GDIT’s Military Health IT Team is HIRING multiple Clinical Nurse Coordinators (RN) to support clinical care coordination for the Defense Health Agency’s Virtual Medical Center in Europe (VMC-E). Candidates will be working from Landstuhl Regional Medical Center, located in Kaiserslautern, Germany.
The target start timeframe for this position is this Fall 2020.
VMC-E provides digital health care delivery between 300+ providers within 43 specialties to patients in garrison, operational, and remote settings spanning four COCOM’s on three continents serving Army, Air Force, Navy, NATO, DLA, DIA, and DoS Service and Family members. The VMC-E end state will be to sustain current capabilities and increase global footprint to facilitate and leverage Defense Health Region-Europe’s (DHR-E) Medical Center and Treatment Facility Specialty Services throughout the DHR-E, other DHA Markets, and the Combatant Commands within VMC-E’s Area of Responsibility.
What You’ll Be Doing:
Registered Nurse providing services under this contract shall perform procedures within the scope of clinical practice privileges as granted by the Virtual Medical Center-Europe (VMC-E) and the Medical Treatment Facility (MTF) assign to as needed. The clinical care coordinator duties encompass nursing functions for which he/she bears responsibility and medically delegated functions of a Registered Nurse. The Registered Nurse shall perform the same clinical duties as those required of any military or government civil service HCP of similar experience and in similar duty assignments. The quality of Registered Nurse practice shall meet or exceed reasonable standards of professional practice for the health care concerned as determined by the same authority that governs military medical professionals in the same discipline. The individual will independently perform duties in accordance with professional standards and guidelines.
As an educational Registered Nurse she/he serves as a member of a multifunctional team using telehealth clinical information system technologies to expand access to primary and specialty care such as behavioral health, traumatic brain injury (clinical, optometry, and rehabilitative services) or other specialty services as required, and provides clinical expertise and operation for Landstuhl Regional Medical Center (LRMC) and throughout the Regional Medical Command (RMC). This position assists the lead Virtual Health (VH) Registered Nurse educator with developing plans, coordinates and implements a clinical education program aimed at enhancing staff development in VH.
As assistant advisor on clinical care administration, the Clinical Coordinator serves as a vital staff member of the Regional Virtual Health Management Cell and is responsible for assisting with coordinating with local training centers and sister organizations within the RHC-E and the Army Medical Department (AMEDD) to maximize educational opportunities and continuing education offerings. The incumbent will work closely with personnel within the region and throughout other RMCs to provide cross level specialist, tele-consultative support, virtual medicine clinical support and other support as needed. Provides accurate and current advise on a variety of complex issues to include: planning, organizing, and directing care, standards of patient care, patient care plan, implementing physicians' orders, administering medications and intravenous solutions, medical recording and reporting, medical re-supply, hospital safety, infection-control policies and procedures, Registered Nurse staffing policies, and nursing staff supervision. Serves in an education capacity to provide formal and informal education to privileged providers, medical service assistants, and VH patient presenters regarding policies and emerging technologies. Topics include, but are not limited to web side manner, ICD 10 coding, TBI (optometry and occupational health), orthopedics, neurology, etc. Demonstrates expertise in clinical care delivery with the VH camera peripheral exam equipment
Assists with clinical program development, which includes coordinating and providing the delivery of the RMC Telehealth Network Program to meet the needs of the patients, and healthcare professionals. Develops a knowledge base of available community resources within the local community and provides information on these resources. Functions as a collaborative member of the Regional Virtual Health Team providing a nursing perspective to patient care. Maximizes the use of available training resources; assists the education lead who coordinates scheduling of instructors, students, and classrooms; resolves scheduling conflicts and takes appropriate actions as required; designs and distributes agendas for forthcoming educational offerings. Coordinates with local training center within the RHC-E and the AMEDD to maximize educational opportunities and continuing education offerings. Provides in-house and video teleconferencing (VTC) one-on-one training for specialty care providers on the implementation of Clinical Virtual Health programs in their specialty arenas.
As a Clinical Registered Nurse in the telehealth/telemedicine program with duties as assigned by the Project manager in coordination with a specialty services remote licensed independent provider, in an ambulatory care setting. As the clinical information authority, she/he uses interactive audio-video communication technologies associated with telehealth/telemedicine to assist remote licensed independent providers and supporting clinical and administrative staff in the assessment, data collection, evaluation, and treatment for acute, non-emergent care, specialty consultation, and routine pre- and post- operative care.
Under supervision of remote licensed independent provider and Medical Director, provides, comprehensive nursing care on-site and remotely to expand access to multifaceted acute, routine, and specialty care consultation services, to include primary care, surgical, behavioral health, traumatic brain injury, and other specialty services as required. Supports the individual patient telehealth/telemedicine encounter by clinically presenting the patient to remote licensed independent providers using VH clinical information system technologies. Serves as the eyes, ears, and hands of the licensed independent provider at the site where the patient is being evaluated. Communicates directly with the evaluating remote licensed independent provider regarding pertinent patient demographic and clinical information (e.g. patient demographics, chief complaint, history and physical, radiographs, lab work, etc.), prior to and during the telehealth encounter.
Ensure appropriate routine and special laboratory tests, radiographic studies, electrocardiograms, cardiac studies, and pulmonary studies are ordered as indicated.
Prepares the patient for the telehealth encounter by appropriately positioning for physical examination. Educates patient/family to promote expectation management regarding what to expect during the encounter to include the use of tele-electronic devices and potential for audio-video delays. Maintains the quality and safety of the exam room to include the availability of necessary equipment to support the telehealth/telemedicine encounter.
Conducts wound care associated with the telehealth/telemedicine encounter, to include an assessment of healing, removal of sutures/staples/packing, and application of new dressing.
Develops and implements an individualized patient plan of care supporting the patient’s psychosocial characteristics to include cultural, language, coping, ability to understand the telehealth/telemedicine encounter, and/or physical disability. Serves as the patient’s advocate. Critically reviews all instructions and information exchanged during the telehealth encounter with the licensed independent provider and patient after the session has concluded. Coordinates patient direct and network referrals, telehealth/telemedicine discharge instructions, and telephonic follow up as appropriate upon the conclusion of the telehealth/telemedicine visit to ensure continuity of care across the clinical continuum.
Maintains documentation of all electronic and paper patient records in accordance with hospital directives and prepare all records and reports required. Ensure all documentation is legible. Use electronic medical record systems for keeping records, ordering of ancillary procedures and performing other required patient record functions at the discretion of the MTF. Indicate responsibility for the contents and correctness of all prepared reports/forms by affixing his/her own signature to the documents and validating their contents.
Ensures effectiveness of telehealth/telemedicine nursing administrative operations at remote Medical Treatment Facilities (MTF) by setting priorities and evaluation clinic activities to ensure the delivery of safe quality care. Identifies and schedules supporting resources required for a successful telehealth/telemedicine encounter to include local personnel, local facility space, and remote evaluating licensed independent provider, equipment, and telecommunications capabilities. Conducts pre-visit preparation through the review of pre-consultation forms/documents and diagnostic testing prior to the scheduled telehealth/telemedicine encounter. Evaluates the quality of data transmission and interactions during the telehealth/telemedicine encounter to support and optimize the remote independent licensed provider’s capacity to examine, diagnose and develop an appropriate plan of care.
Ensures all equipment is tested and checked to validate a safe environment. Completes timely and accurate data entry into the electronic health record (EHR) and additional automated electronic systems as required. Documents and maintains a log of all technical problems or issues and follow up with technical support following encounter, if any problems occur. Reviews and updates local virtual health / virtual medicine policies and patient education materials in accordance with OTSG/MEDCOM, local organization and nationally recognized nursing standards of practice. Maintains clinic documents and patient records in accordance with the Health Insurance Portability and Accountability Act (HIPAA) guidelines, OTSG/MEDCOM and local organizational regulations/policies. Completes various administrative reports and requests related to clinic operations and submits as appropriate. Complies with applicable regulations, nationally endorsed clinical practice guidelines, quality improvement standards, and the Joint Commission standards. Performs other duties as assigned.
Attends and participates in professional staff meetings/conferences and other appropriate professional activities as requested by the VMC-E Chief and held during scheduled work hours and off hours.
Performs services under the control and general supervision of the Department Chief, or his/her designated representative.
Performs, leads, and participates with departmental quality and process improvement activities as assigned by the Department Chief.
Maintains accesses/ passwords and proficiency in all computer systems that hold patient care information.
Serves as a resource person and assist with the training of other personnel.
Prepares service reports and collect data as required by VMC-E. Time to accomplish this will be scheduled during regular working hours.
Complies with all safety procedures and practices associated with the facility and OSHA.
Attends Continuing Medical Education (CME)/Continuing Education (CE) to maintain the requirements of the RN licensure and certification.
What You’ll Need (required):
Must be a graduate of a Nursing educational program and possess evidence of certification according to the requirements of the Board Certifying organization and must have and maintain a valid, unencumbered specific as a Registered Nurse in at least one state within the United States, District of Columbia, Puerto Rico, Guam, or the U.S. Virgin Islands or have registered with the Commission on Graduate of Foreign Nursing Schools and approved by the National Council on the Evaluation of Foreign Educational Credentials.
Must possess and maintain current certification in basic cardiac life support (BLS). BLS certification must be obtained through an American Heart Association and/or Red Cross approved training program. The Registered Nurse shall be responsible for obtaining and maintaining the necessary re-certification.
2+ years recent full-time experience in a healthcare setting conducting in-depth patient history taking, assessment, and physical examination for all age groups, newborn through geriatric.
Fluency in the English language (read, write and speak). Ability to understand medical and technical knowledge at a working level in the English Language, and to be able to communicate with patients, health care providers, and leadership.
Currently holds a T1/ NACI security investigation OR can pass the T1/ NACI security investigation process.
What Would Be Even Better (preferred):
Candidates who currently reside in Germany are preferred, although, relocation options will be considered.
We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.
GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.