Registered Nurse Community Health Coordinator- Social Work Service
Tucson, AZ - USA
Job Summary
Demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assesses plans implements and evaluates the effectiveness of the Veterans care. Serves to support delivery of high quality timely care to the Veteran receiving services in the community. Assumes responsibility for the coordination of care focused on patient education self-management and customer satisfaction throughout the continuum of care.
Duties are but not limited to: The Registered Nurse follows procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team.
The Community Health Nurse Coordinator (CHNC) uses the nursing process and evidence based practice to collaborate with other CHNCs physician therapy staff social workers community agencies VA contracting staff Veterans families and caregivers. The CHNC is a member of an expanded team. The incumbent is responsible for collaborating with services external to the VA to facilitate care transition in order to effectively meet patients needs. The incumbent is responsible for acquiring and demonstrating clinical expertise and knowledge of health care programs to improve the quality of patient care. The incumbent must maintain current knowledge of VA and Medicare rule changes and guidelines and facilitate physician compliance with current regulations. The CHNC must maintain a detailed working knowledge of current VA memos directives and laws and regulations that govern the Purchased Home Care practices. The incumbent participates in quality improvement activities at the department or service level with the objective of improving patient care outcomes. The CHNC participates in various workgroups and/or committees representing the Social Work Service as assigned. The incumbent must be a mature flexible sensible organized detail-oriented individual capable of working effectively in stressful situations.
This individual must also be able to shift priorities based on patient needs and must also be able to compliance with the ADA as amended and the Rehabilitation Act of 1974 any individual who can meet the physical requirements of the position with reasonable accommodation should advise Human Resources Service of their need for reasonable accommodation and coordinate with the office so that an individualized assessment can be conducted.
The CHNC is responsible and accountable for all elements of the nursing process when arranging community patient care. The CHNC must have an understanding of the adult stages of life and compares the patients or residents chronological age with physical emotional and psychological needs of the peer group. The incumbent must have knowledge of observe and act appropriately in assessing planning and providing care according to Veterans military history including service connected conditions such as physical or psychological trauma (i.e. PTSD TBI etc.) and unique health risks based on a specific service/military period. The incumbent must report or ensure vendor/agency report of abuse neglect or exploitation as per State/Federal law and VA policy. The incumbent is responsible for having knowledge of appropriate planning and provision of care in home care for residents of various cultural backgrounds and must discuss with community providers when needed the need to provide education in simplified terms about treatments and medications including pain medication to Veterans based on age/population/cultural related needs.
Preferred Experience:
- 2 years skilled home health experience clinical documentation review and able to navigate complex systems
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 0800-1630. Tour subject to change depending on the needs of facility.
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
- 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 ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- Must pass pre-employment physical examination.
- 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.
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 masters level bridge program in nursing who have completed coursework equivalent to a bachelors 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.)
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: I Level I
Reference: For more information on this qualification standard please visit Requirements: This position may include a level of physicality normally associated with duties performed by nurses such as walking bending stooping and some lifting. There may also be extended periods of sitting or standing. Transferring patients and objects may be required. Utilization of safe patient handling and mobility protocols using mechanical lifts that are provided.
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38 and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act the Department of Veterans Affairs prohibits requesting an applicants criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process visit Human Resources and Administration/Operations Security and Preparedness (HRA/OSP) at The Fair Chance Act.
Candidates should be committed to improving the efficiency of the Federal government passionate about the ideals of our American republic and committed to upholding the rule of law and the United States Constitution.
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. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required Experience:
IC