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The Patient Flow Coordinator is responsible for ensuring the patients admitted to the VA Palo Alto Health Care System (VAPAHCS) meet the requirements for the appropriate level of care for the specific treatment plan regardless of location or services, collaborates with Utilization Management as a benchmark, ensuring patient is meeting criteria for admission and or continued stay. Is clinically and administratively responsible to the Nurse Manager of the Clinical Command Center. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: Current BLS Provider Card Two (2) years of RN experience Previous leadership/management experience RN experience in case management/ utilization management experience Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: This position requires heavy lifting, 45 pounds heavy carrying, 45 pounds straight pulling (2 hours); reaching above shoulder; use of fingers; both hands required; walking & standing 8 hours - intermittently; repeated bending; both legs required; ability for rapid mental& muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. ["The Registered Nurse - Patient Flow Coordinator will be responsible for collaborating with physicians, nurses, case managers, social workers and patient care area leadership regarding activities related to bed management within VAPAHCS. Effectively utilizes the nursing process to facilitate the effective movement of patients. Ensuring effective management of routine patient movement using BMS/EDIS for routine transfers and admission. Ensuring competency and readiness to manage patient movement during emergency and disaster scenarios including full scale medical facility evacuations using BMS and its emergency management features. Applies a collaborative team approach in identifying, analyzing and resolving patient flow issues. Promoting continuity of care through collaboration with patients, families and healthcare teams. Participates in interdisciplinary team rounds/huddles and discharge planning to ensure timely and efficient patient movement with anticipated discharges. Participates in education activities to improve clinical knowledge and skill and maintains expertise in management of patient flow. Assesses patient flow needs capacity, availability, acuity skill level of personnel working in collaboration with Nurse Managers in assigning responsibilities to meet needs that may impede patient flow. Demonstrates positive, effective communication skills and professional behavior to promote cooperation and teamwork to enhance patient flow. Effectively communicates information to appropriate staff in a timely manner regarding patient flow issues. Exhibits leadership and collaborates with the interdisciplinary team to improve and sustain the quality and effectiveness of services to patients in an interdisciplinary setting. Participates in designing, implementing, monitoring and revising systems to ensure the cost effective use of resources including staffing effectiveness and enhancing patient care utilizing System Redesign principles. Works collaboratively with ACHO Management Team to identify and promote staff development and enhance staff competencies, and System Redesign initiatives. Collaborates with the Assistant Chief and the Chief Nurse of ACHO for Program Development, Quality Care, Performance Measures and Resource Planning. Applies Lean principles and attends Dyad Tier Checking meetings as scheduled 70% of the time. Seeks to maintain open communication, productive working relationships and teamwork with all persons involved with the care and flow of patients. Actively supports policy changes and actions that improve throughput and the quality of patient care. Other responsibilities as assigned by the supervisor and required. 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: Varies: Mon-Fri with flexibility to meet patient and program needs Telework: ADHOC Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Maybe Authorized Permanent Change of Station (PCS):Not Authorized Financial Disclosure Report: Not required"]

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