SCI/D APRN: Veteran Home-Care & Complex Care Leader

Veterans Health Administration, Department of Veterans Affairs; Minneapolis (MN); On-site; USD 100,000 - 130,000; Full time

Job summary

Veterans Health Administration, Department of Veterans Affairs, is seeking an Advanced Practice Registered Nurse for Spinal Cord Injury and Disorders (SCI/D) to provide attending provider services across a veteran panel with advanced licensure privileges. This role may include outpatient duties and operates within a collaborative agreement with the SCI/D Medical Director.

The APRN will deliver primary and specialty care, coordinate care across home and clinical settings, and lead

Responsibilities

• Delivers primary care and specialty care in the home and participates in modes of communication and care delivery including secure messaging, telephone care, view alerts management, shared medical appointments, video telehealth visits, and face-to-face visits
• Collaborates with the interdisciplinary team and PACT staff to develop personal health care plans that incorporate care management and care coordination
• Provides leadership to the team including shared delegation of appropriate care and care processes to appropriate team members
• Provides evidence-based care and functions as a coordinator of patient care for transitions of care and home care of the spinal cord injured veteran
• Collaborates with the patient/family and the interdisciplinary care team with the goal to reduce admissions, inpatient days, decrease length of stay, reduce number of urgent care or emergency department visits, and support community reintegration following inpatient rehabilitation or change in residency situation
• Assesses, plans, implements, coordinates and evaluates the holistic care of patients enrolled in the SCI/D Registry
• Uses data driven and value-based health care delivery principles with a focus on outcomes to improve population health of those veterans enrolled in the SCI/D home care program, incorporating the developmental stage, gender, cultural and learning needs of patients, adheres to ethical principles and nursing standards in delivering care

Job description

Veterans Health Administration, Department of Veterans Affairs, is seeking an Advanced Practice Registered Nurse for Spinal Cord Injury and Disorders (SCI/D) to provide attending provider services across a veteran panel with advanced licensure privileges. This role may include outpatient duties and operates within a collaborative agreement with the SCI/D Medical Director.

The APRN will deliver primary and specialty care, coordinate care across home and clinical settings, and lead