Registered Nurse (Case Manager-Imaging)
What you'd do
VA Greater Los Angeles Healthcare System seeks an experienced RN for a dual case management and clinical nursing role in Imaging. The RN provides case management and care coordination for Veterans undergoing Interventional Radiology, Diagnostic Radiology, and Nuclear Medicine procedures and treatments, with case management as the primary responsibility and current emphasis on IR. Duties include scheduling, education, barrier resolution, IV access, medications, monitoring, and sedation support.
Major duties
Current, permanent GLA employees will be given the first consideration. Must submit most recent SF-50 to receive 1st consideration. This position serves a dual case management and clinical nursing role within the Imaging Service, with case management and care coordination as the primary responsibilities. The RN will manage care for Veterans undergoing Interventional Radiology, Diagnostic Radiology, and Nuclear Medicine procedures and treatments, with current emphasis on Interventional Radiology. Responsibilities include coordinating care from referral and scheduling through preparation, procedure completion, and follow-up; assessing patient readiness; reviewing orders and clinical documentation; resolving barriers to care; triaging urgent requests; providing patient education; and communicating with Veterans, caregivers, and clinical teams. As a secondary component of the role, the RN will provide direct clinical nursing support, including pre-procedure assessments, IV access, medication and contrast administration, patient monitoring, sedation-related care within established policies and competencies, and recovery and discharge support. Job duties including, but not limited to: Coordinate and assist with scheduling imaging and procedure appointments. Ensure appropriate patient preparation (instructions, NPO guidelines, medication holds, labs, consent verification, etc.). Review orders and supporting documentation for completeness. Triage urgent and emergent procedure requests from the Emergency Department, inpatient units, and clinics. Communicate preparation instructions and expectations to patients and clinical teams. Reviews renal function labs (BUN/Cr/eGFR) for contrast exams and determines when updated labs are required. Screens for anticoagulant/antiplatelet use and verifies appropriate medication holds per protocol, especially for lnterventional Radiology procedures. Reviews allergy and contrast reaction history and ensures premedication protocols are verified and followed when indicated. Assist with patient monitoring during imaging-related procedures, including procedures involving moderate sedation (within policy and competency). Support safe workflow and communication between technologists, providers, and procedural staff. Reinforce adherence to safety protocols, timeout procedures, and contrast safety guidelines. Performs vital-sign monitoring for MRI patients with pacemakers/lCDs when required. Assists with anxiolytic/minimal sedation for MRI/CT (e.g., lorazepam), including pre-, intra-, and post-monitoring per facility policy. Provide immediate post-procedure follow-up for inpatients and outpatients. Assess patients for post-procedure concerns or complications and escalate as appropriate. Coordinate necessary follow-up appointments, repeat imaging, or additional diagnostic/interventional studies. Ensure appropriate documentation, communication, and patient instructions after procedures. 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, Monday-Friday, 8:00am-4:30pm Telework: Not 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 Duty Location: 11301 Wilshire Boulevard, Los Angeles, CA 90073
What you need to qualify
Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13025043. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Heavy lifting (45 lbs and over); Heavy carrying (45 lbs and over); Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking and standing up to 8 hours; repeated bending; Ability for rapid mental and muscular coordination simultaneously; hearing aid permitted.
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