Job Listing
Community Care Coordinator Registered Nurse
Veterans Health Administration · Posted 1 days ago
About the Role
The Community Care RN Clinical Coordinator utilizes comprehensive clinical practice, case management, and utilization review principles to assess, triage, and plan the appropriate level of care and to ensure compliance with established guidelines resulting in approvals, denials, and coordination of care for individuals referred within the Community Care Network (CCN) or other VHA program as applicable.
What You'll Do
- →Major duties: Conducts clinical reviews to interpret and evaluate complex data directly related to diagnosis, condition, and treatment plan to assure appropriate medical necessity, care coordination, and timely utilization of CCN health care services.
- →Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care within the CCN.
- →Organizes and coordinates the clinical components for the authorization of care within the CCN in response to individual healthcare needs along the illness and care continuum.
- →Centers services around the patient, to foster patient self-managed care, and maximize efficient and cost-effective use of health care resources.
- →Utilizes all avenues of resources available to provide safe and efficient timely coordination of quality health care and services.
- →Completes clinical medical records review within specified time limits of receipt.
- →Completes request for service (secondary authorizations) clinical review within specified time limits of receipt and manage requests until completed.
- →Collaborates with Referral Coordination Team and manages entire episode of care in the community to re-integrate veteran back to VA services.
- →Educates Veterans and family/caregivers on care coordination process.
- →Communicates with patient and serves as consistent point of contact throughout episode of care.
- →Coordinates ancillary services provided by the VA in conjunction with episodes of care in the community (pre-op clearance, durable medical equipment requests, rehab services, etc.).
- →Conducts comprehensive assessment of the Veteran and the Veteran's family/caregiver needs.
- →Collaborates with internal VA providers and community providers.
- →Completes all required clinical notes during life of consult.
Requirements
- ✓Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- ✓All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment.
- ✓Applicants who refuse to be tested will be denied employment with VA.
- ✓Selective Service Registration is required for males born after 12/31/1959.
- ✓Subject to background/security investigation.
- ✓Selected applicants will be required to complete an online onboarding process.
- ✓Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- ✓Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- ✓Must pass pre-employment physical examination.
- ✓Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- ✓You may be required to serve a probationary period.
- ✓Complete all application requirements detailed in the "Required Documents" section of this announcement.
- ✓As a condition of employment for accepting this position, if needed, you will be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
- ✓In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
Personality Fit
Job ID: 757b17d9-5629-4d42-9a82-c8fefe9bc945
Posted via USAJobs