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This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more 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. 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's 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: Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling (6 hours); Pushing (6-10 hours); Reaching above shoulder; Use fingers; Both hands required; Walking (6-10 hours); Standing (6-10 hours); Kneeling (1 hour); Repeated bending (4 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Ability to distinguish shades of color; Hearing (aid permitted). ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards This is an open continuous announcement; applicants will be reviewed and referred on a bi-weekly basis; the announcement will remain open until the positions are filled. The first cut-off for consideration will be 15 days after the initial opening date. Work Schedule: Monday - Friday, various tours with rotating schedules; some weekends and extended hours Using a patient and family centered approach, manage and coordinate high risk patient care in collaboration with Primary Care licensed independent providers, Care Managers, specialists, and other supportive disciplines through referral. Provide disease specific intense management of illness exacerbation and progression through use of evidentiary standards of care. Complete patient visits in the hospital admitted with Ambulatory Care Conditions. Upon discharge, validate patient and family/caregiver understanding of post hospitalization instructions; address needs, and devise plan of care centered on patient. Promote veteran patient access to care through creation of supplement to licensed independent provider appointments, nurse chair visits/nurse administration visits, appointments, telephone visits, shared medical appointments, pharmacy, nutrition Knowledgeable of and utilize health improvement programs internal and external to agency; Utilize programs to improve overall health and well-being outcomes for veteran patients. Huddle daily; provide actionable information that improves access to care and meets identified veteran patient needs. Use high-risk patient identification and management tools to project impact to disease outcomes. Provide comprehensive management for these patients to prevent emergency department visits and hospital admission. Preferred Experience: Minimum of 5 years current primary care, care/case management, or direct acute nursing care experience. Recent experience using electronic medical records. Competence use of Microsoft programs like Outlook and Excel. Demonstrated evidence-based behaviors and clinical practices that positively influence patient and team experience. Demonstrates experience in identifying and managing patient centered care of high-risk patients. Competent in critical thinking, physical and psychosocial assessments, leadership, ability to collaborate effectively with interdisciplinary as well as have effective interpersonal, verbal, and writing skills, administering injections, EKG, glucometer, collecting lab specimens, administration of vaccinations, simple dressing change, phlebotomy, patient education regarding chronic disease, tobacco use, weight monitoring, screening of patients as needed. Demonstrates strong time management skills and ability to effectively work under stressful and time sensitive conditions Medicine Clinic duties:\nCare Manager and Specialty Care RN monitors and patient response to acute and chronic processes based on Nursing Practice Standards, including monitoring lab results and other clinical data. RN collaborates with patients to assess and identify needs, issues, care goals, and resources in achieving desired outcomes related to diagnosis, post hospital recovery and health maintenance/wellness in developing the patient-driven holistic care plan. Duties include, but are not limited to: Provides specialized nursing care to acute and chronically ill patients with a multitude of diagnoses. She/he uses the nursing process and evidence- based practice to collaborate with the core team (patient, specialty care provider, Primary Aligned Care Team, Clerical Associate) and families. Recognizes emergency situations and demonstrates effective action in emergencies. Utilizes patient information databases to identify at-risk Veterans requiring coordination of care, utilization of and participation in shared medical appointments, and use of decision support tools. Utilizes appropriate resources, such as, Computerized Patient Record System (CPRS) to provide efficient and effective patient care. Functions independently and demonstrates the ability to assign, organize, and delegate assessed needs to other members of the interdisciplinary team and peers. Demonstrates excellent communication skills in communicating with patient, family, co-workers and interdisciplinary team members. Ensures excellent customer service. Performs unit audits as assigned. Performs other duties as assigned by the Assistant Nurse Manager and/or Nurse Manager. Preferred Experience: Bachelor of Science Degree in Nursing (BSN) is highly desired, with Master's degree in Nursing or related outpatient clinic or specialty care services experience preferred. Approximately 4 yrs of nursing practice/experience. The incumbents of these positions will report directly to the Nurse Manager of Primary Care. This announcement will be used to fill Patient Aligned Care Team and Case Manager positions. Recruitment/Relocation Incentive: Authorized"]