Registered Nurse (Inpatient Case Management-Intermittent)

Veterans Health Administration • Los Angeles, CA

9d • Onsite

About The Position

The VA Greater Los Angeles Healthcare System (VAGLAHS) is seeking to hire an experienced Registered Nurse to work in its Inpatient Case Management Service. The incumbent is expected to function independently, collaboratively, showing leadership and communicating effectively, coordinating care for complex/high risk patients, for a seamless, efficient and safe discharge. This is an intermittent position, requiring a minimum of 8-12 hours per pay period, with shifts assigned on an "as needed" basis. The position is located at 11301 Wilshire Blvd, Los Angeles, CA 90073. This is not a virtual position and telework is not available.

Requirements

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment.
• Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
• Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the "Required Documents" section of this announcement.
• 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.)
• 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.

Nice To Haves

• BSN and/or MSN preferred
• Inpatient case management experience preferred
• Minimum of 5 years of successful nursing practice, encompassing education, administration, leadership and Quality Management Performance Improvement (QM/PI) experience preferred.
• Basic computer literacy proficiency with the use of Microsoft Office programs or comparable word processing, spreadsheet and graphic software and the ability to learn new programs specific to the VA preferred.
• Ability to work variable and flexible tours to meet program demands
• Demonstrated ability to accurately implement VA GLA policies, regulations, standards of care and standards of practice preferred.
• Demonstrated ability to review patient clinical records and extract needed information in order to assess appropriate non-VA care options preferred.
• Proven ability to facilitate group problem solving preferred.
• Proven ability to utilize sound judgment in making patient transfer decisions preferred.
• Ability to lead and effectively direct staff within program unit/team/group preferred.
• Excellent organizational, communication, writing, and time management skills preferred.
• Excellent interpersonal skills and the ability to work independently as well as collaboratively with multiple service lines and disciplines preferred.

Responsibilities

• 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.

Benefits

• VA offers a comprehensive total rewards package: VA Nurse Total Rewards
• A career with the U.S. government provides employees with a comprehensive benefits package.
• As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.
• Learn more about federal benefits.

What This Job Offers

• Career Level: Entry Level
• Education Level: Associate degree