Registered Nurse - Care Coordination Integrated Case Management Lead Coordinator

Created at: August 22, 2025 00:03

Company: Veterans Health Administration

Location: Buffalo, NY, 14201

Job Description:

The Western New York VA Medical Center is currently seeking a Registered Nurse - CCICM Lead Coordinator. This position is part of the Primary Care Team and is located at the Buffalo Facility. The Registered Nurse - CCIM Lead Coordinator assists Veterans, family members, and caregivers with receiving the most appropriate options and services to meet their complex health care needs by providing competent, evidence-based care to assigned patients.
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/12787232. 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. Preferred experience: BSN Case Management certification Care Coordination experience Case Management experience RN experience in medical ambulatory care or acute medical/surgical care setting Experience in educating health care staff Experience working with and/or leading committees Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The position requires the incumbent to have visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The incumbent must be mature, flexible, and sensible, capable of working effectively in stressful situations and able to shift priorities based on patient needs. This position requires limited periods of standing, stooping, bending, pulling, pushing, walking, and be able to lift up to 35 pounds. Transferring patients and objects may be required. This position also requires sitting for long periods typing on computer keyboard, looking at computer monitor, and using the telephone. The incumbent maybe exposed to infected patients and contaminated materials requiring the incumbent to don protective clothing and equipment in isolation situations or during invasive patient procedures. The incumbent may be exposed to patients who are combative or aggressive related to neurologic or psychiatric disorders. The incumbent must meet the required screening/testing and be medically cleared by Employee Occupational Health as a condition of employment.
The Registered Nurse (RN) - CCICM Lead Coordinator in Specialty Clinics is a member of the facility Care Coordination and Integrated Case Management (CCICM) team. The incumbent reports to the Specialty Clinics Nurse Manager and will work with the facility CCICM RN and Social Work Co-Coordinators, ACNS Ambulatory Care, Specialty Clinics Nurse Manager, Primary and Specialty Care Providers and teams, other facility coordinators, and appropriate interdisciplinary team members to assist in the sustainment of the required CCICM initiative across VAWNYHS as the RN Lead Coordinator for the Specialty Clinics and Community Based Outpatient Clinic sites. Lead Coordinators (LCs) serve as a appointed single, readily accessible, and clearly identifiable point of contact for a Service member or Veteran, their family and caregiver, and care team members. The incumbent has a panel of assigned patients and has a primary responsibility for ensuring the Veteran's care is coordinated across settings, services, and episodes of care, and the care plan is delivered as clinically indicated. While other care team members will provide direct services to the Veteran including PACT RNs and SW staff who perform basic care coordination, having a Lead Coordinator who oversees complex care coordination and facilitates interprofessional team communication, reduces task and intervention duplication and improves the quality of care plan delivery. This role is a critical component of the (CCICM) framework. The incumbent will follow the VHA-adopted framework for evidence-based case management (CM) practices, with responsibilities including identification, screening, assessment, care planning, implementation, monitoring, care transitions, and program and outcome evaluation. Lead Coordinators are front-line Nursing or Social Work staff who facilitate collaboration amongst Veterans, their family or caregiver, providers, and other care team members to engage in shared decision making, and develop a safe, integrated and whole health care plan that considers the best scientific evidence available as well as the Veteran's values and preferences. Lead Coordinator assignments to patient cases will be designated by a facility Care Coordination and Review team, and the assigned Lead Coordinator will be accountable for coordinating/case managing a case load of patients that require moderate or complex care coordination or case management. This care coordination and case management is expected to improve patient satisfaction and access to care, improve quality of care and patient outcomes, and reduce duplication and fragmentation of services. Work Schedule: Full-Time. Variable 8-hour day tour subject to change based on mission requirements (7:00 am - 3:30 pm or 7:30 am - 4:00 pm). Compressed/Flexible: Not Authorized Telework: Ad-Hoc per agency policy Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized VA offers a comprehensive total rewards package: VA Nurse Total Rewards to include: 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


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