Registered Nurse- Community Living Center Programs for Excellence Resident Assessment Coordinator

Veterans Health Administration, Department of Veterans Affairs; Temple (TX); Presencial; USD 85.000 - 105.000; Jornada completa

Descripción de la vacante

The Veterans Health Administration, Department of Veterans Affairs is seeking a Registered Nurse for the Community Living Center Programs for Excellence as a Resident Assessment Coordinator (RAC). This role oversees RAI/MDS processes, guides nursing staff, and ensures care aligns with CMS and VHA standards.

Responsibilities include staff education, program leadership, and data-driven quality improvement to enhance resident outcomes and satisfaction within the CLC setting.

Formación

• Current RN license in the United States and state licensure is required.
• BSN or higher nursing degree preferred for progression and leadership.
• Experience coordinating Resident Assessment (RAI/MDS) programs is highly valued.
• Excellent English communication and documentation skills are essential.

Responsabilidades

• Lead and coordinate RAI/MDS activities for CLC residents.
• Oversee nursing staff and ensure evidence-based care quality.
• Provide education, orientation, and competency development.
• Ensure CMS and VHA guidelines are followed in assessments.
• Report quality metrics and support performance improvement projects.

Conocimientos

English proficiency

Leadership

Educación

BSN or higher nursing degree

Active RN license in the United States

Herramientas

RAI/MDS software

Descripción del empleo

Summary

The Registered Nurse- Community Living Center (CLC) Programs for Excellence Resident Assessment Coordinator (RAC) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines.

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/13087272
• 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
• Preferred Experience: RAC-CT Certification 1-2 Years RAC/MDS Coordinator Experience Experience with CMS Skilled Short Stay and Long Stay Quality Measures Evidence of Belt/Systems Redesign training/experience/certification SNT/GNT/RNTTP completion <5 years Professional Governance participation Preceptor/charge nurse experience/training (combination of experience and training is acceptable) Evidence-Based Practice experience/training (combination of experience and training is acceptable) Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position may require potentially long periods of continued Heavy lifting of 45 pounds and over - Moderate lifting of 15-44 pounds - Heavy carrying of 45 pounds and over - Moderate carrying of 15-44 pounds - Light carrying under 15 pounds - Straight pulling for 1-2 hours - Pushing for 1 hour - Reaching above shoulder - Use of fingers - Walking for 8-10 hours - Standing for 8-10 hours - Repeated bending .5 hours - Both legs required - Ability for rapid mental and muscular coordination simultaneously - Near vision correctable at 13"" to 16"" to Jaeger 1 to 4 - Far vision correctable in one eye to 20/20 and to 20/40 in the other - Both eyes required - Depth perception - Ability to distinguish basic colors - Ability to distinguish shades of colors - Hearing (aid may be permitted) Mental and emotional stability - Simple grasping for 2-4 hours - Sitting for 8 hours - Fine manipulation for 4-8 hours - Twisting for 2 hours.

Duties

• The Community Living Center Programs for Excellence Resident Assessment Coordinator Registered Nurse duties and responsibilities include - but are not limited to the following: Responsible for providing competent - evidence based care to assigned residents and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting
• Assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultation
• Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• Leading the CLC Resident Assessment Instrument (RAI)/Minimum Data Set (MDS) program - which includes serving as the Facility Administrator of the RAI/MDS program and MDS software and promoting the application of the RAI/MDS Assessment for resident care planning
• Directing the RAI/MDS RN who is responsible for coding for nursing assigned sections and Care Area Assessments (CAAs)
• Identities CLC Interdisciplinary Team members to conduct the interrater reliability reviews - which must be conducted - at a minimum - quarterly
• Collaborates with CLC management or charge nurse to support the CLC Interdisciplinary Team members conducting the interrater reliability review - at a minimum - quarterly - which assesses the accuracy of the RAI/MDS Assessment and reporting trends of errors identified
• Completes the interrater reliability quarterly report and submits it to the CLC leadership team
• In the absence of a CLC MDS RN - the CLC RAC must document and take corrective action when notified of any discrepancies in coding or documentation during the interrater reliability review
• Transmits RAI/MDS Assessments to the Austin Information Technology Center
• Communicating Centers of Medicare and Medicaid Services (CMS) guidelines changes - educational sessions - MDS coding changes and RAI/MDS program updates to CLC staff and developing and implementing educational plans for CLC staff to ensure ongoing education for the completion of the RAI/MDS process and software
• Ensuring - in accordance with current CMS and Veterans Health Administration (VHA) requirements - completion of the RAI/MDS Assessment by the CLC Interdisciplinary Team and providing recommendations - developing - and updating procedures related to the RAI/MDS process
• Educates CLC staff on the RAI/MDS process to ensure appropriate completion
• Serves as an expert consultant in identifying quality of care deficiencies and assisting with performance improvement projects related to quality management and CLC Compare
• Responsible for downloading - validating - and distributing quality management and Resource Utilization Group (RUG) reports and distributing them to the CLC Interdisciplinary Team and leadership
• Assists with continued survey readiness for the annual unannounced survey process and Interim Quality Oversight survey readiness for the CLC
• Ensures the CLC meets regulatory guidelines for scheduling quarterly and comprehensive MDS assessments as outlined in the MDS guidelines
• Provides peers with informal constructive feedback for improvement
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• Supports colleagues through knowledge sharing to provide safe - quality nursing care
• Questions clinical practices for the purpose of providing evidence-based care
• 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: Monday - Friday - 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized