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Role Description

This position is in the Clinical Resource Hub (CRH) at the VA Connecticut Healthcare Systems, located in West Haven, CT. This position is full-time at 40 hours per week.

The Clinical Resource Hub (CRH) Tele-Nephrology Registered Nurse (RN) provides advanced clinical, technical, and programmatic support essential to sustaining high-quality virtual nephrology care across the Veterans Integrated Services Network (VISN). The Tele-Nephrology RN demonstrates leadership, independent clinical judgment, and innovative approaches to managing complex kidney-related conditions in a virtual environment.

• Supports all VISN 1 Hub locations for the enterprise-wide initiative involved in the delivery of virtual nephrology services.
• Manages incoming and outgoing VISN 1 CRH nephrology consults, ensuring timely review, appropriate triage, accurate assignment, and coordination of follow-up actions.
• Provides enterprise-wide support to the VISN 1 CRH, delivering synchronous and asynchronous Tele-Nephrology services to Veterans.
• Provides direct virtual patient care to nephrology patients, including those with chronic kidney disease (CKD), hypertension, fluid and electrolyte disorders, kidney transplant follow-up needs, and dialysis-related concerns.
• Conducts remote assessments using telehealth technologies, interprets home monitoring data, reviews lab values, identifies early signs of deterioration, and escalates findings.
• Coordinates laboratory scheduling, virtual visit workflows, consult and visit triage, care coordination, and longitudinal follow-up for nephrology patients.
• Facilitates smooth transitions of care between various healthcare providers, minimizing fragmentation and ensuring continuity across services.
• Engages Veterans and caregivers in shared decision-making, providing tailored education on CKD self-management and medication adherence.
• Delivers telephone and video-based clinical triage, responding to patient concerns and ensuring timely access to appropriate services.
• Provides comprehensive care management, ongoing monitoring, and coordination services for Veterans.
• Supports, trains, and collaborates with CRH and spoke-site staff on Tele-Nephrology workflows and best practices.
• Demonstrates high-level clinical reasoning and decision-making skills.

Qualifications

• English Language Proficiency.
• Graduate of a school of professional nursing approved by the appropriate accrediting agency.
• Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth of the United States.

Requirements

• Experience providing comprehensive nephrology nursing care, including assessment and ongoing management of CKD, AKI, and related complications.
• Advanced skill in remote clinical management of nephrology patients.
• Demonstrated proficiency in supporting Veterans using virtual care technologies.
• Experience coordinating pre- and post-dialysis care across modalities.
• Familiarity with management of nephrology-specific therapies.
• Strong skills in Veteran and caregiver education.

Benefits

• Competitive salary, regular salary increases, potential for performance awards.
• 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays).
• Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA.
• Federal health/vision/dental/term life/long-term care insurance.
• 1 full and unrestricted license from any US State or territory.
• Full-time, Monday-Friday, 8:00am - 4:30pm work schedule.
• This is a remote, exempted/mid-term extension position.