The Registered Nurse Nephrology Navigator provides a wide range of care coordination between vascular surgery, nephrology, primary care providers, radiology, HAS, community care providers and nurses. S/he is an active participant in an interdisciplinary team approach to patient care bridging the gap between the patient and the healthcare team. S/he promotes the VASLCHCS philosophy and mission statements in providing nursing care. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers. Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The positions requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Serve as the Vascular Access Coordinator tracking vascular access type, functionality, and interventions to best initiate and maintain permanent vascular accesses and minimize the use of tunneled catheters as a dialysis access. Track and follow the progress of the creation of new vascular accesses both in the VA system and in the community from mapping to placement through post op and maturation/follow-up. Track and follow all access interventions such as maturation studies, surgical revisions, and fistulograms. Collaborate closely with radiology, surgery, community providers, dialysis units, and nephrology to ensure a timely and efficient process for access creation, intervention and follow-up. Serve as a care manager and use the nursing process to assess, plan, implement care, and evaluate patients throughout the continuum of CKD, including ESRD. Effectively collaborate with the renal providers, as well as other departments and specialties in the management of individualized patient care. Function as a bridge between the patient and the healthcare team communicates with the primary team, surgery, radiology, HAS, non-VA care, community providers, and renal teams, including both providers and nurses. Function as the coordinator for interventional nephrology and porta cath procedures at the VA which includes scheduling the interventional room and staff, scheduling OR procedures, and providing pre-op instructions to patients. Serve as the Community Based Dialysis program point of contact for requests for authorization of vascular access care and procedures in the community. Collaborate and communicate with VA providers, dialysis unit staff, and community-based providers regarding evaluation, placement, and care of vascular accesses in the community. Submit a vascular access consult request for authorization according to policy and procedure and follows up with non-VA care staff and the community providers on the progress of consult authorization. Communicate the request for authorization of vascular access care in the community to all VA providers by placing a note in CPRS. Collaborate with and facilitate communication between renal care providers. This includes working with the patient's entire care team, attend departmental meetings, develop working relationships with multiple departments, and follow up on care planning for the entire nephrology panel to help ensure a smooth experience and avoid missed experiences. Identify potential emergency/crisis situations and provide appropriate interventions and recommends resources. Share knowledge of helpful resources for patients and assists patients and families with accessing these resources. Document coordination of care provided in CPRS and other appropriate resources, manages view alerts in CPRS. Identify potential emergency/crisis situations and provide appropriate interventions. Seek out and participate on committees and task forces as needed/appropriate. Participate in program and clinic activities and meetings. Track all new nephrology consults and follows-up on consults/referrals to other services as directed by nephrology providers. Track all new nephrology consults and follow-up on consults/referrals to other services as directed by nephrology providers. Request and send pertinent medical records/reports. Collaborate with nephrology and HAS staff to monitor renal patients regarding consults and follow-up appointments. Track and report to HAS and nephrology leadership on the status of all patients without a future appointment resulting from a No Show, a cancellation by patient or by clinic, and overdue recall reminders, in addition to Follow Up orders that have not been executed by HAS or have not been entered by the provider. Assist with maintaining data for Quality Improvement (QI) projects, Clinic Utilization data. Collaborate with HAS and assist with rescheduling of patients to prevent clinic cancellation/rescheduling issues, ensure adequate clinic utilization and above all timely provision of patient care. Collaborate and communicate regularly with Transplant Coordinator and Nephrology Case Managers at Health Care Centers and provide back up support when needed. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: 8:00 A.M. to 4:30 P.M. Monday-Friday\nTelework: Not Available\nVirtual: This is not a virtual position.\nFinancial 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.