This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment.
Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.
The Specialty Case Management (CM) Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches in providing complex patient management. Provides patient management, care coordination, and discharge/disposition planning for inpatient and outpatient settings. The CM RN assists Veterans, family members, and caregivers with receiving the most appropriate options and services to meet their complex health care needs.
This includes, but is not limited to, acute, chronic, multiple, complex, catastrophic, or life-threatening illnesses; combat stress, residuals of traumatic brain injury; community adjustment; addictions and other health problems. Coordinates care with multiple providers across all levels and sites of care.
The CM RN addresses psychosocial, as well as nursing and medical needs of patients and their families/caregivers, through participation in interdisciplinary patient care management practice. The CM RN also evaluates care and outcomes to ensure timely and appropriate provision of services. Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines.
Demonstrates performance and leadership that is broad enough to improve the care for a group of patients. Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through CM knowledge sharing to provide safe, quality nursing care. Fosters a safe and supportive environment conducive to the professional development of health care professionals.
Evaluates CM outcomes of evidence based decisions and practice changes for individuals, groups, and populations. Responsible for the documented CM outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility.
Responsibilities include, but are not limited to: Operations & care coordination - Supports patient care across the health care continuum including inpatient and outpatient operations, including patient flow, appointment management, triage, patient education, monitoring progress toward care goals, and ensuring timely follow-up. - Participates in patient encounters as part of the interdisciplinary team to help establish and support patient goals of care.
- Uses the nursing process to develop, implement, and evaluate individualized care plans in collaboration with the interdisciplinary team. - Collaborates closely with the interdisciplinary team to coordinate outpatient treatment plans and support treatment planning decisions. - Uses a team-based approach to triage and resolve patient care concerns.
- Operates within a dynamic clinical environment requiring consistent physical presence to facilitate timely care coordination, direct patient assessment, and real-time team collaboration. Must demonstrate adaptability and the ability to provide cross-coverage across units or service lines in response to fluctuating patient volumes, staffing needs, or organizational priorities.
- Maintains baseline clinic nurse competency to provide basic clinical coverage when needed to meet operational needs - including patient check-in, routine triage calls, and general patient education - during short-term absences of clinic-based RN staff, consistent with individual competency and scope of practice.
Provider & consult support - Provides daily support to providers by coordinating care with community and VA facilities, ensuring necessary records, test results, and information are available for timely consultations and treatment planning. - Ensures consults are received, reviewed, and appropriately managed (including scheduling, completing e-consults, or discontinuing as appropriate) and works with clinic staff to expedite new patient consults when medically indicated.
Patient communication & access - Communicates with patients about their health care options within the VA and community, following eligibility guidelines and national directives. - Works with VA Medical Centers, contracted partners, and community facilities to address barriers to accessing needed services. Strives to provide a positive patient experience through navigation of the health care system to ensure care needs are met. ***Continued in the Education Section.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday-Friday, 0730-1600 Telework: Not Authorized EDRP Authorized: Contact Bradley.Mauerman@va.gov, the EDRP Coordinator for questions/assistance. Learn more Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
***Continued from the Duties Section. Clinical care - Monitors adherence to treatment plans, intervenes according to clinical guidelines, documents findings accurately and timely, and communicates necessary to the care team. - Completes hands-on clinical tasks within the nursing scope of practice (including but not limited to lab draws, medication administration, dressing changes, injections and testing) based on completed competency and patient need.
- Provides care and case management primarily through in-person visits, with virtual platforms and telephone interactions used as supplemental tools when clinically appropriate and operationally feasible. - Serves as a resource for clinic Registered Nurses (RNs), Licensed Practical Nurses (LPN)s, Nursing Assistants (NAs) and Health technicians.
Education - Provides education and mentorship to healthcare staff, including case management processes, clinic workflows, VA systems, and onboarding support for new programs and coordinators. Performance, policy & professional development - Participates in activities that support local and national performance goals. - Contributes to the development and implementation of policies and procedures related to case management and specialty care.
- Maintains up-to-date knowledge and skills in case management and specialty clinical areas and applies them in practice. - Participates in clinical research or evidence-based practice initiatives related to case management or specialty care. Collaboration & program improvement - Builds collaborative working relationships within the organization and community to enhance care for patients.
- Serves as a resource for team members and identifies opportunities for program improvement at the local level. Additional responsibilities - May include maintaining patient databases by reviewing consults and medical records to ensure ongoing care needs are met. - Coordinates and manages VISN-level referrals. - Facilitates surveillance and supports local, VISN, and national programs and teams.
Additional duties to be assigned based on specialty service, service volume, team members, National Directives/Mandates, etc. to meet the needs of the patient. Each Specialty Service is set up independently based on volume/size and interdisciplinary team members assigned within the service. The above scope is included within but not limited to each service.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
john.wade@va.gov · (646) 884-2038
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $71599 – $151662/yr.
This position requires a Other security clearance.
Applications close on 2026-09-16.
This position is open under the 'Fed Internal Search' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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