Registered Nurse - Community Care Coordinator

Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates the effectiveness of the Veteran's care. Serves to support delivery of high quality, timely care to the Veteran receiving services in the community.

This is an OPEN CONTINUOUS ANNOUNCEMENT and may be removed at any point during the open period.

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This is an OPEN CONTINUOUS ANNOUNCEMENT. Applications will be accepted on an ongoing basis. Initial review will be conducted approximately 12/9/25. Then, eligible applicants will be referred as vacancies occur, on an as-needed basis until positions are filled. This Vacancy Announcement may be removed at any point during the open period.

Major Duties include, but not limited to:

* Responsible for executing a streamlined approach to receiving, triaging, and directing timely, coordinated care.

* Demonstrates proficient practice and decision-making, deliberate planning, and critical thinking skills.

* Demonstrates proficient computer technical skills, able to negotiate several software programs at once.

* Demonstrates proficient documentation skills

* Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care regulations, and Veteran Health Administration (VHA) standards and guidelines.

* Uses nursing knowledge and systems theory to assess, organize, facilitate, and guide Veterans through their full range of care options including internal/direct care in Veterans Affairs (VA) and care in the community.

* Serves as a liaison to both internal and community providers and is responsible for managing the care of the Veteran throughout the consult process.

* Supports the medical center's mission to improve timely access to care, ensure Veterans who want to receive care in the community are referred and scheduled into the community, and support the delivery of high quality, timely care to the Veteran receiving community services.

* Collaborates within the Office of Integrated Veteran Care (IVC) to triage Request for Services (RFS) to coordinate care processes defined by the IVC Field Guidebook to include developing a care coordination plan, reviewing medical documentation from community providers, communication of care coordination needs, and supporting the veteran through the completion of the episode of care.

* Complies with VA-mandated processes and use of health information solutions that serve to assess, document, exchange, and track care coordination information.

* Uses delegation of authority, if applicable, to function at their highest level of role performance and align high-quality care with key performance indicators to ensure practice standards meet patient care needs.

* Fosters a safe and supportive environment conducive to the professional development of healthcare professionals.

* Contributes professional nursing perspective in discussions with the interdisciplinary team

* Partners with others to effect change and produce optimal outcomes.

* Supports colleagues through knowledge sharing to provide safe, quality nursing care.

* Shares educational findings, experiences, and ideas with peers.

* Questions clinical practices for the purpose of providing evidence-based care.

* Participates in activities and strategies to sustain an evidence-based-practice culture.

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 through Friday, 7:30am to 4:00pm

Telework:
Not available

Virtual:
This is not a virtual position.

Relocation/Recruitment

Incentives:

Not Authorized

Permanent Change of Station (PCS):
Not Authorized

PCS Appraised Value Offer (AVO):
Not Authorized

Financial Disclosure Report:
Not required