This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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 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. Preferred/Enhanced Qualifications: Bachelor of Science in Nursing or Associate of Applied Science in Nursing with another Healthcare Associated degree Clinical Documentation Integrity (CDI) experience A minimum of four (4) years of acute hospital care experience (i.e. medical/surgical unit, intensive care) A strong broad- based clinical knowledge and understanding of pathology/physiology/anatomy of disease processes Detail oriented, assertive with excellent interpersonal and communication skills (oral and written) Experience in Utilization Management/Case Management, patient outcomes/quality management and/or medical record review Knowledge of clinical documentation requirements that identify clinical conditions or procedures to support/enhance ICD-10 coding Knowledge of healthcare regulation, including reimbursement and documentation requirements Involvement in Performance Improvement/Data Mining/Analysis Knowledge of outpatient quality metrics/reviews (SAIL, HEDIS, Readmissions, Deaths, etc.) 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: Satisfactory physical examination as determined by the Employee Health Unit upon appointment only. The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. The VA Medical Center is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. This position requires visual acuity (glasses permitted), keen hearing (hearing aid permitted), clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking (up to 8 hours), standing (up to 8 hours), stooping, sitting, bending (up to 8 hours), pulling, and pushing. Light lifting under 15 lbs. Light carrying 15-44 lbs. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. Use of rapid mental and muscular coordination simultaneously. 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. VA facilities must make reasonable accommodation for the physical or mental limitations of an applicant or employee who is a qualified person with a disability unless the accommodation would impose an undue hardship on the department or agency ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until August 31, 2022. The initial cut-off date for referral of eligible applications will be Monday, April 18th 2022, with subsequent cut-off dates every Monday on an as-needed basis until positions are filled. Review medical record documentation for accuracy, completeness, & specificity. Data entry of reviews and queries into CDI software. Query providers when documentation lacks specificity/accuracy/completeness & etc. Demonstrate understanding of VHA Coding & Coding Clinic guidelines/VERA/SAIL-Mortality, Complications, & PSIs in applying documentation principles during reviews, education and communication with colleagues. Run & Analyze reports in CDI or other related software. Analyze, trend, and develop recommendations for the CDE program. Participate in local, VISN, and national CDI & HIMS meetings/teams. Collaborate with Coding Department in reconciliation processes to ensure accuracy of diagnoses, procedural data to determine working DRG, severity of illness, & risk or mortality. Development & delivery of CDI education programs by communicating effectively/appropriately with providers, coders, CDI team members through verbal, written, and/or electronic methodologies. Work collaboratively with PCS, HIMS, Coding, SAIL/Quality/Mortality teams and all services within the facility/CBOCs in development and implementation of CDI initiatives. Actively participate in workshops/continuing education programs designed for CDI advancements as well as function in classroom teaching environments, clinical arenas, and as a group facilitator during training and implementation of changes in CDI related applications. Participate in orientation of new employees. Review medical record documentation for accuracy, completeness, & specificity. Data entry of reviews and queries into CDI software. Query providers when documentation lacks specificity, accuracy, completeness & etc. Demonstrate understanding of VHA Coding & Coding Clinic guidelines/VERA/SAIL-Mortality, Complications, & PSIs in applying documentation principles during reviews, education and communication with colleagues. Run & Analyze reports in CDI or other related software. Analyze, trend, and develop recommendations for the CDE program. Participate in local, VISN, and national CDI & HIMS meetings/teams. Collaborate with Coding Department in reconciliation processes to ensure accuracy of diagnoses, procedural data to determine working DRG, severity of illness, & risk or mortality.Development & delivery of CDI education programs by communicating effectively/appropriately with providers, coders, CDI team members through verbal, written, and/or electronic methodologies.Work collaboratively with PCS, HIMS, Coding, SAIL/Quality/Mortality teams and all services within the facility/CBOCs in development and implementation of CDI initiatives. Actively participate in workshops/continuing education programs designed for CDI advancements as well as function in classroom teaching environments, clinical arenas, and as a group facilitator during training and implementation of changes in CDI related applications. Participate in orientation of new employees. Work Schedule: Monday - Friday 7:30 am - 4:00 pm\nCompressed/Flexible: Not Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nEDRP Authorized: Contact valerie.shields2@va.gov, the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required\nTravel: Occasional travel may be required\nFunctional Statement Title: Registered Nurse Functional Statements I, II, III"]