The Home and Community Based Services Case Management RN (HCBS CM) is a registered nurse who executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care within VHA and VA-Community Care program. The Minneapolis HCBS program assists in providing options to Veterans on how they would like to receive care with the intention of providing the right care, in the right place, at the right time.
To qualify for this position, applicants must meet all requirements by the time of application. 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. Preferred Experience: Bachelor's Degree in Nursing (BSN) or Master's Degree in Nursing (MSN) 3 years of Clinical experience (preferably inpatient acute care and outpatient/clinic experience Prior experience with Case Management/Care Coordination for home care, planned care, and emergency care, to include discharge planning 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/12734558. 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: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of examination.
This Community Care Case Management RN (CM) has the primary responsibility for providing clinical expertise in coordinating Veteran care in the home, in the community for planned and unplanned/emergent episodes of care, and discharge disposition needs. The case manager is responsible for coordinating the care of Veterans receiving both internal VA and external community care based care within any of the Home and Community Based Services including but not limited to skilled home care, non-skilled home care, adult day health care, and respite care. This involves review for potential duplication of services between internal VA programs and community-based care. Uses knowledge of the VISN 23 HCBS and VA Program to organize delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning. Functions as a case manager for the patients' plan of care, monitors patients' progress through the continuum of care, and intervenes as necessary to assure that the care is delivered in a fiscally accountable manner, consistent with published standards of care and in coordination with care available at the sponsoring institution. Evaluates and documents Veteran progress and changing needs. Maintains confidentiality of patient/employee information electronically, verbally, and written Coordinates care for Veterans receiving both internal VA and community based home and community based services including but not limited to skilled home care, non-skilled home care, adult day health care and respite care. Works with interprofessional team members at VISN and facility levels to ensure services and eligibility determinations are delivered objectively with strong, consistent reliability with documentation and communication of outcomes in a direct and coordinated manner. Conducts comprehensive clinical review of patient records to identify the presence of Veteran medical necessity for services Emphasis on a collaborative process that assesses, advocates, plans, implements, coordinates, monitors and evaluates health care options and services to meet the individual patient's needs Assists with calling, sending letters, or emailing communication to Veterans regarding plan of care. Ensures and provides education relevant to the effective progression of care and the appropriate level of care for safe patient transition Actively involved in evaluating practice for any program/service against standards of practice and relevant community, or regulatory standards Serves as case manager for veterans with community care-primary care. Maintains communication and tracks authorizations to prevent a lapse in care. 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: This position requires flexibility in one's schedule and assignments, as this is a 24/7 medical facility. Normal tour of duty will be Monday - Friday 0730-1600 / 0800-1630. Telework: ADHOC- May be authorized (Employees who Telework on an occasional, episodic, or short-term, and have completed required telework training and telework agreement). This is not a virtual position. Travel Requirement: You may be expected to travel up to 50% of the time for this position. Drivers License Requirement: Unrestricted drivers license is required. Must provide a clean driving record report from the DMV during onboarding. Physical Examination: A driver's physical is required for this position Virtual: This is not a virtual Position. Relocation/Recruitment Incentives: Not Authorized The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.