The Care in the Community (CITC) Nurse Manager is responsible to the CITC Nurse Executive. The incumbent is a key resource for Nurse Management and other operating officials. He/she provides leadership and support in planning, implementing, assessing and administering systems to maintain and improve the quality of clinical care coordination, consult management through the assessment of staffing effectiveness, budget, FTE issues, etc. The Care in the Community Nurse Manger is responsible to the Associate Director. The incumbent is a key resource for Nurse Management and other operating officials. He/she provides leadership and support in planning, implementing, assessing and administering systems to maintain and improve the quality of clinical care coordination, consult management through the assessment of staffing effectiveness, budget, FTE issues, etc. The function is accomplished within the context of the medical center, five CBOCs, and parts of neighboring states as a tertiary referral center. Duties include but are not limited to: - Functions in an advanced managerial role whose practice is of an Nurse Manger nature, comprised of complex leadership and administrative components within specified care line(s), associated with critical health care and nursing practice issues and activities that influence the organizational mission, health care, and policy. Accountable for the provision, management, and monitoring care within a specified care line(s). - Oversight responsibilities for facilitating and coordinating, with the inpatient NVCC program, GEC, NVCC dental program, contract dialysis program, ID home infusion program, non-intuitional care, medical Centers provider agreement program (legal Contracts for external services / compensation) and to support Supervisory Clinical staff in Care in the Community (CITC), provide accurate and appropriate guidance, instruction in the Care in the Community (CITC) / Non-VA Care (NVCC) Program, clinical reviews for authorizations, budgets, clinical functions to ensure maximum support to the medical center and appropriate treatment of VA patients. Coordinates and designs information systems, which support the utilization of the nursing process for patient data entry, as well as for collecting, aggregating and analyzing data related to various types of health care issues. - Participates in decision making deliberations and all other duties as assigned by the Associate Director. - Director of a community care program, "with an enormous background of experience, who now has an intuitive grasp of each situation and zeros in on the accurate region of the problem without wasteful consideration of a large range of unfruitful, alternative diagnoses and solutions" (Benner). The nurse manager is responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility, VISN, or VACO. Program is defined as a substantial coordinated group of activities impacting patients and/or employees. and/or areas related to the assigned roles and responsibilities, (d) Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within an area of expertise, (e) Guiding, developing, and supporting staff from a leadership perspective, and (f) Using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities. - Director of VA Care / Care in the Community Nurse is recognized and aligns with the organizational goals for the service. The incumbent supervises staff in various disciplines and understands and acts upon variances from policy, professional practice, and VHA initiatives. Care in the Community Service Nurse maintains the competency, the age specific, and the evaluation of every employee in their department and provides feedback and evaluation at appropriate intervals. - The Care in the Community Nurse will also need to oversee operations and clinical activity and nurse flow functional roles, which includes organizing and coordinating the clinical components for the unauthorized/authorized care of non-VA services in response to individual healthcare needs along the illness and care continuum and in multiple settings. The goals are to center services around the patient, to foster patient self-managed care, and maximize efficient and cost-effective use of health care resources. The Care in the Community Nurse II utilizes all avenues of resources available to ensure staffs provide safe and efficient timely coordination of quality health care and services. The role of the Nurse II is to establish, promote and monitor seamless care for veteran patients. (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning; (b) Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making, and evaluating outcomes, Work Schedule: 8:00am-4:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.