Summary
The Remote Patient Monitoring (RPM) Home Telehealth (HT) Nurse Case Manager executes position responsibilities that demonstrate leadership - experience - and creative approaches to the management of patient care. HT is a program that coordinates care using health informatics - disease management and home telehealth technologies to facilitate access to care and to improve the health of Veterans with the intent of providing care - in the right place - at the right time. This is not a remote position.
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/12756131
- 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: Experience in Case Management preferred
- Previous experience in home monitoring preferred
- Previous experience in dealing with individuals with complex medical needs required
- Experience in Acute Care or Primary Care preferred
- Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
- Physical Requirements: See VA Handbook 5005 - Part III - Chapter 2 - paragraph 7 - and VA Handbook 5019 - Occupational Health Services
- All applicants must be physically and mentally able to perform efficiently the duties of the position
- Must be able to lift (30 lbs or more)
- twisting and/or bending - standing and/or walking almost constantly during the course of the day.
Duties
- Please note this is not a remote position
- Registered Nurse -Remote Patient Monitoring-Home Telehealth Case Manager is responsible for but not limited to: Duties include - but not limited to: Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care
- Assesses - plans - implements - and evaluates care based on age specific components
- Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care
- Provides care and counseling of persons in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering - assessment - appropriate nursing judgment - and evaluation of human responses to actual or potential health problems through such services as case finding - health teaching - health counseling
- provision of care supportive to or restorative of life and well-being
- and executing medical regimens
- Follows procedures per established policies and guidelines
- Influences care outcomes by collaborating with members of the interdisciplinary team
- Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex client care
- 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 therein
- 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
- Fosters a safe and supportive environment conducive to the professional development of health care professionals
- Evaluates outcomes of evidence-based decisions and practice changes for individuals - groups - and populations
- Responsible for the documented outcomes at the program or service level
- Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility
- 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: Available Virtual: This is not a virtual position
- Pay Schedule: NF45