The RN Care Manager uses the nursing process and evidence-based practice to collaborate with the Teamlet (Patient,Primary Care Provider, RN Care Manager and Clinical Support Technician) and larger Team (family/caregiver, internal and community-based services) in developing the patient-driven holistic care plan for life. The RN Care Manager is responsible for collaborating with services internal and external to the VA to facilitate care transition in order to effectively meet the patients' needs 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. Preferred Experience: minimum of 2 years recent experience in Med Surg, ER, Primary Care 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's 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: This position involves considerable amount of standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused clients, repositioning patients, assisting with transfers from wheelchairs/stretchers and transporting them to other departments or facilities. Mechanical devices are available and are required to be used for heavy or difficult to lift clients. The work may involve pushing or lifting 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 position requires the nurse to work for periods of time with arms above shoulder level or with neck in a fully flexed or extended position and the ability to physically control or defend against emotionally ill clients. The position also requires ability to work on computers for extended periods of time. ["The RN performs, reports, and records assigned nursing care in the Primary Care Clinics, including, but not limited to: Triages walk-ins appropriately Uses appropriate telephone etiquette for both internal and external customers Uses telephone assessment skills to identify actual and/or potential health, safety, and educational needs of the patient Appropriately uses decision support protocols to systematically assess and address caller needs Appropriately prioritizes the urgency of caller needs utilizing critical thinking skills and decision support tools Develops a collaborative plan of care with caller, their support systems, and their provider Completes documentation for clinical calls/TRM's within 24 hours of call Enters as ordered, locates as needed, and obtains results of x-rays, tests, procedures, and labs Incorporates knowledge of ethical/legal issues and professional nursing standards necessary for providing patient care and information Knowledge of and implementation of PACT principles Completes hospital discharge and post discharge ER follow-up calls within two business days Documents hospital discharge and post discharge ER calls in CPRS Utilizes secure message as a means of communication with patients and documents pertinent health information in CPRS Facilitates and acts as provider in RN clinic including providing knowledge/information to patient/family to promote self care of acute/chronic disease management Applies clinical knowledge of primary health care in prevention and wellness, health risk assessment, disease management, and self care Adheres to proper infection control procedures regarding equipment, cleaning, and storage Understands responsibility for the safe processing of reusable medical equipment Monitors exam rooms and clinic frequently for cleanliness and patient presence Follows policies for insuring the correct patient is receiving the correct treatment by using two patient identifiers Performs procedures as direction, i.e. EKG, Doppler, I&O catheterization, venipuncture, PPD application, nebulizer treatments, dressing changes, bladder scan, vital signs and weights, etc. Administers medications as ordered and documents appropriately Documents clinical reminders Adheres to the Missed Opportunities Policy for cancelation of provider/Med RN appointments Assist with Patient Response Center calls Work Schedule: Monday- Friday 8:30a-5:00p\nCompressed/Flexible: Not Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nRecruitment Incentives: May be authorized for highly qualified applicants\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.