Veterans Affairs, Veterans Health Administration Nurse in Salisbury, North Carolina
Summary Vacancy Identification Number (VIN): 11139650 Please refer to "Required Documents" section to ensure eligibility. OUR MISSION: To fulfill President Lincoln's promise - "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans. Responsibilities The Referral Consult Team (RCT) Consult Manager is a registered nurse responsible for the planning, integrating, implementing and modifying the effectiveness of the Veteran's care. RN possesses intimate knowledge of Fee federal regulations, VHA guidelines, medical review criteria, utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines. RN uses nursing knowledge and systems theory to assess, organize and facilitate appropriate clinical services to patients. The Registered Nurse will serve as a liaison to both internal and external providers and will be responsible for managing the care of the Veteran throughout the consult process. Clinical oversight of the non-VA care approval process is provided by the medical center Chief of Staff and nursing professional practice oversight by the Associate Director, Patient Care Services. RN supports the medical center's mission by possessing and exemplifying the Four Core Competencies of the High-Performance Model. Performed duties will include, but not limited to: Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care within VHA and the non-VA care program. - Responsible for organizing and coordinating the clinical components for the consult determination in response to individual healthcare needs along the illness and care continuum and in multiple settings. - Utilizes comprehensive knowledge of advanced clinical practice and case management principles to assess appropriate level of care and to ensure compliance with established Fee authorities and guidelines resulting in approvals and/or denials for non-VA care. - Conducts clinical reviews to interpret and evaluate complex data directly related to diagnosis, condition, and treatment to assure appropriate medical necessity, appropriate care coordination and timely utilization of non-VA health care services - Utilizes applicable technical skills in maintaining tracking methods for data retrievaland for ensuring accurate meaningful reporting system. - Compiles data and clearly communicates care coordination outcome data systematically as requested for improvement in organizational processes. - Promotes excellence in customer service, internal and external, by incorporating the VA Core Values (Integrity, Commitment, Advocacy, Respect, and Excellence) into daily practice and performance. - Demonstrates evidence of critical thinking skills in identifying, analyzing, and resolving patient care problems. - Assumes the role of patient advocate in the patient's interactions with the other members of the Medical Center staff and the services provided. - Abides by and carefully adheres to Medical Center Policies for Ethics and Compliance. - Identifies resource utilization patterns and changes that influence efficiency, quality of service, appropriateness of care, and minimization of inappropriate expenditures. - Collaborates with other health professionals to ensure quality medical care is provided in a timely manner and patients' needs, whether perceived or real, are addressed and met Utilizes systems thinking to monitor non-VA program elements and identify core needs of multidisciplinary staff regarding Fee Basis program regulations and requirements and implements a plan to resolve those needs. - Serves as a role model in interacting with patients, families andsignificant others in a professional manner and utilizing effective communication skills. - Resolves conflict and assists others in coping with stressful situations. - Identifies problem areas for monitoring and evaluation, active in analyzing findings and changing practice based on quality improvement findings with resultant improvement in patient care. - Demonstrates flexibility/adaptability when initiating projects for the development of processes to identify adverse patient occurrences and to improve patient services and clinical practice. Work Schedule: Monday - Friday 8:00am - 4:30pm Financial Disclosure Report: OGE Form 278e Filing: This position is NOT required to file the Public Financial Disclosure Report. Requirements Conditions of Employment Qualifications 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. 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. 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) 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 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. 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 requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. Preferred experience: 2 years case management experience preferred. Preferred experience working in an outpatient setting. Selected applicants will be required to complete an online onboarding process. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.