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The VA Western New York Health Care System, Buffalo Medical Center, is currently recruiting for one Registered Nurse who will serve as a Home Telehealth Care Coordinator. The Nurse uses the nursing process and evidence-based practice to collaborate with the core interdisciplinary team in the Home Based setting. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: BSN Preferred Home Telehealth Experience Preferred (2) Years acute Medical/Surgical RN experience with the past 5 years preferred Primary Care RN Experience preferred RN Experience in Geriatric Nursing Care preferred Ability to function effectively without direct daily supervision Ability to make sound, independent clinical judgments and accurate physical assessment Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical patient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Home Telehealth Care Coordinator (HTCC) is responsible for coordination of health care for a defined patient population identified as high resource users or at high risk for decline. Patients receive goal-oriented, coordinated care addressing holistic needs with the aim of preventing disease complications, maximizing functional ability, and quality of life. The HTCC provides information about services in the healthcare delivery system such as treatment and care options, community services, home care options, and home telehealth technology equipment. The functions and responsibilities of the HTCC include, but are not limited to: Adhering to established policies, standards of care and standards of practice is consistent with the plan of other health care providers. Coordinating and facilitating the provision of clinical and psychosocial services in a setting best suited to the services and to the healthcare needs of assigned patients. Implementing measures to improve access to care and the provision of timely health care interventions. Working collaboratively with the patient, family/significant other, and members of the interdisciplinary team to implement a plan of care across the continuum to meet each patient's individual needs and maintain or improve quality of life. Promoting strategies that contribute to the effective and efficient use of Medical Center and VISN resources. Providing care for his/her panel of patients through tele-health technology engaging the patient in self-responsibility for healthcare agency. Being accountable for patient care follow-up to meet established clinical guidelines/performance measures. Reviewing consults of patients to assign telehealth technology, coordinating follow-up care for patients across the continuum, and providing interventions to reduce future hospitalizations and ER visits in collaboration with the Primary Care Team. Enhancing patient satisfaction and patient advocacy. Providing consultation to other health care providers, disciplines, and departments; e.g. Home Telehealth for optimizing blood glucose in diabetic patients. Teaching other members of the health care team regarding clinical, fiscal and system processes related to nursing case management with home telehealth technology. Providing data about indicators related to clinical and fiscal outcomes. Collecting, analyzing, and sharing of data and information in order to influence performance improvement goals. Providing leadership in the application of the nursing process to client care, organizational processes in order to improve outcomes at the program level. Serving as a liaison to the patient, his/her family, and members of the multidisciplinary team and hospital systems, to facilitate the management of patient-centered care: right care, right place, and right time. Adhering to appropriate interpersonal skills, working closely with all members of the interdisciplinary team. Assuming the role of educating staff to meet changing program or service needs and consulting regarding issues such as care planning, policy interpretation and others. Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 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 Days (8:00 am - 4:30 pm Monday - Friday) Compressed/Flexible: Not Authorized Telework: Eligible - as determined by agency policy Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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