Registered Nurse - Traveling Veteran Coordinator Ambulatory Care
Veterans Affairs, Veterans Health Administration
Location: Wilmington, Delaware
Internal Number: 654193300
The Traveling Veteran Coordinator (TVC) utilizes an interdisciplinary approach to coordinate care required by patients with chronic, catastrophic, or complex high-risk or high-cost health issues who receive care throughout the country. The TVC develops and coordinates the seamless transitioning of patients throughout the VA system for his or her outpatient care process with a focus on care coordination and case management needs. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: 2 years if successful nursing experience in area of assignment, 2 years of Ambulatory Care experience Basic Life Support (BLS) Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. ["The TVC possesses knowledge of current nurse case management standards of care,\nclinical documentation requirements, and compliance guidelines for the TVC program\nand Case Management practices. Accountable for utilizing critical thinking skills and\nsound judgment to ensure positive outcomes. Demonstrates knowledge and ability\nto apply principles of evidence-based practice. The TVC will provide support at the\nunit, service, and organizational levels. The TVC will serve as a representative on\nMedical Center and service committees. Coordinates care between the alternate and preferred facilities for traveling Veterans, utilizing the VSSC national listing Point of contact for assisting Veterans and medical staff in scheduling appointments, transferring electronic records, arranging provider-to-provider contact, if necessary, and generally facilitating the care needs of traveling Veterans seeking care at non-preferred VA Medical Centers. Using the Facility Locator Tool to identify which VA medical facility is nearest to where the Veteran will be traveling, based upon the zip code provided with the temporary address. Veteran will be included in this process, especially when there are multiple facilities in close proximity, to determine the VA medical facility he/she prefers. Facilitating the registration of the Veteran if the Veteran is not already registered. Facilitates order entry by the designated licensed independent practitioner (LIP). Requested care is arranged by entering orders or having the designated provider enter orders for appropriate tests needed at the request of the PACT at the preferred facility. Communicating with specialty services, as needed, to facilitate care and coordinate appointments. Contacting the Veteran, as needed, to clarify any information and to communicate care coordination efforts and appointments. Veterans must be informed of care coordination efforts and appointments (e.g., Anticoagulation monitoring, weekly or monthly injections, infusions, imaging studies, Specialty Clinic Consults for specified clinical indications, chemotherapy/radiation oncology continuation or initiation, dialysis, or home oxygen, etc.). Communicating via use of TVC Consult, use of telephone, use of MS Teams, & through use of forwarding encrypted messages to the preferred facility, TVC outlines care coordination efforts and appointment information. Identifying clinical staff that can provide clinical care, if needed, for unexpected but potentially urgent health care needs for Veterans. Working with the Office of Community Care to coordinate care for traveling Veterans who require medical services not available at the alternate facility. If the Veteran is eligible, \"Care In The Community\" arrangements must be made in advance of the Veteran's travel by the Home VAMC to ensure seamless transition of care (such as, coordination of Home Health Aides, Skilled Nursing Home Placement, Home O2, or Dialysis). Responsible for the tracking and closure of TVC Consults. Educates the Veteran and staff regarding the TVC Program. Proficient in the approval, denial and withdrawal of multi-PACT assignment and relocation within PCMM Web. Work Schedule: Monday-Friday 8:00 am - 4:30 pm, may require evenings and weekend hours based on Veteran availability. Compressed/Flexible: No\nTelework: Yes - Telework Eligible may be authorized after successful Orientation based on management's discretion.\nVirtual: This is not a virtual position. No\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.