Job Listing
Nurse Practitioner Caregiver Support Programs (CEAT)
Veterans Health Administration · Posted 49 days ago
About the Role
This position serves as a core member of a VISN-level interprofessional group of clinical reviewers-the Centralized Eligibility and Appeals Team (CEAT). The CEAT is responsible for reviewing complex PCAFC eligibility cases for admission, ongoing level of care adjustments, and discharge appropriateness.
What You'll Do
- →The incumbent is assigned to the VISN within the Caregiver Support Program (CSP), which provides a state-of-the-art continuum of services, education and resources to caregivers of Veterans with complex needs.
- →Applies advanced nursing clinical knowledge / judgment to promote staff involvement in planning, decision-making, and evaluating PCAFC eligibility.
- →Evaluates, systematically, current practice and formulates outcomes for groups of patients and/or organizational processes within area of expertise.
- →Works with interprofessional team members at Regional, VISN and facility levels to ensure PCAFC eligibility determinations PCAFC are delivered objectively with strong, consistent inter-rater reliability with documentation and communication of outcomes in a direct and coordinated manner.
- →Coordinates with other Regional CEATs and VACO CSP to develop and implement strategies for PCAFC eligibility, tier level, discharge, and appeals process and performance improvement.
- →Conducts comprehensive clinical review of patient records to identify the presence of Veteran need for assistance with personal care services and/or the presence of supervision or protection needs daily.
- →Documents information utilized in clinical eligibility determination and eligibility assessment tools.
- →Assists the VISN with MISSION Act implementation, as it relates to CSP and PCAFC expansion.
- →Receives, reviews, and dispositions PCAFC initial eligibility decisions; reassessments; and appeal decisions for clinical eligibly determinations.
- →Anticipated process: Reviews packets with eligibility documents submitted, by facilities, to VISN within 45 days.
- →Renders reassessment decisions to include ongoing program eligibility, tier changes, and discharges.
- →(Notifications of rendered decisions are communicated, by VISN, back to the CSC, at referring facility.) Adjudicates first-level appeals for alternate VISN CEATs and second-level appeals for one of the other three CEAT Regions.
- →Executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex patient care.
- →Maintains full clinical privileges as a member of the Medical Staff.
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.
- ✓English Language Proficiency.
- ✓In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
- ✓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.
Personality Fit
Job ID: 353e71dc-9377-450a-b695-f78c93b91560
Posted via USAJobs