The Care Coordinator coordinates care for a panel of patients throughout the continuum of care. They work closely with the Chief-GEC, Neurology & Geriatric Psychiatry Providers and other healthcare professionals, other clinics, internal or external services and community agencies. They provide professional assessment, coordination and planning of multiple health care services; acts on behalf of the veteran to assure that necessary clinical services are received, and that progress is being made. The Dementia Care Coordinator RN is accountable for coordinating the development and implementing of the biopsychosocial treatment plan in collaboration with the primary care team/provider, across all settings, including the home. This responsibility requires considerable expertise and skill, as well as maintenance of an effective balance between the needs of the patients and families and the priorities of the Medical Center and the VA health care system. The challenge of this assignment lies in skillfully developing an effective biopsychosocial treatment plan for patients who are seriously compromised by chronic illness, mental health, social, financial and other related conditions. The consequences of the actions taken may be serious because the veteran may be in an especially vulnerable position due to cognitive, sensory and functional impairments. The Care Coordinator provides professional assessment to an adult population of predominantly older, male patients. The individual must demonstrate the knowledge of age-related factors, changes associated with aging and possess the ability to provide care as noted in age-specific competencies described in network and station policies and procedures. The Care Coordinator especially focuses on the patient in the context of family, home and community by integrating an assessment of living conditions, individual, family dynamics, and cultural background into the patients plan of care. Work Schedule: Monday - Friday, 7:30am - 4:00pm Telework: Available 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.