inpatient Case Management)

U.S. Department of Veterans Affairs; San Antonio (TX); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Paid Time Off

VA Benefits

Job summary

U.S. Department of Veterans Affairs seeks a Case Management Registered Nurse at Audie L. Murphy Memorial Veterans' Hospital in San Antonio, TX.

The CM RN coordinates care across inpatient and outpatient settings, guiding Veterans, families, and caregivers to appropriate services and options to meet complex health needs. The role emphasizes patient management, care coordination, and effective discharge planning within a growth-oriented practice, serving Veterans with diverse medical and

Qualifications

• Must be a graduate of an approved nursing program and hold active RN licensure in the United States.
• Preferred: 2–5 years of case management experience and Case Management certification.
• English proficiency required to meet VA standards for patient care and communication.

Responsibilities

• Provide patient management, care coordination, and discharge/disposition planning for inpatient and outpatient settings.
• Collaborate with interdisciplinary teams to address psychosocial and medical needs of Veterans and families.
• Lead or participate in care management activities to ensure timely and appropriate services.

Skills

Case management

Communication & collaboration

Care coordination

Discharge planning

Education

Associate Degree in Nursing (ADN) or Diploma in Nursing

Bachelor of Science in Nursing (BSN)

RN licensure in United States

Tools

InterQual Criteria

Job description

Summary

This position is located at the Audie L. Murphy Memorial Veterans' Hospital in San Antonio - TX. The Case Management (CM) Registered Nurse (RN) provides patient management - care coordination - and discharge/disposition planning for inpatient/outpatient settings. The CM RN is in a growth and development practice on assisting Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their complex health care needs.

Summary

This position is located at the Audie L. Murphy Memorial Veterans' Hospital in San Antonio - TX. The Case Management (CM) Registered Nurse (RN) provides patient management - care coordination - and discharge/disposition planning for inpatient/outpatient settings. The CM RN is in a growth and development practice on assisting Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their complex health care needs.

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/13073365
• 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/
• Preferred Experience: Case Management - Registered Nurse Able to communicate and collaborate effectively with internal and external customers
• 2-5 years recent Case Management Experience
• Certification in Case Management
• Knowledge in disease process and InterQual Criteria
• Physical Requirements: The work is sedentary
• Some work may require movement between offices - hospitals - warehouses - and similar areas for meetings and to conduct work
• Work may also require walking/standing - in conjunctions with travel to and attendance at meetings and/or conferences away from the work site
• Incumbent may carry and lift light items weighing less than 15 pounds.

Duties

• Nurse I - Level 1 Provides fundamental inpatient nursing care with close supervision using the nursing process
• Assesses patient needs - and evaluates responses to care
• The CM RN addresses psychosocial - as well as nursing and medical needs of patients and their families/caregivers - through participation in interdisciplinary patient care management practice
• The CM RN also evaluates care and outcomes to ensure timely and appropriate provision of services
• The nurse brings principles and theory with limited application of critical thinking skills
• Nurse I - Level 2 Provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings
• Coordinates care with multiple providers across all levels and sites of care
• The CM RN addresses psychosocial - as well as nursing and medical needs of patients and their families/caregivers - through participation in interdisciplinary patient care management practice
• The CM RN has fundamental experience with the situations in which they are ultimately expected to perform - integrating theoretical concepts - basic critical thinking skills - and technically skilled practice
• Nurse I - Level 3 Provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings
• The CM RN assists Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their complex health care needs
• This 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
• Coordinates care with multiple providers across all levels and sites of care
• Functions as an emerging leader or charge nurse by directing staff and coordinating care
• Validates understanding of the rationale for care processes and decisions
• Questions clinical practices for the purpose of providing evidence-based care
• Educates colleagues and students - mentors staff - and supports evidence-based performance improvement
• Nurse II The CM RN also evaluates care and outcomes to ensure timely and appropriate provision of services
• Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• Evaluates practice in an ongoing process - based on best evidence
• 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
• Supports colleagues through CM 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
• Nurse III The Nurse III Case Management (CM) Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches in providing complex patient management
• Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines
• Demonstrates performance and leadership that is broad enough to improve the care for a group of patients
• Demonstrates performance and leadership that is broad enough to improve the care for a group of patients
• Provides peers with formal or informal constructive feedback for improvement
• Supports colleagues and other nurses through CM knowledge sharing to provide safe - quality nursing care
• Fosters a safe and supportive environment conducive to the professional development of health care professionals
• 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: Rotating shifts - must be flexible Shifts maybe added or changed Compressed/Flexible: Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized