Total 1,150 health beauty fitness job vacancies in d05 clementi new town hong leong garden pasir panjang

Duties include but are not limited to:

• Protects the civil rights of all individuals on VA controlled property;
• Prevents, detect and investigate crimes;
• Patrols assigned areas on foot or by motor vehicle;
• Subdues persons causing disturbance or who threaten harm to themselves or others;
• Follows rules/procedures concerning search and seizure of evidence and contraband;
• Obtains search and arrest warrants;
• Arrests violators;
• Provides basic first aid and CPR prior to arrival of emergency medical personnel;
• Prepares report of activities and events that occurred during shift;
• Performs traffic control; and
• Assists citizens in emergency situations;
• Performs other related duties as assigned.

*** THIS IS A TEMPORARY NTE 120 DAY DETAIL OPPORTUNITY, SUPERVISOR APPROVAL REQUIRED***

Patient Advocacy within VA exists to ensure patient concerns are heard and addressed to improve the overall experience and quality of care for patients. Effective, high-functioning Patient Advocacy is integral to fulfilling the goal of providing Veterans with world-class health care. Major duties and responsibilities include:

Complaint Resolution

• Manages the facility Veteran Centered Complaint Resolution (VCCR) process, including complaint resolution, data capture and analysis of issues/complaints to make system improvements
• Assists Service-Level Advocates (SLAs) and front-line staff in resolving issues and addressing more complex complaints
• Explores all avenues to properly identify the nature and scope of the problem and to initiate appropriate action to expedite a resolution
• Proactively identifies existing or potential problem areas and suggests solutions or alternatives to existing procedures which contribute to these problems

• Serves as the liaison between the facility, patients, staff, and the community, ensuring Patients understand their rights, in addition to, their responsibilities
• Works directly with health care teams, Service Chiefs, and management to facilitate resolution to problems beyond the capability of front-line staff and participate in resolution of system problems by presenting the patient's perspective of the problem and the desired resolution
• Maintains a strong relationship with Veterans Service Organizations and others whose interests are in helping and protecting Veterans, their families, and their representatives
• Serves as liaison with congressional offices, responding directly to their staff assistants on matters involving patient concerns or dissatisfaction

• Ensures VHA Patient Advocacy goals, policy and requirements are met by collecting, analyzing, and evaluating relevant data, and preparing reports based on that data
• Works to identify the elements of clinical or administrative practices contribute to or create an atmosphere for patient dissatisfaction and recommends changes
• Presents patient issues and data at various facility meetings and committees
• Works closely with Facility Management to discuss trending concerns that may indicate the need for system improvements

This position is being announced concurrently under Excepted Service/Merit Promotion procedures. Please review vacancy announcement number IHS-25-CR-12599382-ESEP/MP for eligibility requirements. NOTE: Applicants must apply separately to each announcement in order to be considered.

• Performs a wide range of clinical laboratory tests/examinations for use in clinical diagnosis, patient screening, patient therapy, and other authorized purposes.
• Conducts studies of blood cell morphologies, body fluid analysis, and urinalysis.
• Prepares solution, reagents, and media required for the conduct of tests/examinations.
• Selects, performs, evaluates, and monitors the performance of routine and specialized test procedures using manual and/or automated techniques in accordance with established protocols; the specialized test procedures, obtain analytical data, convert to reports and report results to appropriate individuals.
• Establishes standards and instructions for calibrating or standardizing instruments and equipment at the periodic intervals established by the manufacturers and CLIA/Laboratory Accrediting Organization regulations.
• Determines the causes or possible significance of abnormalities and departures from the norm when test results do not conform to expectations.
• Develops procedures and establishes parameters for correlation of test results.
• Assists with developing, implementing and overseeing policy related to health quality and safety standards for laboratories with the goal of meeting accreditation standards. Provides technical assistance to other laboratory testing personnel.

Major duties include, but are not limited to:

• Monitoring, for compliance and timely update, of expiration of time-limited credentials.
• Serving as subject matter expert (SME) in the field of credentialing.
• Receiving and reviews VetPro reports detecting problem areas requiring further investigation.
• Managing provider applications (initial) for Non-LIPs credentialing within the VAMC.
• Assuring application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account (VetPro or other internal databases and spreadsheets) meet technical requirements.
• Determining processes for coordination of incoming data and documents from a variety of sources.
• Analyzing and managing issues related to documents that do not meet expected requirements, regulations or guidelines such as adverse actions against licensures, certifications, and NPDB) CQ reports.
• Conducting final appointment into the VetPro database, after thoroughly researching, analyzing and validating all data, information, documents and signature authorities.
• Developing and providing routine and special reports as requested by the C&P manager/Analyst.
• Possessing a credit card and is responsible for maintaining records, reconciling monthly charge statements and verifying legitimacy of requests for NPDB Single and CQ enrollments/ renewals, licensure verification (if applicable), National Student Clearing House, Work Number and certifications (if applicable).
• Reconciling transactions and resolving discrepancies with Fiscal Service.
• Performing other credentialing duties as assigned.

VA Careers - Physical Therapy: https://youtube.com/embed/Gi2hoFqIoqY

• The employee is a licensed physical therapist who performs at the full performance level. Uses standard and non-standard methods for evaluating complex cases to identify problems and baseline levels of function.
• Skill in utilizing appropriate screening and evaluation techniques required to appropriately provide direct patient care. Knowledge of contemporary and evidence-based PT practice.
• Demonstrates knowledge of clinical signs and symptoms to make appropriate referrals for further medical attention/assessment as indicated.
• Demonstrates ability to interpret clinician prescriptions and referrals. Develops appropriate treatment plans and goals; performs complex treatment. Demonstrates ability to modify treatment according to the patient's changing medical condition.
• Measures, fits and instructs patients for the use of complex adaptive equipment and assistive devices.
• Skill in communicating, both orally and in writing, with patients, families, caregivers, and other health care professions to facilitate the multidisciplinary treatment process.
• Employee demonstrates knowledge and skill in communications appropriate to the age of patients served in the work area. The employee possesses knowledge of potential changes in communication skills which may occur in aging patients (potential for diminished hearing, vision, and mental acuity) and is able to compensate for these changes when appropriate to insure that effective communication has occurred.
• Employee demonstrates knowledge and skill to provide physical assistance to aging patients, considering potential difficulties with balance and ambulation and the increased possibility of damage or injury to skin and bones.
• Employee communicates readily with multidisciplinary treatment team advising the team of patient's needs and progress, exchanging discharge planning information with them. Written communication is accomplished in a timely fashion.
• Employee is responsible for the care, upkeep and sanitation of equipment used.
• Obtain a history, perform a physical examination and formulate a treatment plan to improve a patient's function. Telemedicine technology may be used for the assessment and treatment sessions.
• Performs other tasks as assigned by the Supervisor, Physical Therapy Department that are consistent with the mission of PM&RS and the Medical Center.

• Drives a diesel driven cab-chassis truck with an actual GVW of 26,000 lbs. x 40 feet in length, (medical mobile van) ½ ton pick-up trucks, vans, and sedans, to carry out the objectives of the work unit.
• Responsible for the basic maintenance of assigned program vehicles and the loading and unloading of health supplies and equipment used by the Staff.
• Coordinates and documents all required repairs and services with the contracted service agency, assures that the work is accomplished in a timely manner.
• Empties, cleans and sanitizes the unit to ensure it is ready for the next day and checks connections to proper connections for electrical and computer supplies.
• Completes work orders as needed and informs supervisor.
• Provides assistance with explaining the health care practices, health instructions, and health teaching/education presented by the health care/service providers, individual clients, family members, groups, outreach clinics and other community settings.
• Assists with the patient registration process by helping patients in completing forms and ensure forms are signed by patients.
• Assists with clerical duties of patients' medical documents including copying, routing, referrals filing, date entry, etc.
• Assists with health promotion projects/program.
• Cleans the Medical mobile van after each use including floors, counters and equipment. Follows the infection control procedures.

• Assist HR Specialist and/or supervisory officials by performing technical and administrative work in support of position classification programs and functions by locating, reviewing, retrieving, and summarizing information from classification standards and position descriptions.
• Assist HR Specialist and/or supervisory officials by performing technical and administrative work in support of recruitment and placement programs by developing and issuing vacancy announcements; screening applications to determine completeness and basic eligibility.
• Assist HR Specialist and/or supervisory official by performing technical and administrative work in support of employee and labor relations programs by interviewing employees and/or managers to obtain background information regarding specific incidents; summarizing relevant facts for HR Specialist. Perform work in support of employee benefit programs.
• Verify current background investigations meet IHS's minimum requirements including capturing applicant's fingerprints, biometric information, and photo. Obtains acceptable I-9 documents.

Major Duties:
The incumbent is responsible for the operation and supervision of the carpenter shop, maintenance and repair of a wide variety of infrastructure systems which serve the entire Medical Center and SCBOC. Infrastructure systems includes, but is not limited to carpentry, locks, door's hardware, fire and smoke barrier doors, windows, masonry, walls, flooring, ceiling, roofs, light pulps, light switches, light outlets, and cove base. In addition, the incumbent is responsible for coordinating and managing in house construction projects. Oversee maintenance, repair and installations of carpentry millwork, suspended ceiling systems, masonry walls, sheet rock walls, cover base, doors, windows, locks, doors hardware, locking mechanisms, tile flooring, ceramic flooring, carpeting, fire proffering, stairs, concrete work, taping, compounding, and roofing systems. In addition, the Carpenter Supervisor is administratively responsible for all aspects of the Carpentry/Masonry/Locksmith Unit, including employee performance, training, and work assignments, adverse actions, awards and other personnel issues associated at the first level of supervision.

Planning

• Plans the use of workers, equipment, facilities, material and tools on a day-to-day or project-by-produce basis.
• Adheres to work priorities, project schedules, resources, and detailed work plans established by higher level supervisors.
• Follows customary work cycles and sequences in planning work assignments.
• Tracks and reports progress on work assignments and request authority to adjust worker assignments and to use overtime, equipment and materials to meet schedules.

• Assigns work to individuals and provide technical direction and/or help in accomplishing difficult work steps and processes.
• Observes work in progress to anticipate and resolves problems, reassign personnel within group supervised, and coordinates work among workers and other supervisors to maintain work progress to meet schedules.

• Supports and explain management programs to their subordinates.
• Recommends performance ratings, training, disciplinary actions, changes in performance standards, and the most suitable applicants for vacancies.
• Assures safety and housekeeping practices are observed.
• Maintains work reports and records and assist supervisors in planning overall leave schedules.

Nature of Supervisory Responsibility:

Incumbent is the foreman of the Plumbing Shop, which consists of pipefitting, and plumbing staff. The plumbing Shop is part of the Maintenance and Repair Section of Engineering Service. Incumbent reports directly to the Maintenance and Repair Section Chief and has the Assistant Chief as second level supervisor. He/she has the responsibility for effective and efficient operation and maintenance of all gas systems and equipment, such as steam heating, steam generation, and vacuum systems, radiators, and circulation pumps, sewerage system, all pressure steam systems and associated parts, hot water generators, sterilizers, heating systems, fire suppression systems, pneumatic tube system, natural gas, medical gases and non-medical equipment. S/He must be able to lay out and install various kinds of piping, risers, and flexible branches at the proper level and incline; determine the placement and elevation and install steam generators, vacuum and condensate pumps, and radiators; and replace heat exchangers, flash and expansion tanks, and automatic and manual control valves. The installation, maintenance, and repair of all aforementioned equipment falls within their purview.

Responsible for independently diagnosing, planning, and completing projects or work orders involving major systems in the entirety. He/she must show proficiency with the work order system and report on metrics such as preventive maintenance completion, corrective maintenance turnaround time, and adherence to documentation of services standards.

Planning:
Incumbent is responsible to coordinate work with all care/service/departments in the Medical Center and outside service vendors, contractors, and other service companies/agencies. Advance planning to eliminate unnecessary loss of service to patient areas; this would curtail patient care of result in serious discomfort to the entire Medical Center/CLC.
Work Direction:
During times of heavy workload or special projects, incumbent is required to coordinate and work with carpenters, painters, AC mechanics, electronic mechanics, maintenance mechanics, etc. Incumbent may be required to assist these employees in their trades.
Administration:
The incumbent of this position supports and explains management programs, recommends performance ratings, training, and changes in performance standards. The incumbent will advise and counsel workers on new work techniques appropriate for their specific trade, advise and counsel workers, investigate grievances and complaints and informally resolve.

Performs other duties as assigned.

The incumbent is the first level supervisor in charge of all work performed by the pipefitting/plumbing shop. At a full complement, the incumbent will supervise Pipefitters and Plumbers at the assigned duty station in the NYH facilities indoor and outdoor.
The incumbent directly supervises the following levels of work:
- Plumbers WG-09 - 4+ positions
- Pipefitters WG-10 - 6+ positions




Work Schedule: Monday- Friday; 8:00am to 4:30pm
Position Description Title/PD#: Pipefitter Supervisor/PD49178A
Physical Requirements:
Incumbent uses dollies to move heavy objects, however, may lift and carry heavy objects (up to 100 pounds). Required to work from scaffolds and ladders requiring stretching or working in cramped or awkward positions, work on roofs, parapets, and in confined areas. Must be capable of working out problems safely when moving material to and from job sites using his initiative to expedite the work. Considerable standing, stooping, and bending. The incumbent must be in good physical condition, capable of responding to emergency situations. Must be capable of accessing all equipment locations in the Medical Center and controls as needed, and be able to do any necessary bending, lifting, walking, climbing and other strenuous physical movements required by an AC mechanic, plumber, pipefitter, maintenance worker, and locksmith. The campus layout of this Medical Center requires walking considerable distances due to the proximity of buildings.

Incumbent is required to work indoors and outdoors, sometimes in areas subject to extreme heat or cold. Will be exposed to dust, dirt and chips generated by working with the required masonry materials. A portion of the supervisor's work is performed in an office environment, however, when required to operate and/or perform repairs, the incumbent must be alert to the life-threating hazards of handling high pressure steam, improper sanitation by waste removal, use of highly combustible or explosive materials and gases, working in high temperature confined areas and the use of highly toxic agents. The incumbent may be exposed to dust, dirt, soot and noise in the performance of duties. Properly utilizes all issued PPE, includes uniform, safety shoes, goggles/eye protection respirator/dust mask goggles when required

• Develops implements, evaluates and revises the service unit patient care coordination and case management program for nursing service.
• Collaborates with primary care providers, clinic nurses, public health nursing, case management and social services to ensure that the patent's care needs are done in a timely and cost effective manner to maximize each visit.
• Manages all clinic visits and follow-up visits through coordination with multi-disciplinary teams of physicians, nursing personnel, social workers, physical therapists, etc.
• Monitors and evaluates the effectiveness of the patient care coordination process by reviewing charts of patients to determine if documentation is present.
• Coordinates the available resources by identifying, mobilizing and utilizing those resources to meet the patient's needs and clinical outcomes.
• Develops a plan of care for patients, utilizing the nursing process.
• Ensures specialty consultative referrals are processed.
• Coordinates appointments for patients with consultants and services both within and outside the Indian Health Service.
• Communicates with provider regarding patient needs.
• Makes referrals for patients who need a primary care provider assignment.
• Collaborates with Purchased Referred Care (PRC) to ensure patients who are transferred out of the facility are transitioned back into the facility as appropriate.

The position serves as a Project Engineer at an assigned Department of Veterans Affairs (VA) Healthcare System. This position performs project planning, produces designs, manages designs, manages construction, and provides construction administration for Minor Construction Projects, Non-Recurring Maintenance (NRM) Projects, Station Level Projects, and Leases, including all areas and aspects(architectural, electrical, life safety, mechanical, civil, structural, etc.) at an assigned medical center and associated Community Based Outpatient Clinics (CBOCs).

The position serves as resident and program engineer consisting of the planning, design, and overseeing of major healthcare system projects; oversees Professional Architecture/Engineering (A/E) and Construction contracts to ensure the contractor is in compliance with all contractual requirements, healthcare regulations and codes, specifications and schedules are met in accordance with the government's requirements for VA owned and leased facilities.

The position provides engineering support to the assigned healthcare system and is responsible for maintaining construction specifications and drawings, maintaining technical reference library of codes, standards, and other regulations which are applicable to the engineering construction industries Occupational Safety and Health Administration (OSHA), National Fire Protection Association (NFPA), American National Standards Institute (ANSI), and others. The position serves as a healthcare engineering advisor, engineer consultant, engineer designer, contract administrator, project manager, construction coordinator, and instructor during the design and construction of all projects assigned. The position is responsible for providing healthcare engineering support to all assigned projects. The position is responsible for performing the duties of a Contracting Officer Representative (COR) on professional design and construction projects, training service staff on technical issues and assisting the service staff on the completion of technical and administrative issues regarding infrastructure related operations of the medical facility.

The position maintains Contracting Officer Representative (COR) certification to oversee the administration of Facility Engineering Service's Architect/Engineer and Construction Contracts.


Functions or Scope of Assigned Duties:

• Performs Healthcare Planning/Design Management - The position determines the requirements for healthcare projects in relation to the needs of the Healthcare System, inclusive of the parent site, as well as off-site locations under the auspice of the Healthcare System, whether VA owned or leased.
• Manages Healthcare Design and Construction Administration - The position uses independent seasoned engineering judgment in evaluating and performing scheduling and layout of operations, inspection, and surveillance of materials, methods, and equipment used in construction.
• Performs Healthcare Construction Management and Post Project Activities - The position provides direction and guidance to the contractor for construction within the facility.
• Medical Infrastructure Planning - The position assists on the medical center construction projects, space functional changes, and associated planning with respect to medical technologies and medical-related technologies. Including site preparations for medical equipment, station level projects, non-recurring maintenance projects, and minor construction project designs.
• Regulatory Agencies - The position assists in monitoring and reporting on construction and utilities management program that allows the Veterans Health Administration to meet the requirements set by accrediting organizations.
• Network Security - The position shares responsibility in ensuring that information security issues are managed effectively for engineering databases and building automation systems.

● Handle and maintain the full set of accounts, P&L, Balance Sheet, General ledger, Financial Reporting, forecast, and budget for the companies.

● Guide and supervise accounts assistant/executive and ensure accuracy in their double-entry input.

● Check and prepare for the quarterly GST returns within the deadlines

● Discussed operational flow improvements with the Clinic Executive and Operations Team.

● Prepare intercompany balance sheet reconciliation and intercompany billing

● Prepare detailed accounts that require analysis of the management accounts and variance reports.

● Maintain fixed asset register, record journal entries including depreciation, accrual and prepayment schedule

● Verified and processed invoices, supplier payments and reconciliation of bank statements.

● Check and verify clinic stock management and clinic monthly inventory reports

● Process staff claims and reimbursement of claims

● Prepare forecast budget and cash flow statements yearly

● Assist in reviewing and preparing tax computations.

● Prepare financial statements, and liaise with external Corporate Tax agents on taxation matters

● Support regulatory and internal reporting, which includes monthly, quarterly, and annual reporting

● Maintain accounting controls and recommend policies and procedures to enhance process efficiencies

● Manage and monitor performance metrics, KPI tracking, and reports of the finance team.

● Ensure the timely processing of staff claims activities and supplier payments.

● Maintenance and enhancement of the MYOB software to meet companies’ requirements.

● Manage procurement of office supplies and pantry items for clinics regularly.

● Other admin duties assigned from time to time by the Management

Requirements

● A recognized Accounting Diploma or Finance Degree—minimum 2 years of working experience in a similar capacity.

● Supervisory experience is preferred.

● Prior experience in the healthcare industry is an added advantage.

● Knowledge of Business Accounting is a key requirement.

● Knowledge of handling a full set of accounts, payroll processing, CPF ruling, GST, and Tax regulations

● Motivated, proactive, and optimistic about overcoming challenges.

● Must be proficient in Microsoft Office, Excel, and Pivot Table. MYOB knowledge will be an advantage.

● Able to work independently with minimum Supervision.

● Able to meet deadlines and with good time management skills

● Excellent interpersonal, communication, and organizational skills are essential.

Detailed and meticulous, with a good balance between implementation and accuracy.

Conducts limited analyses to develop required data and information for reporting purposes; and drafts brief factual administrative reports. Prepares documents needed to process budget estimates. Drafts reports that detail the purposes for which funds were obligated and expended. Performs preliminary analyses of budget requests, and compiles data to be used for forecasting obligations. Receives, screens, and recommends approval of annual budget estimates. Gathers, extracts, reviews, verifies, and consolidates a variety of narrative information and statistical data needed in the formulation and presentation of budget requests (e.g., estimates of the funding needs of Groups or overall agency requirements). Identifies and analyzes trends in the receipt, obligation, or expenditure of funds to help ensure that objectives of the annual financial plan are being met on a timely basis; and that funds are available and being properly and effectively used to support program objectives.

Conducts limited studies and analyses to develop required data and information for reporting purposes; and prepares administrative reports. Reviews short-range budgetary and program requirements to assure their conformance with established agency policies and the intent of Congress. Evaluates operating plans for reasonableness of workload, obligations, and outlay data. Insures that monthly and yearly trends are reflected in the operating plan and recommends any necessary adjustments.

Prepares documents needed to process budget estimates. Writes reports that detail the purposes for which funds were obligated and expended. Performs analyses of budget requests, prepares justification statements, and compiles data to be used for forecasting obligations. Reviews, edits,
and consolidates annual budget estimates for assigned organizations and programs into a single budget request. Identifies and analyzes trends in the receipt, obligation, or expenditure of funds to ensure that objectives of the annual financial plan are being met on a timely basis; and that funds are available and being properly and effectively used to support program objectives.

Develops proposed budgetary and procedural guidance (i.e., format for budget estimates) for issuance to the organizations. Develop summary charts providing a synopsis of the facility's budget request and highlights issues with pertinent background information so that effective budget decisions can be made. Participates in the fund distribution process and controls and reviews assigned areas at the planning, apportionment and allotment stages. Assists in the preparation of instructions pertaining to format, content, and underlying policy assumptions for facility preparation and submission of monthly budget operating plans. Reviews operating plans for conformation with established policies, plans, and objectives. Evaluates operating plans for reasonableness of workload, obligations, and outlay data. Insures that monthly and yearly trends are reflected in the operating plan and recommends any necessary adjustments. Reviews actual obligations, outlays, and workload levels to highlight potential operating and financial problems. Takes appropriate action when necessary.

Performs other related duties as assigned

Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

Work Schedule: M-F, 8 am - 4:30pm
Telework: VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.
Virtual: This is not a virtual position.
Position Description/PD#: Budget Analyst/PD55987A, PD55985A, and PD55986A
Relocation/Recruitment Incentives: Not authorized
Critical Skills Incentive (CSI): Not approved
Permanent Change of Station (PCS): Not authorized

Duties of the Nurse Manager (NM) include, but are not limited to:

• designated first-line supervisory authority and is responsible and accountable for the operation of their assigned units
• provides coverage for other NMs as needed
• responsible and accountable for the direction and supervision of specific orientation, training, development of staff, and evaluation of individual staff performance
• influence care outcomes by collaborating with members of the interdisciplinary team to remove barriers and implement new evidence-based cutting-edge programs/processes
• adhere to ethical principles in decision-making, fostering accountability at personal, organizational, and staff levels
• equip staff with tools for culturally competent care and promotes a culture of accountability for high-quality, cost-effective outcomes
• cultivate alliances across the care continuum, building trust through active listening, engagement, and emotional intelligence
• contributes to the development of care delivery models and environmental design, ensuring evidence-based, accessible, affordable, and equitable patient care
• ensures compliance with accreditation and regulatory standards
• aligns nursing/clinical objectives with organizational strategic outcomes, participating in strategy planning and execution
• maintains knowledge and ensures compliance with all regulatory and accreditation standards, Directives, policies, and standard operating procedures (SOP)
• provides peers with informal constructive feedback for improvement
• supports colleagues and other nurses through knowledge sharing to provide safe, quality nursing care
• fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• partners with others to effect change and produce optimal outcomes and evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations
• responsible for the documented outcomes at the program or service level; program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility.

This Registered Nurse-HBPC Seacoast position is in Nursing, Ambulatory Care Service at the Manchester VA location. This position is full-time at 40 hours per week.

Included but are not limited to:

• The Home-Based Primary Care (HBPC) Registered Nurse reports to the HBPC Nurse Manager
• Manages consults and patient inquiries (electronic or telephone) expeditiously
• Function a a member/extension of the Patient Aligned Care Team (PACT) team
• Participate in daily huddles with the HBPC PACT team and relay relevant information to the HBPC PACT/interdisciplinary team
• Use appropriate data sources (PACT Almanac, Clinical Reminders/dashboards) for proper patient management
• Schedules home visits according to patient needs and understanding; schedules consults promptly
• Monitors patients at high risk for hospitalization and keeps the HBPC Provider and Primary Care Provider apprised of clinical issues needing provider intervention
• Provides individualized education and support to the patient and caregiver to optimize clinical outcomes and support quality of life decisions
• Provides port-discharge and emergency room telephone calls to team panel to ensure the transition, assesses current needs and appoint as needed for follow up care
• Develops and coordinates the patient's plan of care to include ongoing assessment and re-assessment, care planning, care coordination, monitoring, and evaluating clinical outcomes
• Identifies specific goals and develops a treatment plan within 30 days of admission, collaborating with other interdisciplinary team members
• Evaluates patient progress towards achieving goals every 90 days
• Effectively provides care and manages clinical issues of a panel/caseload of 25-30 Veteran patients