Transfer Coordinator Registered Nurse

The Transfer Coordinator RN is built on a Veteran and family-centered approach, and delivered by an interdisciplinary team which exists both within and outside the VA San Diego Healthcare System (VASDHS). Transfers are provided to eligible Veterans and coordinated by an RN specializing in care coordination. The Transfer Coordinator RN facilitates the flow of Veterans between VASDHS and non-VA community facilities by serving as a point of contact for transfers.

The Transfer Coordinator RN assumes the following major duties and responsibilities: Coordinates obtaining and reviewing applicable medical records and associated documentation to Physicians. Facilitates contact and communication between transferring and receiving physicians and pertinent staff responsible within VA and outside facilities. Provides timely updates of information and places required documentation in the Electronic Health record. Utilizes the Bed Management System (BMS) to identify bed availability and documenting/updating inter-facility transfer requests, including monitoring timely Veteran access. Assisting with facilitation of physician/clinical consultations, as needed, to render timely clinical decisions to expedite care. Utilizes CPRS to document details regarding transfer requests, decisions made, and recommendation including consultation with community care staff and community hospitals, referencing Community Care guidelines as applicable. Works with the Nursing & Patient Care Services leadership in the flow of patients from VASDHS to other-VA medical facilities and non-VA care facilities when necessary. Conducts utilization review to identify medical necessity, intensity of service and transitions to different clinical settings for VASDHS. Works with other-VA and non-VA care Nurse Case Managers, Transfer Coordinators, physicians, and administrators seeking services from VASDHS. Utilizes lnterQual criteria to identify medical necessity and intensity of service for transfer referrals. Documents outcomes of utilization management in their respective assigned areas where resource utilization is impacted, and clinical decisions are made that have potential to alter the course of patient care and VASDHS. Determines level of care and refers requests to appropriate Services/Case Managers for transfer consideration. Discusses Veteran transfer concerns with an interdisciplinary team (physicians, social workers, case managers, pharmacists, and nutritionist). Act as patient and family advocate and assesses clinical outcomes. Coordinates the modes of transportation used in the transfer process i.e. ambulance, critical air, and secure transport. Act as a liaison, providing a bridge between caregivers within and outside the VASDHS for emerging medical, psychosocial, or rehabilitation problems, managing the continuum of care and care coordination. Demonstrates compliance with Code of Conduct and compliance policies and acts to resolve compliance questions or concerns and reports suspected violations. Participates in unit-based in-services, and mandatory education activities in a self-directed manor. Performs other duties as assigned. 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: Full time; M-F 8-hour shifts. May include holidays and weekends Telework: not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: 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 examination. 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. As a condition of employment for accepting this position, if needed, you will be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Graduate of a school of professional nursing approved by the appropriate 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program.