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Registered Nurse - Patient Flow - Inpatient Case Manager

Veterans Health Administration

Washington, District of Columbia

Eligibility
RN
Unit
Nurse

Posted Sep 15

Location

Washington, District of Columbia

$83,132–$158,590/year

Schedule and commitments

Term
Permanent

The work and the unit

Specialty
Nurse

Pay and benefits

Against the board
Washington staff median is $42/hrWashington staff postings that state pay run $41/hr to $51/hr, the middle half $41/hr to $43/hr, across 30 postings. This posting states $40/hr to $76/hr, which is wider than that middle half, so where it sits depends on which end you are offered.

Do you qualify?

License
Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
Experience
BSN At least 1 year of patient flow experience.
Experience
At least 5 years of Clinical experience.
Experience
2 years of progressive management or supervisory experience in a hospital setting.
Also asks
Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation.
Also asks
Selected applicants will be required to complete an online onboarding process.
Show all 15
Also asks
Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
Also asks
Must pass pre-employment physical evaluation.
Also asks
You may be required to serve a probationary period.
Also asks
Complete all application requirements detailed in the "Required Documents" section of this announcement.
Also asks
U. S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Also asks
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.
Also asks
Applicants who refuse to be tested will be denied employment with VA.
Also asks
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Also asks
Note: Only education or degrees recognized by the U. S. Department of Education from accredited colleges,…

What's around it?

In Washington, DC· © Mapbox © OpenStreetMap

Living costs about 9% above the US average

Median rent
$1,954/mo
Household income
$109,870/yr, all local households, not nurse pay

See Washington, DC

From Census ACS 2024.

About this role

The primary purpose of the Patient Flow Inpatient Case Manager Nurse Registered Nurse position is to demonstrate leadership in delivering and improving holistic care through collaboration strategies with others to provide comprehensive nursing for the complex patients in the assigned area.

Major duties include, but are not limited to: Demonstrates clinical competence in the assessing, planning, services. He/she performs an initial and ongoing assessment of patients to identify needs, issues, resources, and care goals, and identifies critical factors for achieving desired outcomes for discharge. Functions as a systems coordinator for the plan of care; monitors progress through the expected hospital course and coordinates discharge planning with the patient and their physician team.

Read the full posting

Collaborates with the patient and care providers to evaluate and update changes in the management of the patient and the discharge plan. Advocates for fiscal responsibility in the management of care through effective utilization of resources. Establishes ongoing relationships with professional/health related groups within the community.

Recognizes complex situations that impact patient care and intervenes using sound judgement, professional knowledge and appropriate conduits to resolve issues. Monitors length of stay in order to meet VHA and National Standards. Reverts to analytical thinking when dealing with events that are unexpected.

Educates rotating resident physicians on the essential elements of discharge and the care coordination process. Provides support to the in-patient nursing unit(s) by coordinating outpatient home care. Initiates follow-up as needed.

Focuses on problems, initiates referrals to other disciplines and/or services as appropriate. Accurately documents in the medical record patient findings, assessments, and care provided. Demonstrates and/or verbalizes correct responses to emergencies as well as initiates effective action in emergencies.

Demonstrates understanding of infection control precautions appropriate for the patient population. Leads unit-based shared governance, performance improvement and safety initiatives. Pursues an education plan to maintain/improve knowledge in their case management and discharge planning nursing.

Participates in educational activities to improve and maintain clinical knowledge and skills and enhance role performance. Leads others in the application of knowledge/skills in caring for patients. Assumes responsibility/accountability for evaluation of all delegated tasks and is self-directed in the identification of learning needs and development of individual performance plans.

Initiates and utilizes positive, effective communication skills and professional behaviors that promote cooperation, teamwork, and effective interaction with internal and external customers. VA offers a comprehensive total rewards package: VA Nurse Total Rewards 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: Various; that may include: both 8 and

  • 12 hour shifts, days, nights, weekends, and holidays. Schedule will ultimately be determined by Supervisor and/or needs of the Facility. Telework: Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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 master's level bridge program in nursing who have completed coursework equivalent to a bachelor's 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.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. 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: https://apply.usastaffing.gov/ViewQuestionnaire/13064208. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex.

An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.

An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience.

Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Preferred

Experience

BSN At least 1 year of patient flow experience. At least 5 years of Clinical experience. 2 years of progressive management or supervisory experience in a hospital setting. 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 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, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders.

Must complete annual Employee Health requirements as a condition of employment.

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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).

Effective May 7, 2025, driver's 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 evaluation. 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.

Note: Only education or degrees recognized by the U. S. Department of Education from accredited colleges,…

Sourced from Veterans Health Administration’s careers page.

How this role fits you

About the employer

Veterans Health Administration
Health system employer

Nationally the VA describes itself as the largest U.S. nurse employer, with more than 120,000 RNs, APNs, LPNs, and nursing assistants. The VA has said it is on pace to reduce staff by nearly 30,000 by the end of FY2025…

Veterans Health Administration photoVeterans Health Administration photoVeterans Health Administration photo

On your path

Case Management is a specialty you move into. Bedside years first. That experience is what gets you in.

Worth asking

  • Can you walk me through differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
More questions to ask
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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