Registered Nurse - Transitional Community Care (TCC) Coordinator

The VA Northeast Ohio Healthcare System is recruiting for a Registered Nurse for the TCC (Transitional Community Care Coordinator) program. The Registered Nurse will function in the Patient Transfer Center for the Patient Care Administrative Service.

The TCC RN is responsible and accountable for indirect patient care by facilitating and coordinating Veteran care needs through collaboration with community providers and TCC Nurse Practitioner. Duties of the Transitional Community Care RN Coordinator include but are not limited to: Conducts assessment of Veteran needs based on thorough review of clinical records obtained from community facilities. Coordinates a discharge plan of care that may require obtaining additional information from community providers to provide safe transition to home or Cleveland VAMC. Maintains patient confidentiality and privacy during interactions. Adheres to established information security policy and procedures. Supports patient advocacy in ethical issues and adheres to medical center policy regarding ethics and Advanced Directives. Participates in the identification and reporting of patient safety risks to the appropriate facility leadership. Identifies and reports potential deficiencies in process, making recommendations for improvement. Enters TCC E-Consult/Note initiation Enters Primary Care Provider appointment request, if needed (as a Return-to-Clinic order) Prosthetics/Durable Medical Equipment coordination For Social Work-driven requests, enters RN portion of GEC Enters HBPC request, if needed Enters Geri Vet request, if needed Coordinates virtual face-to-face visit with patient, if needed Coordinates ID provider-to-provider report for Home IV antibiotics, if needed Enters Travel Consults, when needed Tracks patient data/Transitional Community Care team actions Reviews Home IV antibiotic packet for completion, and emails to VA Infectious Disease team Assists with coordinating patient transfer to the Cleveland VAMC when indicated 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: Monday-Friday; 8:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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.