Registered Nurse - Transitional Community Care (TCC) Coordinator

Veterans Health Administration•Cleveland, OH
•Onsite

About The Position

The VA Northeast Ohio Healthcare System is recruiting a Registered Nurse to serve as a Transitional Community Care (TCC) Coordinator in the Patient Transfer Center within the Patient Care Administrative Service. The RN provides indirect patient care by facilitating and coordinating Veterans’ care needs in collaboration with community providers and the TCC Nurse Practitioner. The role supports safe transitions from community facilities to home or Cleveland VAMC and contributes to patient advocacy, privacy, safety, and process improvement. The position follows a Monday–Friday schedule from 8:00 a.m. to 4:30 p.m. Telework is not available, and the position is not virtual. 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

  • Proficiency in basic written and spoken English.
  • Graduation from an approved and appropriately accredited school of professional nursing, or qualifying equivalent education as described in the posting.
  • Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. State, Territory, Commonwealth, or the District of Columbia; an exception may apply for eligible Graduate Nurse Technicians pursuing licensure.
  • Meet the education, experience, and dimension criteria for the applicable VA Nurse grade and level.
  • U.S. citizenship, subject to the stated VA policy exception for non-citizens when qualified citizens cannot be recruited.
  • Complete required background/security investigation, onboarding, pre-employment requirements, and physical evaluation.
  • Participate in the seasonal influenza vaccination program.
  • Comply with applicable Selective Service registration requirements for males born after December 31, 1959.

Nice To Haves

  • Five years of nursing experience.
  • Outpatient or community care experience.

Responsibilities

  • Assess Veteran needs through thorough review of clinical records obtained from community facilities.
  • Coordinate discharge plans, obtaining additional information from community providers as needed to support safe transitions to home or Cleveland VAMC.
  • Maintain patient confidentiality and privacy, and adhere to information security policies and procedures.
  • Support patient advocacy on ethical issues and follow medical center policies regarding ethics and advance directives.
  • Identify and report patient safety risks to appropriate facility leadership.
  • Identify and report potential process deficiencies and recommend improvements.
  • Enter TCC E-Consults and initiate notes.
  • Enter Primary Care Provider appointment requests as Return-to-Clinic orders when needed.
  • Coordinate prosthetics and durable medical equipment.
  • Enter the RN portion of GEC for Social Work-driven requests.
  • Enter HBPC and Geri Vet requests when needed.
  • Coordinate virtual face-to-face visits with patients when needed.
  • Coordinate provider-to-provider reports for Home IV antibiotics when needed.
  • Enter travel consults when needed.
  • Track patient data and Transitional Community Care team actions.
  • Review Home IV antibiotic packets for completion and email them to the VA Infectious Disease team.
  • Assist with coordinating patient transfers to Cleveland VAMC when indicated.

Benefits

  • Competitive salary, regular salary increases, and potential performance awards.
  • 50 days of paid time off per year, consisting of 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.
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