Registered Nurse (RN) - Geriatrics Extended Care (GEC) Coordinator

Full Job Description

The Registered Nurse - Geriatrics Extended Care Coordinator is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care.

Assesses, plans, implements, and evaluates the effectiveness of the Veteran's care. Serves to support delivery of high quality, timely care to the Veteran receiving services in the community.

This position is located in Community Care at the Tomah VA Medical Center in Tomah, WI. Basic Requirements: 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.) NOTE: 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.

Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade.

The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12877378.

Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies.

An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required.

Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex.

An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required.

Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.

An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience.

Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.

A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience.

Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.

MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III.

*Note: Foreign education programs/degrees are not creditable as related degrees.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Preferred Experience: BSN preferred 2+ years of Case Management experience preferred Ability to communicate clearly and concisely is highly preferred Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling.

Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients Utilization of safe patient handling and mobility protocols Major Duties:

The Registered Nurse (RN) - Geriatrics Extended Care (GEC) Coordinator executes position responsibilities that demonstrate expert leadership, experience, and creative approaches in providing complex patient management.

They provide patient management, care coordination, and discharge/disposition planning for inpatient and outpatient settings.

The RN - GEC Coordinator's focus is on individual growth and development in practice with increased levels of self-direction.

This RN brings principles and theory with limited application of critical thinking skills, while assisting Veterans, family members, and caregivers with receiving the most appropriate options and services to meet their complex health care needs.

These health care needs include, but are not limited to, acute, chronic, multiple, complex, catastrophic, or life-threatening illnesses; combat stress, residuals of traumatic brain injury; community adjustment; and addictions.

The GEC RN is also responsible for the following duties: Coordinating care with multiple providers across all levels and sites of care.

Coordination includes assuring services interface within the Veterans Affairs (VA) and Community Care GEC programs to provide continuity of care to patients.

Possessing and using knowledge of utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines.

Maximizing third-party payments for care and delivering quality patient care performance improvement activities.

Developing and coordinating seamless transitioning of patients throughout the inpatient and outpatient care process; with a focus on discharge planning needs.

Reviewing and assisting in patient referrals for the following CC GEC programs: Home Health Aide (HHA), Veterans Directed Care (VDC), Adult Day Health Care (ADHC), In-Home Hospice, In-Home Respite, In-Home Skilled Nursing, Home Infusion, and Contracted Nursing Home (CNH) programs to ensure continuity of qualified comprehensive care.

Participating, as needed, in the discharge planning assessment and implementation of community health services.

Performing follow-up and oversight visits to the Veteran after admission as outlined in the Office of Integrated Veterans care (IVC) Field Guidebook; to ensure that adequate and safe care is being provided while under VA contract.

Advocates for holistic care through patient/family education and provider interaction and implements an educational plan to meet the patient care needs.

Collaborating in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines.

Demonstrating performance and leadership that is broad enough to improve the care for a group of patients. Providing peers with formal or informal constructive feedback for improvement.

Supporting colleagues and other nurses through knowledge sharing to provide safe, quality nursing care.

Fostering a safe and supportive environment conducive to the professional development of health care professionals.

Evaluating outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.

Documenting broad and complex outcomes at the program or service level, that can be demonstrated at any organizational level within a facility. Other duties, as assigned.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: Up to 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Full-time; 0800-1630 Telework: Ad-hoc; as determined by the agency policy.

Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized