Nurse (Outpatient Case Management)

Summary

The RN Case Manager is responsible for managing care across the health care continuum for a select group of clients. They will provides professional assessment - coordination - telephone triage and planning of multiple health care services; acts on behalf of the veteran to assure that necessary clinical services are received and that progress is being made; and are responsible to facilitate communication and collaboration between all members of the healthcare team - the patient - and their family.

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/12829792
• 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: Moderate lifting (15-44 lbs)
• Heavy carrying (45 lbs and over)
• Straight pulling (2 hrs)
• Pushing (2 hrs)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (2 hrs)
• Standing (2 hrs)
• Crawling (2 hrs)
• Kneeling (2 hrs)
• Repeated bending (2 hrs)
• Climbing - legs only (2 hrs)
• Climbing - use of legs and arms
• Ability for rapid mental and muscular coordination simultaneously
• Near vision correctable at 13" to 16" to Jaeger 1 to 4
• Far vision correctable in one eye to 20/20 and to 20/40 in the other
• Depth perception
• Ability to distinguish basic colors
• Ability to distinguish shades of colors
• Hearing (aid may be permitted)
• Environmental Factors: Constant noise
• Dust
• Solvents (degreasing agents)
• Slippery or uneven walking surfaces
• Working around machinery with moving parts
• Working around moving objects or vehicles
• Working with hands in water
• Vibration
• Working closely with others
• Working alone
• Protracted or irregular hours of work
• Preferred Experience: Minimum two years successful clinical experience in nursing with care/case management experience preferred
• Evidence of self-directed and independent nursing practice required
• Excellent interpersonal and communication skills are required
• Able to function autonomously and as an active member of an interdisciplinary team
• Experience with patient education required
• Demonstrates successful coordination of patient care on a multidisciplinary level required.

Duties

• Boise blends urban sophistication with outdoor thrills
• Take a stroll through Downtown Boise & Old Boise - where history meets modern design - or the Boise River Greenbelt
• The city offers a vibrant and diverse dining and night life scene - Visit Boise's food guide - and is home to Boise State University's Bronco Stadium
• Boise is a Kid friendly and Pet friendly destination
• For more adventure head to Bogus Basin Ski Resort & Boise Foothills - or to the world-famous Sun Valley or scenic McCall
• Duties include - but not limited to: Assessing the health status of individuals and groups of individuals
• Identifying health care problems that are amenable to nursing intervention
• Establishing goals to meet identified health care needs
• Planning a strategy of care
• Prescribing nursing interventions to implement the strategy of care
• Implementing the strategy of care - including administering medications and treatments as prescribed by those health care providers authorized to prescribe medication
• Authorizing nursing interventions that may be performed by others and that do not conflict with this chapter
• Maintaining safe and effective nursing care rendered directly or indirectly
• Evaluating responses to interventions
• Teaching the theory and practice of nursing
• Managing the practice of nursing
• Collaborating with other health professionals in the management of health care
• The nurse's primary commitment is to the patient - whether an individual - family - group - or community (ANA Code of Ethics for Nurses)
• The registered nurse - as a licensed professional - will be responsible and accountable for his/her practice
• Executes position responsibilities that demonstrates leadership - experience - and creative approaches to management of complex patient care
• Demonstrates leading and organizing delivery of care to assure continuity of care and peer accountability for practice - including access to care and discharge planning
• Using advanced clinical knowledge/judgment to promote staff involvement in planning - decision-making - and evaluating outcomes
• Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities
• Systematically evaluating current practice - and formulating outcomes for groups of patients and/or organizational processes within an area of expertise
• Guiding - developing - and supporting staff from a leadership perspective
• Using professional standards of care - scientific evidence - and practice to evaluate programs and/or service activities
• Demonstrates expertise in leadership at the systems level that is sustainable - experience - and creative approaches to management of complex situations
• Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a program - service - facility level - VISN - or VACO
• The focus must be broad and complex and must be demonstrated at the macrosystem level
• Incorporates professional standards and implements broad-reaching evidence-based change
• Leads and organizes delivery of services at the to assure continuity and peer accountability for practice
• Works effectively with all levels of staff - to include collaborative efforts with other health professionals providing ongoing case management services
• 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 - 0700-1530 Compressed/Flexible: Negotiable after successful completion of orientation
• Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized