The RN Care in the Community (CITC) RN serves as a clinical subject matter expert in interpreting and implementing Care in the Community (CITC) program guidelines, policies, and practices. Assists in interpreting and applying Community Care standards and policies to each CITC request/consult. Duties include but are not limited to the following; 1. Identifies and documents care to be authorized. 2. Utilizes critical thinking skills to identify, analyze, and resolve patient care coordination issues. Coordinates ancillary outpatient services or other patient needs upon discharge from community healthcare facilities to ensure timeliness and quality continuity of care between VA and CITC providers. 3. Utilizes complex automated data processing systems and their application for communication, data management, and reports (e.g., VISTA, CPRS, VSSC, HSRM, Microsoft Word, Excel and Outlook). 4. Maintains tracking system of consult approval and completion for data retrieval and to ensure an accurate, meaningful reporting system. 5. Monitors the Health Share Referral Manager web portal daily to track status of referrals, assists veterans with Community Care program questions, responds to subsequent Request for Services, and downloads results. 6. Reviews results to determine if Community Care consults can be marked as complete. 7. Initiates referrals to other disciplines and/or services as appropriate. 8. Monitors the CITC program elements and processes and identifies core needs of interdisciplinary staff regarding Fee program regulations and requirements. 9. Utilizes appropriate criteria when reviewing CITC consults. Contacts requesting physicians when additional information is required, or concerns are identified. 10. Ensures appropriate supporting clinical data is available for each consult reviewed. 11. Follows established clinical protocols to order basic laboratory or imaging tests to process CITC consults/referrals. 12. Performs follow-up activities with patients and/or vendors to ensure timely response to consults related to high-risk requests or those associated with timely diagnosis of major diseases or health problems. 13. Conducts focused reviews for clinical input on a consultative basis. The CITC RN demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. The incumbent is directly responsible to the CITC Work Schedule: Monday - Friday, 7:30a.m. - 4:00 p.m. (other day tours may be requested or required) Financial Disclosure Report: Not Required.
Internal Number: 599229500
About Veterans Affairs, Veterans Health Administration
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.