Job Description
Summary
The RCI Nurse will be a part of the SFVAMC Referral Coordination Team (RCT) with Community Care. As part of the RCT RN will help to streamline the referral and consult management process by ensuring timely care delivery and helping Veterans make more informed decisions about where to receive their health care. The RCI RN will be responsible for identifying community care eligibility and having a meaningful discussion with Veterans about care modalities both within the VHA and in the community.
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:
- 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
- Preferred Experience: Bachelor's Degree in Nursing At least 3-5 years of nursing experience in a specialty service At least 2 years of consult management - Referral Coordination Team - or community care experience is preferred
- Reference: For more information on this qualification standard - please visit
- Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
- The position requires potentially long periods of combined walking - standing - stooping - sitting - bending - pulling - and pushing
- The incumbent must be a mature - flexible - sensible individual capable or working effectively in stressful situation - able to shift priorities based on needs of the organization
- The incumbent may be required to travel occasionally
- This position potentially requires flexibility in schedule and assignments
- Telework is position dependent and appropriate approvals are required
- telework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements - policies - and processes
- If a position requires driving - the incumbent is required to maintain compliance with all relevant policies and processes.
Duties
- Referral Care Coordination (RCI) Registered Nurse duties include: Collaborats with physicians on clinical reviews - keeps them appraised of care options available locally
- Reviews utilization patterns - identifies trends and problem areas for special studies
- Assists in collecting and assimilating clinical data to enhance the quality of services
- Generates quality improvement results
- Reports and investigates unusual occurrences and questions inappropriate decisions based on their professional expertise
- Serves as a change agent across business initiatives and programs - in partnership with internal and external stakeholders
- Leads complex projects and programs - from ideation through to cost/benefit results tracking - utilizing program management and business process management best practices
- Provides clinical expertise and clinical leadership in the overall case management of all complex patients throughout the continuum of care
- Provides Veteran-centric care by providing health care options to Veterans to receive their care at a VA medical facility or though community care providers when eligible
- Collaborates with providers to implement plans of care and assures follow-up interventions to meet critical needs and positive outcomes
- Implements a quality and case-management program - with a focus on performance measures and meeting goals
- Provides direct nursing consultation - nursing clinical leadership and serves to assure continuity of care
- Shares and works with all staff - responsible for day to day nursing schedule and any changes/updates
- Assists Manager in the responsibility for yearly and time sensitive staff proficiencies and competencies
- Helps ensure continuity of care and continuum of care for all patients met San Francisco VA System
- Provides education and training to other clinical areas as needed with regards to RCI
- Supports the veteran and family on continuous Care
- Manages case activities and telephone triage from patients and providers
- Precepts and trains nursing student's new nurses and other staff throughout the VA system
- Other duties as assigned
- 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: Full time 0800-1630 *Schedule to be set by service
- Telework: Not Available Virtual: This is not a virtual position
- Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
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