The Atlanta VA Healthcare system is seeking a Registered Nurse with an active and unrestricted license for our Utilization Management Analyst RN department. This position is open to all eligible candidates that currently are a permanent VA Employee. 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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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: - 3-5yrs critical or ED nursing experience - 3-5yrs UM experience - pre-admission screening experience 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. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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 population of male and female Veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. Atlanta VAMC is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with visits to the Emergency Department and admissions for psychiatric conditions and/or medical co-morbidities. 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. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. 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. [".Job Duties /Expectations: The Registered Nurse Utilization Management Analyst duties will include but are not limited to: - Promotes effective and efficient utilization of clinical resources. - Mobilizes resources as needed to achieve expected goal within the desired timeframe. - Possesses intimate knowledge of lnterQual criteria, utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines. - Conducts reviews for appropriate utilization of services from admission through discharge. - Conducts concurrent medical record reviews using specific indicators and criteria approved by the medical staff. - Interpret, apply and enter data into National Utilization Management Integrated software. - Assesses patient care required throughout the continuum of care for diagnosis, procedures and DRG's. - Communicates with PUMA at regular intervals throughout the hospitalization and develops effective working relationships. Assists physicians in maintaining appropriate cost, care and desired patient outcomes. - Participates in daily interdisciplinary care rounds and/or conferences to review treatment goals, optimize resource utilization and to recommend alternate levels of care when acute care is no longer needed. - Assists in providing direction and participates in the development and implementation of policies and protocols in order to provide advice and guidance in managing special cases or meeting patient needs. - Evaluates clinical outcomes of nursing practice. - Demonstrate leadership in analyzing and implementing strategies specific to patient care issues. - Tracks, trends and analyzes appropriate data. - Participates in interdisciplinary committees/teams/task forces focused on utilization management data and organizational performance. - Maintains knowledge and application of patient safety concepts and principles. - Uses professional standards of care and practice to guide nursing practice. - Performs other medical record reviews as needed in support of VAHCS. Preferred Qualifications: - 3-5yrs critical or ED nursing experience - 3-5yrs UM experience - pre-admission screening experience VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid 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) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: To be determined by hiring manager Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: NOT Authorized EDRP Authorized: Contact Lakita.Bush@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): NOT Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
