Registered Nurse- VISN 23 Home and Community Based Services Program IDT

Department of Veterans Affairs • Eagan, MN

42d

About The Position

The Home and Community Based Services program Registered Nurse is a member of the interdisciplinary team responsible for providing centralized, standardized, administrative and clinical eligibility reviews for authorization of purchased in home services. Works in partnership with facility HCBS teams to ensure Veterans receive the right care, in the right place, at the right time. These positions may be filled by a Registered Nurse, Physical Therapist, or Occupational Therapist. These positions are advertised on separate USA jobs announcements. If you are interested in the other disciplines, you will need to apply to that vacancy announcement.The HCBS IDT emphasizes Aging in Place and the 4Ms (What Matters, Medication, Mentation and Mobility), encouraging restorative care over dependency. The program integrates both VA purchased and internal VA-provided home and community-based care services (HCBS). The RN's responsibilities include centralized, standardized administrative and clinical eligibility reviews for authorizing VA purchased in-home services, guiding care across VISN 23, assisting with Veteran planning assessments, identifying barriers, and ensuring smooth transitions in and out of the HCBS program.Position Specific duties include but are not limited to: Utilizes knowledge of VISN 23 HCBS and VA program to match Veteran level of functioning with appropriate internal and external services, ensuring patient safety, recovery, and continuity of care. Applies advanced nursing clinical knowledge and judgment to engage in planning, decision-making, and evaluating VISN 23 HCBS program eligibility. Systematically evaluates current practices and formulates outcomes for patient groups and organizational processes within the area of expertise. Collaborates with interprofessional team members at VISN and facility levels to ensure consistent services, objective eligibility determinations and service delivery with clear documentation and communication. Works with VISN 23 HCBS IDT members to develop and implement strategies for program eligibility, service delivery, location, level of care discharge planning, appeals process, and performance improvement. Conducts comprehensive clinical reviews of patient records to identify the need for personal care services and/or the presence of supervision or protection needs daily. Documents information used in clinical eligibility determinations and eligibility assessment tools. Demonstrates leadership, experience, and innovative approaches in managing complex Veteran care. Assists with the implementation of the MISSION Act as it relates to VISN 23 HCBS program expansion. Makes initial eligibility determinations, reassessments, and appeal decisions for clinical eligibly determinations.

Requirements

• Advanced skill in the application of the nursing process in the complex review and care planning for home and community-based services.
• Expert nursing experience/practice: clinical assessment, judgment, treatment, coordination, and collaboration with various VA and non-VA departments, community agencies, and healthcare providers to ensure positive Veteran outcomes. Meets the Practice, Veteran/Patient Driven Care, Leadership, Professional Development ,and Evidence Based Practice/Research nursing dimensions
• Makes recommendations and referrals to other medical specialties/services as needs and are identified during ongoing assessment of this complex patient population.
• Maintains flexibility of schedule to allow for unscheduled events, Veteran/team consultation and mentoring.
• Maintains consistent and timely documentation of clinical work in the electronic medical record in accordance with accepted program, facility, professional, and nursing service policies and procedures.
• Shares knowledge and expertise about the scope of nursing practice and services provided across VISN 23. This is provided through direct consultation, mentorship, development of in-services and clinical training and leading by example.
• 1 full and unrestricted license from any US State or territory

Responsibilities

• Utilizes knowledge of VISN 23 HCBS and VA program to match Veteran level of functioning with appropriate internal and external services, ensuring patient safety, recovery, and continuity of care.
• Applies advanced nursing clinical knowledge and judgment to engage in planning, decision-making, and evaluating VISN 23 HCBS program eligibility.
• Systematically evaluates current practices and formulates outcomes for patient groups and organizational processes within the area of expertise.
• Collaborates with interprofessional team members at VISN and facility levels to ensure consistent services, objective eligibility determinations and service delivery with clear documentation and communication.
• Works with VISN 23 HCBS IDT members to develop and implement strategies for program eligibility, service delivery, location, level of care discharge planning, appeals process, and performance improvement.
• Conducts comprehensive clinical reviews of patient records to identify the need for personal care services and/or the presence of supervision or protection needs daily.
• Documents information used in clinical eligibility determinations and eligibility assessment tools.
• Demonstrates leadership, experience, and innovative approaches in managing complex Veteran care.
• Assists with the implementation of the MISSION Act as it relates to VISN 23 HCBS program expansion.
• Makes initial eligibility determinations, reassessments, and appeal decisions for clinical eligibly determinations.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Administration of Human Resource Programs
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees