Registered Nurse - Assistant Nurse Manager, Nursing Specialty

U.S. Department of Veterans Affairs; Harlingen (TX); Vor Ort; USD 90.000 - 120.000; Vollzeit

Zusammenfassung

U.S. Department of Veterans Affairs in the United States seeks a registered nurse who functions as a clinical expert, accountable for all elements of the nursing process while delivering or supervising direct patient care.

The role emphasizes assessment, planning, implementation, and evaluation with a focus on patient education, self-management, and satisfaction across the care continuum. The incumbent coordinates care, collaborates with the care team, and ensures documentation and adherence to

Qualifikationen

• English language proficiency is required for direct patient care.
• Graduate of a school of professional nursing approved and accredited by ACEN or CCNE.
• ADN or Diploma in Nursing plus licensure eligibility or bridge program pathways.
• Current, full, active, and unrestricted nursing license in a U.S. state, territory, or D.C.

Aufgaben

• Uses the nursing process to assess, plan, implement, and evaluate care.
• Provides patient education focused on self-management and wellness.
• Collaborates with interdisciplinary team to coordinate care.
• Documents interventions, outcomes, and patient education.
• Monitors patient care and refines plans based on evaluation of progress.
• Assists with clinic procedures and ensures timely access to records and results.

Kenntnisse

English Language Proficiency

Ausbildung

Associate Degree in Nursing (ADN)

Diploma in Nursing

Bachelor of Science in Nursing (BSN)

Master’s degree in Nursing (MSN)

Foreign nursing degree evaluation

Jobbeschreibung

Summary

Incumbent functions as a clinical expert and is responsible and accountable for all elements of the nursing process when providing or supervising direct patient care. Assesses - plans - implements - and evaluates delivery of care based on age specific components. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care.

Qualifications

Basic Requirements:

• English Language Proficiency
• In accordance with 38 U.S.C. 7403(f) - 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 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)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (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 to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• 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
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13100270
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Applicants pending completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met
• Preferred Experience: BSN or MSN preferred 3-5 years Med Surg/ER Case Management Experience Outpatient Clinic Experience 3-5 years Nurse Manager or Assistant Nurse Manager Leadership/Supervisory Experience Experience in leading and organizing program/classes Computer skills required
• knowledge in Excel - PowerPoint and Electronic Medical Records
• Continued from Duties Section: Provides Care Management to patients with Ambulatory Care Sensitive Conditions (ACSCs) including reviewing the patient record - deciding if the patient needs more in-depth education (formal and/or informal)
• nursing visits and/or telephone calls between provider visits to assist in care management
• Collaborates with the HighRisk Care Coordinators - Home Telehealth - social work - and/or dieticians for referrals and care management
• Promotes health promotion - quality patient care - and risk reduction strategies for patients through the assessment and utilization of SAIL - HEDIS - Specialty Productivity Report and Quadrant Tool (SPARQ) - EQm - DataMart - and EPRP data
• Cultivates an environment of professionalism - excellence and conflict resolution at the team level
• Assists the Nurse Manager in guiding and evaluating staff in development of plans of care - prioritization of client diagnosis/needs - relevance of nursing diagnosis - individualization of interventions - expected client outcomes - and quality of documentation
• Assists Nurse Manager in promoting professional development and motivation for employees to work at optimal efficiency
• Assists Nurse Manager in providing overall management of a clinic/area
• Collaborates with other healthcare professionals in coordinating care
• Assists Nurse Manager in managing nursing staff in delivering nursing care
• Demonstrates sound administrative judgment in making decisions
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/

Duties

• Major Duties: Uses the nursing process and evidence-based practice to collaborate with the Team to meet patient care needs
• Provides patient and family health education with a focus on self-management - prevention - wellness - and Whole Health based on the patient's goals
• Demonstrates advanced clinical knowledge in assessing - planning - implementing - documenting - and evaluating care for a designated group of patients
• Educates patients regarding clinic procedures and what to expect during the procedure
• Assists with clinic procedures - monitors patient for any adverse effect
• Triages and applies a collaborative team approach in identifying - analyzing - and resolving patient care problems
• Collaborates with the interdisciplinary team - patients - and caregivers
• Monitors progress using clinical guidelines and/or pathways - analyzes variations and initiates appropriate actions
• Documents own interventions - including observations - treatments - care provided - education and patient/caregiver understanding
• Maintains current knowledge of multidisciplinary resources - programs and services
• Refers patients for community resources as appropriate
• Performs daily review of charts in preparation for scheduled patient appointments
• Ensures results are available for the provider and obtains medical records - when applicable
• Confirms appointment modality is suitable for the patient - including performing VA Video Connect testing if needed
• Documents accordingly
• Reviews options with patients and families - including costs - alternatives - risks/benefits and services
• Educates the patient and family on disease process - resources - plan of care - treatments and procedures
• Advocates fiscal responsibility in the management of patient care through effective utilization of resources
• Screens patients for social service - home care - and other community care needs
• Ensures the provider is aware of the patient's progress - as well as any issues or concerns
• Evaluates needs and facilitates the patient's ability to learn the principles of selfcare
• utilizes appropriate resources if the patient is unable to grasp the knowledge/skills