This position is located at the Lebanon VA Medical Center in the Office of Care Coordination. The Care in The Community (CITC) Case Manager will identify patient care needs, establish priorities within an expanding patient population in order to effectively and efficiently manage the comprehensive needs of this population. The CITC Case Manager will coordinate services with other team members in order to promote positive patient outcomes. This nurse will closely manage specific populations requiring outside services, expediting care across a continuum or those patient groups where timeliness of services is critical for a positive outcome. These special populations include, but are not limited to, Vascular, Surgery, Pulmonary, Oncology, Cardiology, Endocrinology, and Oncology Radiation. Coordination of Care is also provided for outside services referrals to General Surgery, ENT, Plastics, Urology, Sleep Studies, Gastroenterology, Rheumatology, Orthopedics, Neurosurgery, and General Medicine referrals. The Case Manager is the coordinator of the process, reviewing outside services consults for accuracy and appropriateness, assisting with the coordination of services between referring and treating facilities, and problem-solving with patients and supportive staff as necessary. This Case Manager is responsible to perform community visits (when necessary) in support of patient needs and transition back to Lebanon VA Medical Center or to their residence. The Case Manager performs business case analysis comparing actual care to Diagnosis-Related Group codes to accurately predict and ensure billing is accurately projected and overbilling does not occur. Coordinates admissions and assists with bed control functions to transition Veteran inpatient care back to Lebanon at the earliest possible juncture. Serves as admission coordinator, working closely with LVAMC and Civilian hospitals in coordination of inpatient admissions. Performs business case analysis for purchased care to ensure the highest level of care at the most economical costs. Works closely with fee resources and civilian hospitals to ensure timely and accurate invoicing and payment for services. The Case Manager assist with interfacility VA transfers as well as the Traveling Veteran. The Case Manager provides effective communication and collaboration with members of the interdisciplinary team, the Veteran, and the Veteran's family members to ensure the Veteran receives timely and appropriate care to meet the Veteran's needs. Work Schedule: 7:30 am to 4:00 pm Monday - Friday Telework: Available up to 3 days per week 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.