Registered Nurse (Community Care Coordinator)

Quick Facts

• Role: Registered Nurse (Community Care Coordinator)
• Focus: Coordinate community care for Veterans, including request review, authorization decisions, scheduling, and documentation.

Description

The Community Care (CC) Nurse is a licensed RN who coordinates care for Veterans requesting or referred for community care. The RN evaluates requested care as a delegate of authority (DOA), assessing, planning, implementing, and evaluating outcomes to guide Veterans through the community care process.

Responsibilities

• Use VA-approved resources and systems to manage community care consults and related workflows
• Review and evaluate community care requests; authorize or deny based on medical appropriateness and completeness
• Verify Veteran enrollment status and submit enrollment LEAF requests when needed
• Determine the appropriate Standardized Episodes of Care (SEOC) and explain authorization coverage/limitations to Veterans
• Use the Decision Support Tool (DST) via Consult Toolbox to determine eligibility under Mission Act/IVC guidance
• Use Care Management Tool (CMT) for complex care coordination with VA and community providers
• Review incoming community provider records for appropriateness/completeness; attach scanned results to consults in the medical record
• Serve as a resource for Veterans and fellow VA staff on community care processes
• Coordinate with VA internal specialty providers/Primary Care teams and with Community Care LIPs
• Collaborate with multidisciplinary teams (e.g., social workers, travel team) to facilitate complete care
• Educate and train incoming CC Nurse staff
• Document nursing evaluations, assessments, and interventions
• Schedule appointments and generate authorizations using scheduling software; communicate with Veterans and community providers
• Stay current on federal regulations, VHA guidelines, and participate in quality improvement

Benefits

• Competitive salary with regular increases and potential performance awards
• Paid Time Off: 50 days/year (annual leave, sick leave, and federal holidays)
• Retirement: traditional federal pension and federal 401K (VA contribution up to 5%)
• Insurance: federal health/vision/dental/term life/long-term care options (many carry into retirement)
• Work schedule: 8:00 a.m. – 4:30 p.m., Monday–Friday
• Telework: limited, ad-hoc basis may be available (not a remote position)