The Advanced Practice Registered Nurse (APRN) is assigned to the Mental Health Service located in Roseburg Veterans Affairs Healthcare System (RVAHCS). The APRN functions as an independent provider and oversees care provided to patients within the Behavioral Health Interdisciplinary Program. Care provided includes identifying the patient's biopsychosocial concerns, defining the management of these problems, and determining the need for treatment, consultation, or referral. The APRN involves incorporating and implementing the requirements of the following activities that includes, but not limited to the following: Serve as reference to PACT, PC-MHI, Mental Health teams / specialty teams to facilitate timely, appropriate work-up in collaboration with specialist(s) optimizing VA resources and facilitating community care as needed Point of contact for any work-up related questions from patient/family, staff (local and/or other VISN20 facility), community providers Inform patient/family of process, general disease education Assure proper follow-up of abnormal findings that are not treated during visit/stay. Identify high risk patients by acuity and/or biopsychosocial issues for intensive case management Monitor activities to ensure timely multidisciplinary review and coordination of activities necessary for development of a treatment plan and necessary supportive procedures Assess and link patient to additional services when needed, i.e. alcohol treatment, nutrition, palliative care, hospice as necessary, Home Telehealth Communicate/coordinate with Mental Health team regarding medications, patient care needs, etc. Support patient education, treatment education, awareness of steps in care Assess and treat patient for symptom management and/or refer to appropriate specialty for higher level care needs Track all treatments according to care plan, communicating with appropriate service provider on any deviations/omissions from plan Assure treatment summary and recommendations are communicated to involved services Proactively addresses discharge/continuity of care needs (home care, supplies, medications, etc). Provides education to patient/family for medication changes, symptom management, etc. Ensure all mandatory reporting, documentation, coding, and encounters are completed timely and tracked, as appropriate Serves as a point of contact for any medicine-related questions from patient/family, staff (local and/or other VISN20 facility), and community providers Facilitate transition of care for ongoing needs Ensures provision of biopsychosocial support to patient/family Participate in quantitative and qualitative data collection to support evaluation efforts of the unit Work directly with stakeholders to identify needs, systems issues, and communicate activities, treatments, and ongoing needs Partner with local Leadership in communicating and addressing systems issues identified by VARHS, VISN, or regulatory agencies for timely resolution Partner with the Leadership on regional and VISN-wide process improvement strategies Serves on local and VISN committees Work Schedule: Monday - Friday, 8:00 am - 4:30 pm Financial Disclosure Report: Not required
Internal Number: 598211600
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.