Registered Nurse - Telehealth Case Manager

Diversity Group; Cleveland (OH); Remote; USD 70,000 - 95,000; Full time

Job summary

The VA Northeast Ohio Healthcare System is seeking a Registered Nurse Telehealth Case Manager within Community Outpatient Services to provide evidence-based care, care coordination, and discharge planning for patients in inpatient and outpatient settings.

Responsibilities include coordinating care with Veterans, families, and caregivers, guiding non-face-to-face telehealth visits, and collaborating with PACT teams to optimize outcomes. Travel requirements and telehealth education are included.

Qualifications

• Experience in case management and telehealth coordination.
• Registered Nurse with active licensure in the United States.
• Knowledge of VA telehealth practices and patient education strategies.

Responsibilities

• Provides patient management, care coordination, and discharge planning for inpatient and outpatient settings.
• Assists Veterans, family members, and caregivers in obtaining appropriate options and services.
• Coordinates care with PACT and specialty providers to improve disease management and resource use.
• Promotes non-face-to-face telehealth encounters and education for patients and caregivers.
• Ensures safe administration of medications and adherence to clinical policies.
• Supports telehealth program outreach and education to care teams and patients.

Skills

Case management

Telehealth

Nursing

Patient education

Job description

Summary

The VA Northeast Ohio Healthcare System is recruiting for a Registered Nurse Telehealth Case Management within Community Outpatient Services. Responsible for providing competent - evidence-based care to assigned patients. Provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings. Assists 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.) Driver's License: Must possess a valid - unrestricted state driver's license
• Must have a safe driving record
• Must be medically qualified to operate the appropriate motor vehicle safely
• 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/13078246
• 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: Primary Care Experience Home Telehealth Care Coordinator/Case Management Experience Mental Health Experience Telepresenter Experience Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This clinical position includes a level of physicality normally associated with direct patient care duties performed by nurses for potentially long periods of time
• This may include walking - standing - stooping - bending - sitting - reaching - pushing - and pulling
• It may include moderate lifting/carrying - not greater than 35 pounds following Safe Patient Handling and Mobility (SPHM) guidelines
• Employees are expected to employ proper body mechanics during lifting and seek assistance or use mechanical lifts for weights greater than 35 pounds following Safe Patient Handling Guidelines
• Requires adequate vision to accurately perform the assigned duties - distinguish basic colors and assess patients and the environment safely
• The position requires the ability to hear at a level to perform the assigned duties - and the use of hearing aids is permitted.

Duties

• Provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings
• 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
• Addresses psychosocial - as well as nursing and medical needs of patients and their families/caregivers - through participation in interdisciplinary patient care management practice
• Works in partnership with the Patient Aligned Care Teams (PACT)/Specialty providers - other healthcare professionals and team members - other clinics - internal or external services and agencies - and medical center leadership for their assigned panel of patients for effective disease and chronic care management to improve resource utilization (timely - appropriate - high quality - and cost effective care)
• Assumes responsibility for the coordination of care focused on patient transition through the continuum of care - patient and family education - patient self-management after discharge - and supporting factors that impact customer satisfaction
• Considers all characteristics of the individual - including age and life stages - state of health - race and culture - and previous experiences
• Administers medications and procedures per established policies and guidelines
• Responsible for collaboration with services internal and external to the VA to facilitate care transition in order to effectively meet the patient's needs
• Demonstrates leadership by serving as an advocate for the patients - team player to colleagues as she/he continues to enhance her/his own professional growth - development - and practice
• Promotes cost effective use of resources
• employing the most effective and least-expensive strategies to achieve assessment and expected outcomes in non-face-to-face approaches
• Coordinate care for the panel of patients through-out the continuum of care for a variety of conditions including but not limited to: Hypertension - congestive heart failure - chronic obstructive pulmonary disease - diabetes mellitus - post traumatic stress disorder - dementia - depression/anxiety - bipolar disorder - schizophrenia - weight management - and infectious diseases
• Assists with promotion of the Telehealth programs via case finding patients in collaboration with specialty services and PACT along with formal and informal recruitment efforts and outreach
• Actively participates in policy - procedures - and standards to promote and enhance evidence-based patient-driven care
• Provides a wide range of clinical and technical services to the veteran that demonstrates complex technical judgment in collaboration with an provider
• Facilitator and provides support and manages telehealth clinical encounters from the patients side location for video appointments for specialty services
• Serves as Telehealth Asynchronous Imager (Tele-Eye and Teledermatology Imager)
• Provides education and training on VA Video Connection/Video visits
• Subject matter expert on Telehealth equipment
• Frequent/Occasional Travel/Medical Clearance: This position requires operation of a Government-owned or leased motor vehicle to properly carry out assigned duties
• A valid state-issued driver license is required - along with medical Functional Statement: Nurse I Level 2 Page 6 clearance by Personnel Health
• Telehealth staff with RPM-HT only workload are classified as exception vs incidental operator/drivers and are not required pre-placement or periodic examinations
• Telehealth leadership will assist in identifying these staff
• 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
• 8am - 4:30pm Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized