Registered Nurse - Referral Coordination

Quick Facts

• Role: Registered Nurse on the Referral Coordination Team
• Focus: Review community care referrals, confirm eligibility/medical necessity, and coordinate access to care

Description

This Registered Nurse (RN) will review referrals for community care eligibility and medical necessity, coordinate care continuity between VA facilities, community providers, and interdisciplinary teams, and support patient access to services. The role educates Veterans on available healthcare options (including telehealth), manages outpatient clinic patient flow and appointment scheduling, and helps resolve barriers to care. It also provides referral guidance and staff education and analyzes referral trends and utilization to improve processes and optimize resources.

Responsibilities

• Provide accountable direct patient care nursing process and/or supervision
• Review referrals to determine community care eligibility and medical necessity using clinical judgment and established guidelines
• Coordinate referrals and continuity of care among VA facilities, community providers, and interdisciplinary healthcare teams
• Educate Veterans on healthcare options, including VA, community care, telehealth, and other available services
• Communicate with Veterans through phone, VA Video Connect, and secure messaging
• Manage outpatient clinic patient flow, appointment scheduling, and timely processing of new consults and referrals
• Collaborate with providers and clinic staff to ensure timely access to care and resolve barriers to service delivery
• Provide education and guidance to providers and staff regarding referral management, care modalities, and medical management processes
• Analyze referral trends and utilization data to identify opportunities for process improvement and resource optimization
• Develop and maintain care coordination agreements with internal and external services
• Serve as a clinical resource to multidisciplinary staff and support quality improvement and effective utilization of VHA resources

Benefits

• Competitive salary, regular salary increases, and potential for performance awards
• Paid Time Off: 50 days per year (annual leave, sick leave, and paid Federal holidays)
• Retirement: traditional federal pension and federal 401K with up to 5% employer contributions
• Insurance: federal health/vision/dental/term life/long-term care options
• Licensure: 1 full and unrestricted license from any U.S. state or territory
• Work schedule: Monday–Friday, 7:30am–4:00pm
• Telework: occasional/episodic authorization may be available; not a virtual position