RN - Mental Health Float

Preferra Insurance; Fredericksburg, Northern (VA, KY); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Preferra Insurance seeks a Registered Nurse in Virginia to provide patient-focused care within the VA system. The role requires current nursing licensure, completion of an approved nursing program, and eligibility for State licensure with potential progression through Bridge programs.

The position emphasizes coordination of care, education, and adherence to VA policies, with opportunities within an Education Debt Reduction Program (EDRP) framework.

Qualifications

• English language proficiency required by VHA policy.
• Graduate of an approved school of professional nursing and eligible for nursing licensure.
• For foreign nursing graduates, degree equivalency validation may be required.

Responsibilities

• Provide nursing care following the nursing process and coordinate care across the team.
• Assist in directing nursing education, orientation, and competency development.
• Participate in quality improvement initiatives and patient safety efforts.
• Deliver patient-centered, recovery-oriented care and engage in telemental health or in-person services as needed.
• Maintain documentation in the electronic medical record and communicate with interdisciplinary teams.

Skills

English proficiency

Nursing knowledge

Education

ADN or Diploma in Nursing

BSN with 1 year experience

MSN with no experience

Master's degree in related field with BSN

Job description

Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

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/13076150
• 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 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Preferred Experience: 3-5 years recent Nursing Experience - 3-5 years of Mental Health Nursing Experience Physical Requirements: This clinical position includes a physicality normally associated with direct patient care: the physical requirements of this position include lifting - prolonged standing - sitting - frequent bending - stooping - walking - reaching - repetitive motion - and climbing stairs
• The mental/sensory requirements include logical thinking - processing and retaining information - reading - recall - reasoning - complex problem solving - hearing - clear distinct speech - writing - keyboarding - use of a telephone - and use of video connectivity
• This position requires face-to face patient care - use of available IT software and equipment for virtual visits - and timely and accurate navigation of and documentation in electronic medical records
• The environment's pace can vary from steady to fast-paced requiring handling multiple priorities in a single day - frequent - sometimes intense customer interactions - and the ability to adapt to frequent changes in a sometimes-noisy environment
• There may be the need to use personal protective equipment to prevent exposure to disease - illness - and hazardous materials
• This position involved working with persons with communication difficulties - cognitive loss including dementia - behavioral challenges - altered mentation and caregivers that are stressed
• Collaboration with multiple stakeholders is essential
• This position requires compliance with VHA-mandated vaccinations and meeting employee health requirements
• The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.

Duties

• 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
• Follows procedures per established policies and guidelines
• Influences care outcomes by collaborating with members of the interdisciplinary team
• Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs
• Duties included but not limited to the following: The Nurse II Outpatient Mental Health (MH) Registered Nurse (RN) is responsible for providing competent - evidence-based care to assigned patients
• The MH RN will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultation
• The psychiatric MH RN independently provides patient centered and recovery-oriented care and maintains self-awareness while caring for patients living with MH conditions
• They facilitate warm hand-offs - telemental health care - and nurse-led psychoeducational groups
• use therapeutic communication techniques - practice de-escalation techniques - utilize recovery-oriented language - and provide Veterans - their family members - and/or significant others with education regarding their illness - medications - and treatment plan
• The MH RN actively participates in care coordination - liaising with Inpatient MH Units to Functional Statement: Nurse II Last Updated: January 29 - 2024 Page 2 facilitate continuity of care - MH interdisciplinary treatment team huddles and meetings and responds to psychiatric and medical emergencies as directed
• The MH RN reports and addresses safety concerns - document nursing triage assessments - risk screens - clinical reminders - and patient plan of care - according to facility policy
• The MH RN maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient
• 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: M-F - 8am-4:30pm Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact [e-mail] - the EDRP Coordinator for questions/assistance
• Learn more Permanent Change of Station (PCS): Not Authroized