Nurse-RN-CM (RN Care Manager) -Clinical Resource Hub (CRH)

01Basic 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.

02Grade 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/13101055.

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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

03Preferred Experience

Possess five years of nursing experience, including two years of Patient Aligned Care Team (PACT) experience. A Bachelor of Science in Nursing (BSN) is preferred. Demonstrate the ability to function autonomously and as an active member of an interdisciplinary team. Demonstrate excellent interpersonal and communication skills. Provide evidence of dependability in a work-related environment. Demonstrate a high degree of self-motivation, the ability to multitask, and strong organizational skills.

The Clinical Resource Hub (CRH) Registered Nurse (RN) provides direct patient care, telephone triage, and care coordination to Veterans through telehealth and face-to-face services for the Veterans Integrated Service Network (VISN) CRH. Duties and responsibilities include, but are not limited to: Nursing Process and Direct Patient Care Accept responsibility and accountability for all elements of the nursing process when providing and/or supervising direct patient care.

Assess, plan, implement, and evaluate care based on age-specific components. Provide direct care to one or multiple panels of patients. Follow procedures per established policies and guidelines. Provide direct patient care to Veterans. Care Coordination and Telehealth Operations Coordinate care with a focus on patient education, self-management, and customer satisfaction throughout the continuum of care.

Coordinate scheduling of appropriate labs and appointments, perform screenings, and complete visit and consult triage. Provide professional assessment, coordination, telephone triage, and planning of multiple health care services. Act on behalf of the Veteran to ensure that necessary clinical services are received and that progress is being made. Facilitate coordination and transition of care between services. Provide ongoing care management and coordination services.

Minimize fragmentation of health care delivery and optimize quality of patient and family outcomes in a cost-effective manner. Provide critical medical, technical, and program support necessary to sustain efficient telehealth operations for the VISN CRH. Support the locations to and from which care is delivered, including, but not limited to, Department of Veterans Affairs (VA) clinical locations and provider alternate worksites.

Support the VISN CRH in providing telehealth and face-to-face services to clinical areas within the VISN CRH and to other VISN CRHs throughout the nation. Interdisciplinary Collaboration Influence care outcomes by collaborating with members of the interdisciplinary team. Collaborate with other members of the expanded health care team and may involve the patient and family in the decision-making process. Collaborate effectively with all levels of staff, including other health professionals.

• Leadership, Mentoring, and Education Demonstrate leadership, experience, and creative approaches to the management of complex outpatient care.
• Demonstrate performance and leadership broad enough to improve care for a group of outpatients.
• Provide peers with formal or informal constructive feedback for improvement.
• Support colleagues and other nurses through knowledge sharing to provide safe, high-quality outpatient nursing care.

Foster a safe and supportive environment conducive to the professional development of health care professionals. Provide training and support to CRH and Spoke site staff as appropriate. Quality Improvement and Outcomes Demonstrate knowledge of, and actively participate in, the unit- and program-level quality improvement process and initiatives, as well as customer service programs. Evaluate outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.

Remain responsible for documented, broad, and complex outcomes at the program level that can be demonstrated at any organizational level.

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 through Friday, 8:00 a.m. to 4:30 p.m.

Compressed/Flexible: Negotiable Telework: Pending exemption for remote status: Under the 180-day Mid-Term Extensions (MTE). This position could be approved for Mid-Term Extensions (MTE). MTE allows for the facility leader to grant employees in the identified positions an extension up to 180-days to RTO; in which case approved positions would be approved locally to grant telework/remote for those 180-days. Selectee is hired "remote" on a delay for space.

They will be expected to RTO as soon as a space is identified If selectee lives outside of V20 catchment area or more than 50 miles from a V20 facility, they must move w/in 50 miles before beginning employment. EDRP: Not authorized. Permanent Change of Station (PCS): Not authorized