As a RN case manager (RNCM) you will serve as a member of the interdisciplinary Mental Health Intensive Case Management (MHICM) Team. The MHICM program serves Veterans having a chronic serious mental illness for whom it has been shown that the intensive case management model is effective. The focus is on reducing the Veteran's use of inpatient psychiatric services and fostering his or her recovery. Duties and responsibilities included, but are not limited to, the following: Provide psychosocial support, assist with problem solving and development of coping skills, and support the Veteran's personal goals for recovery. Obtain a health history of referred patients; data collection includes lifestyle patterns, pain issues, sleep/activity levels, support systems, cultural, social, and ethnic factors, patient treatment preferences and goals. Develops and implements an individualized, strengths-based, recovery-oriented plan of care according to OPMH/MHICM SOP to meet the Veteran's stated goals. This includes self-care treatment measures and re-integration into the community to promote highest level of function for the Veteran. Administer long-acting injectable medications, including antipsychotics and opiate antagonists. Administer screening tools, including PHQ9, GAD, PCL, MOCA, Suicide Risk Assessment, and Audit C. Gather data and statistical compilations in accordance with Joint Commission, CARF, NEPEC and VA Medical Center policy and procedures. Monitor ongoing treatments for adherence, medication side effects, and clinical outcomes, including worsening of symptoms, impairment, and therapeutic response, and provide and/or coordinate appropriate follow up. Assess patients and provide additional support between visits with licensed independent providers (LIPs). Refer to, consult with, and coordinate care with other VA health care providers. Serve as liaison for Veterans in community hospitals and treatment settings to facilitate continuity of care. Coordinate with other agencies and make referrals to provide Veterans with necessary community services. Function as an advocate for Veteran self-determination. Provide Veterans and their caregiver(s) with education regarding their illness/diagnosis, medications, and treatment plan. Facilitate psycho-educational and support groups with Veterans and/or caregivers. Actively participate in team meetings and other MH meetings as appropriate. Assist with education and act as preceptor for others who provide nursing care, i.e. nursing students, new hires, and Peer Support Specialists. Document mental health treatment within prescribed guidelines in CPRS. Operate and maintain GSA vehicle according to national, VISN, and local policies. Provide coverage as needed for other staff on MHICM, and for other nursing staff throughout OPMH Work Schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m. 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.