Registered Nurse (Case Management-Intermittent)

01Basic 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.

02Grade 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/13112176.

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/.

03Physical Requirements

Heavy lifting (45 lbs. and over); Heavy carrying (45 lbs. and over); Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking and standing up to 8 hours; repeated bending; Ability for rapid mental and muscular coordination simultaneously; hearing aid permitted.

The Case Management (CM) Registered Nurse (RN) will provide and supervise direct patient care, applying all elements of the nursing process to ensure high-quality outcomes. Responsibilities include assessing, planning, implementing, and evaluating care tailored to age-specific needs, while coordinating services with a strong emphasis on patient education, self-management, and satisfaction.

The CM-RN will adhere to established policies, procedures, and clinical guidelines, collaborating closely with interdisciplinary team members to achieve optimal patient outcomes. This role requires demonstrating leadership, innovative problem-solving, and expertise in managing complex cases, as well as maintaining accurate documentation and upholding quality and safety standards throughout the continuum of care. Job duties include, but are not limited to, the following: Conducts comprehensive patient assessments.

Conducts comprehensive risk assessments to identify high-risk Veterans and collaborates with the care team to create personalized care plans that mitigate harm. Coordinates complex care. Facilitates communication and coordination of care among members of the interprofessional health care team. Leads and attends interdisciplinary meetings/rounds. Applies specialized skills, knowledge, and competencies throughout the case management process. Identifies barriers to care and client's engagement in own health.

Initiates discharge planning upon admission. Applies InterQual Criteria and/or DRG and discusses with the interdisciplinary team. Initiates patient care conferences. Educates the patient, the family or family caregiver, and members of the interprofessional health care team. Coordinates and ensures appropriate resources are in place prior to discharge. Implements care interventions. Provides referrals to various service resources along a continuum of care. Monitors and evaluates the individualized plan of care.

Facilitates the primary care provider assignment for patients with no primary care provider. Ensures post-operative and follow-up care is arranged and documented prior to discharge. Engages in performance improvement activities. Utilizes computer programs effectively, i.e. Microsoft Word, PowerPoint, Excel. Adheres to the Standard Operating Procedure for Inpatient Case Management and relevant policies, procedures, directives.

04Preferred Experience

Bachelor of Science in Nursing (BSN) and/or Master of Science in Nursing (MSN) At least 5 years of recent, successful Registered Nursing practice 1-2 years of Case Management/Care Coordination experience Evidence of self-direction or organizational skills Evidence of effectively educating patients and patient families Demonstrated evidence of written, verbal, and communication skills Demonstrated evidence of good interpersonal skills Demonstrated ability to prioritize and coordinate multiple activities and to function in an independent manner Demonstrated critical thinking abilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Intermittent; Minimum 8-12hrs a pay period; Shifts will be assigned on an "as needed" basis and could include the following tours: 6:30am - 3:00pm with rotation from 8:30am - 5:00pm (May be required to work after hours, weekends, holidays) Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Duty Location: 11301 Wilshire Blvd, Los Angeles, CA 90073