Takes responsibility for Consult coordination and patient flow management, including appointment management, triage of patients, patient education, monitoring of patient progress toward predetermined goals and timely follow-up. Participates in clinic for setting patients' goals of care as part of the interdisciplinary team. Utilizes the nursing process in managing, developing, implementing, and evaluating each patient's individual plan in collaboration with the interdisciplinary care team to attain specific clinical outcomes in the outpatient specialty clinic settings. - Communicates with Veterans: health care options including local VA, other VA Medical Centers, and the community based on eligibility criteria for community care per National Directives (i.e. MISSION Act). - Works closely with other VA Medical Centers, contracted facilities, and community facilities to remove obstacles that would impede the Veteran from utilizing the services of other VA Medical Centers or community not available at our facility - Participates in the development and implementation of recommended policies and procedures as related to Consult Referral Coordination and/or designated clinical area. - Maintains and upgrades own knowledge base and skills regarding Consult Referral Coordination and/or specific clinical areas and applies this knowledge to nursing practice. - Receives alerts for consults, assists with ordering and coordinating appropriate tests, obtaining reports and communications with the referring provider, private institutions, and physicians, to expedite patient appointments. - Collaborates with clinic staff to ensure patients are given timely appointments and expedites consults. - Assists in the coordination of Care in the Community (CITC) between the VA and outside facilities and physician offices. - Provides documentation to HIMS staff for scanning into the patient's medical record. - Assists in reviewing and approving consults based on established criteria and service agreements. - Communicates with patients and other staff as needed to confirm consult status and care received, triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. - Collects patient data by interview, examination, and review of records systematically; completes data collection forms as required and documents in the electronic health record as needed. - Establishes work priorities to accomplish assignments timely, achieve program and system goals, and meet established criteria. - Demonstrates proficiency in advanced and highly technical skills necessary for the CITC Program specifically related to consults review and approval, appointment verification and obtaining appropriate documentation if needed. - Completes assignment and evaluates data in relation to the health system's goals and objectives. - Initiates, provides, maintains, and analyzes accurate documentation and databases. - Works collaboratively with other services and refers questions about eligibility to appropriate staff, notifies appropriate service when problems or issues occur. - Demonstrates the ability to communicate through role modeling and instruction of positive communication skills to promote an environment of acceptance, openness, and feedback. - Recognizes the need for assistance, clinical and administrative, and requests assistance as appropriate. - Maintains effective working relationship with professionals and support personnel within or outside of the service. Serves as a resource for other team members and participates in planning for program improvements at the local level. - Consults with provider with questions regarding consults and for quality of care issues. - Creates consults from Secondary Authorization Requests from Community Providers by transcribing requests to an electronic health record order for VA PCP to sign and authorize care. Work Schedule: Monday-Friday, 08:00am-04:30pm Telework: Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.