Registered Nurse - Care Coordination and Integrated Case Management Coordinator

Veterans Health Administration • Columbia, MO

8d • Onsite

About The Position

The Registered Nurse – Facility Care Coordination and Integrated Case Management (CCICM) Coordinator works in Quality Management – Quality and Patient Safety at the Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. The vacancy is open only to current federal employees at that facility. The position is responsible for the clinical programming and daily operations of facility-wide CCICM, in collaboration with the CCICM Social Worker. The coordinator provides leadership in complex patient management and coordinates evidence-based clinical services, education, resource development, community outreach, consultation, and continuous quality improvement. The role develops and implements facility policies, procedures, frameworks, and education plans aligned with local, VISN, ONS, and VACO guidance and national standardized processes. The coordinator monitors, evaluates, and reports CCICM data and program outcomes to assess effects on facility operations and Veteran care.

The nurse is accountable for the nursing process when providing or supervising direct patient care, including age-specific assessment, planning, implementation, and evaluation. The role coordinates care across the continuum, focusing on patient education, self-management, and customer satisfaction, and collaborates with interdisciplinary team members to improve care outcomes. The position also supports colleagues through feedback, knowledge sharing, education, mentorship, and coaching, while evaluating evidence-based decisions and practice changes.

This is a full-time, on-site 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.

Requirements

• Current, full, active, and unrestricted RN registration in a U.S. State, Territory, or Commonwealth, or the District of Columbia; the posting describes a limited Graduate Nurse Technician exception for eligible candidates pursuing licensure.
• Graduation from an approved professional nursing program accredited by ACEN or CCNE, or an applicable qualifying foreign-education or master's-level bridge-program pathway.
• Proficiency in basic written and spoken English.
• Meet the education, specialized nursing experience, and dimension criteria applicable to the grade and level sought; the posting lists Nurse I through Nurse III criteria.
• U.S. citizenship, except that non-citizens may be appointed only when qualified citizens cannot be recruited under VA policy.
• Applicants tentatively selected for a testing-designated position must submit to urinalysis for illegal drug screening; refusal results in denial of employment.
• Selective Service registration is required for males born after December 31, 1959.
• Successful completion of a background/security investigation and the online onboarding process.
• Provide acceptable identification for pre-employment requirements; beginning May 7, 2025, non-REAL-ID-compliant driver's licenses or state IDs cannot be used as acceptable identification.
• Participation in the seasonal influenza vaccination program is required for VA health care personnel.
• A probationary period may be required.
• Complete all application requirements in the announcement's Required Documents section.
• The vacancy is limited to current federal employees within Harry S. Truman Memorial Veterans Hospital in Columbia, Missouri.

Nice To Haves

• Experience practicing as a Nurse II or Nurse III, with progressively responsible professional nursing experience involving complex patient care, care coordination, or clinical program activities.
• Experience coordinating care for Veterans or patients with complex medical, behavioral health, psychosocial, or multiple chronic health needs across services and care settings.
• Experience collaborating with interdisciplinary teams, including nursing, social work, providers, case management, and clinical or administrative leadership, to address barriers to coordinated care.
• Experience applying quality improvement methodologies, analyzing clinical or operational performance data, and developing, implementing, or evaluating improvement initiatives.
• Experience supporting clinical program operations, including performance monitoring, reporting, workflow development, and evaluation of program outcomes.
• Ability to independently prioritize competing responsibilities, facilitate interdisciplinary problem-solving, and communicate findings and recommendations to leadership.
• Experience with VHA care coordination programs, integrated case management principles, or related VA clinical systems and processes.

Responsibilities

• Provide and supervise direct patient care, applying the nursing process and age-specific assessment, planning, implementation, and evaluation.
• Coordinate care across the continuum, including patient education, self-management, and customer satisfaction.
• Provide health counseling, health teaching, case finding, and support for health promotion and prevention of illness and injury.
• Collaborate with interdisciplinary team members to influence care outcomes.
• Demonstrate leadership and creative approaches to complex patient management and improve care for groups of patients.
• Provide constructive feedback, share knowledge, and support the professional development of colleagues and other nurses.
• Evaluate outcomes of evidence-based decisions and practice changes and document program- or service-level outcomes.
• Coordinate and provide direct clinical evidence-based services, including assessments and interventions.
• Educate Veterans, families, caregivers, and staff about CCICM.
• Develop resources, conduct community outreach, and carry out continuous quality improvement, evaluation, and consultation activities.
• Administer CCICM clinical programming and daily facility operations in collaboration with the CCICM Social Worker.
• Develop and implement policies and procedures to ensure compliance with facility, VISN, ONS, and VACO directives and handbooks.
• Develop and implement a facility framework for national standardized processes that integrate communication, collaboration, and coordination across services and programs.
• Participate in developing CCICM policies, procedures, practice guidelines, and facility, VISN, and national program development.
• Support program implementation and maintenance through education, training, mentorship, and coaching.
• Develop, implement, and track a facility-wide CCICM education plan for key stakeholders.
• Collaborate with the social work counterpart in planning, developing, implementing, monitoring, and evaluating CCICM operations.
• Manage, monitor, evaluate, and report CCICM data to capture program operations and impacts on the facility and Veteran care.
• Follow established procedures, policies, and guidelines.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year, comprising 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: Senior
• Education Level: Associate degree