The RN Care Manager (Non Supervisory) practices as an RN in the Primary Care Clinics and maybe assigned to clinic located in SLCVAMC catchment area. The RN Care Manager is a member of the Patient Care Aligned Teamlet (PACT). S/he uses the nursing process and evidence-based practice to collaborate with the Teamlet and expanded Team (Family/caregiver, internal and community-based services involved in providing care to the patient) in developing the patient-driven care plan. 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: None 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 position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused patients, repositioning patients, assisting with transferring patients to Wheelchairs/stretchers/cars, and transporting them to other departments or facilities. Mechanical devices available and 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 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. This position requires visual acuity, good hearing, distinctive speech and manual dexterity. The position requires the nurse to work for periods of time with arms above shoulder level with neck in a fully flexed or extended position and the ability to physically control or protect his/herself from physically abusive patients. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The RN Care Manager is responsible for collaborating with services internal and external to the VA facilitate care transition in order to effectively meet the patient's needs. The RN Care Manager provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The RN Care Manager demonstrates leadership by serving as an advocate for patients, based on the patient's goals, and a team leader with colleagues as she/he continues to enhance his/her own and the team's professional growth, development and practice. Major Duties: Proficient using VA EMR and nursing specific documentation Care Coordination Phone Triage Walk-in Triage / Physical Assessments VVC Triage / Assessments Formulates a plan of care based on nursing assessments, using the nursing process, based on the ANA Standards of Nursing Practice Working knowledge of Nursing Scope of Practice and ANA Code of Ethics Proficient in administering medications (All routes and 5 rights) Proficient heart / lung sounds and assessment Placing labs per protocol Placing consults per protocol Placing orders per protocol Ability to surrogate coverage other PACT staff members Ability to perform other PACT staff member's roles as needed basis Provided culturally competent and gender specific care Provided Women's Health care and chaperone as needed Ability to pull data specific to PACT and panel management Provide and document patient education specific to disease states Will remain competent in all areas as assigned Safely and effectively uses patient care equipment Correctly and safely performs all nursing procedures Recognizes abnormal signs and symptoms and/or changes in patients' condition and responds appropriately by documentation and provider notification Develops and implements a plan to meet learning needs, instructing patients and families in basic health teaching Demonstrates grade-appropriate and consistent critical thinking skills Maintains professional boundaries with patients, families, and employees. Behavior as a role model is transparent and above reproach Ensures application of institutional policy to protect information from unauthorized release, loss, alteration, or deletion. Does not use thumb-drives or other means, such as xeroxing, to remove patient data from the medical center, unless approval by the Director through OI&T has been granted. Maintains competency on PEE use/ donning and doffing Demonstrates safe work practices. Complies with safety rules and regulations for safe job performance and fire protection. Practices safe body mechanics, uses mechanical devices, and/or requests help when needed in moving, lifting, or turning patients to prevent injury to patient, self or others. Promptly reports all accidents to supervisor and notifies supervisor promptly of unsafe or unhealthy environmental situations/conditions. Corrects safety hazards promptly. Puts broken equipment out of service immediately, tags it as such, and follows-through for appropriate disposition of the broken equipment. Contributes to an environment of a High Reliability Organization with a culture of safety founded on a systems approach to developing health care solutions based on prevention, not punishment, with collective mindfulness Responsible for environment of care (EOC) issues when on duty. Ensures, clean, safe environment. o Medications secure Medication room and Pyxis are clean, including pill crusher. No expired medications. o Label All Medications o Medication refrigerator and nutrition refrigerator temperatures and cleaning logs are checked and recorded per policy Submits completed annual self-evaluation to the supervisor in a timely manner by the requested deadline Demonstrates professional and cooperative behavior in all aspects of practice Participates in meeting VA Performance Measures to include AES Pay: Competitive salary, regular salary increases, potential for performance awards\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: Variable shifts to fill in clinic hours from 7:00 am to 6:30 pm\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.