Registered Nurse - Home Telehealth Care Coordinator

Veterans Health Administration • Danville, IL

3d • Onsite

About The Position

The Remote Patient Monitoring (RPM) Home Telehealth Registered Nurse Care Coordinator applies leadership, experience, and creative approaches to coordinate care for Veterans. The Home Telehealth program uses care and case management principles, health informatics, disease management, and telehealth technologies to improve access to care and health outcomes, with the goal of providing the right care in the right place at the right time.

The RN supports clinical outcomes and access to care while reducing complications, hospitalizations, and clinic or emergency room visits for Veterans in post-acute care settings and high-risk patients with chronic or mental health conditions. The role includes comprehensive assessment and care planning, triage of patient-submitted data, coordination with care teams and community providers, patient education and coaching, and collaboration with interdisciplinary professionals.

This is a permanent federal position with a Monday–Friday schedule from 7:30 a.m. to 4:00 p.m. Telework and virtual work are not available. Relocation and recruitment incentives and permanent change of station are not authorized. The position is in the Excepted Service and does not confer competitive status.

Requirements

• Demonstrated English proficiency in basic written and spoken English.
• Graduate of an appropriately accredited school of professional nursing, or qualify under the stated nursing bridge-program or foreign-education provisions.
• Current, full, active, and unrestricted RN registration in a U.S. state, territory, commonwealth, or the District of Columbia; the stated Graduate Nurse Technician exception may apply to candidates pursuing licensure.
• Meet the education, experience, and applicable dimension criteria for the assigned Nurse grade and level.
• Comply with U.S. citizenship and appointment conditions, including applicable drug testing, Selective Service registration, background/security investigation, onboarding, acceptable identification, pre-employment physical examination, and seasonal influenza vaccination requirements.
• Submit transcripts when relying on education to qualify; foreign education requires the specified equivalency documentation.

Nice To Haves

• Three to five years of nursing experience.
• PACT, case management, or certification experience or credentials preferred.
• Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

• Conduct initial and ongoing comprehensive assessments, including reviews of systems, and establish comprehensive plans of care.
• Triage and assess data received from Home Telehealth patients, including vital signs, reported symptoms, and questionnaire responses.
• Identify and intervene in potential exacerbations or complications to facilitate timely care through PACT clinics, emergency departments, urgent care, or community care.
• Communicate and exchange data with community-based providers when care is co-managed.
• Provide interdisciplinary consultation and interventions with programs and services such as Home Based Primary Care, other non-institutional care programs, Mental Health, Social Work, Pharmacy, and Nutrition.
• Identify patients’ knowledge, health factors, skills, and behaviors that support self-management and identify gaps.
• Provide health care coaching, patient education, and motivational counseling.
• Communicate and coordinate with the interdisciplinary team regarding progress toward goals, data and symptom trends, concerning findings, and the need for provider assessment or intervention.
• Provide peers with informal constructive feedback to support improvement.
• Foster a safe and supportive environment conducive to healthcare professionals’ development.
• Contribute a professional nursing perspective to interdisciplinary team discussions.
• Partner with others to effect change and produce optimal outcomes.
• Share knowledge with colleagues to support safe, quality nursing care, and share educational findings, experiences, and ideas with peers.
• Perform other assigned duties.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year: 26 days of annual leave, 13 days of sick leave, and 11 paid federal holidays.
• Traditional federal pension with five-year vesting.
• Federal 401(k) with up to 5% in contributions by VA.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree