Registered Nurse (Utilization Management)

Location
Harlingen, TX
Salary
Competitive
Posted
Sep 07, 2017
Closes
Oct 07, 2017
Specialty
Case Management
Contract Type
Permanent
Hours
Full Time

Join the VA Texas Valley Coastal Bend Health Care System (VATVCBHCS)as a Registered Nurse for the Harlingen Health Care Center, Harlingen OutpatientClinic.You will serve as the Utilization Management Clinician and will be responsible for systematically collecting patient data by interview, examination and review of records.

Duties will include, but are not limited to:

  • Completing the Utilization Management (UM) data collection form;
  • Documenting into Computerized Patient Record System (CPRS);
  • Notifying facility of authorization of Emergency Department visits;
  • Completing admission pre-certification and concurrent reviews on same day or next business day;
  • Establishing work priorities to accomplish assignments timely, achieve program system goals and meet established criteria;
  • Initiating, providing, maintaining and analyzing accurate documentation and databases.
  • Notifying appropriate services when problem/issues occur;
  • Facilitating discharges planning in consultation with the physician, patient, family and appropriate health care team members;
  • Working with the contracted facility case managers or social worker and VHA social work to facilitate discharge planning;
  • Consulting with PUMA when stay does not meet InterQual criteria, nor quality of care issues;
  • Actively participating with the adherence/establishment/modification of policies, procedures and standards to promote and improve evidence-based patient driven care; etc.

Work Schedule: Monday - Friday, 8:00 - 4:30 p.m.; Alternate schedules may be necessary to meet the needs of the organization.

Functional Statement Title/#: Registered Nurse (Utilization Management) (NVACC)

Preferred Experience:

  • 2 - 5 years medical/surgical experience preferred.
  • 2 - 5 years ambulatory care experience preferred.

NOTE: To and From dates on your resume MUST be in MM/YYYY format, MUST include number of hours worked per week, and you MUST indicate Full or Part time status. Failure to include this information will result an ineligible rating for not being able to compute specialized experience.

BASIC REQUIREMENTS

  • U.S. Citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • 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.
  • 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 G-6).
  • 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 in nursing or related field 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.

    Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

    Physical Requirements: Moderate Lifting (15-44 lbs); Moderate Carrying (15-44 lbs); Straight Pulling (up to 0.5 hours); Pushing (up to 0.5 hours); Reaching above shoulder; Walking (up to 5.3 hours); Standing (up to 5.3 hours); Repeated bending (up to 5.3 hours);Ability to distinguish basic colors; Hearing (aid permitted).

    All applicants are required to submit the following supporting document type(s):
    *OF-306
    *Other(VA Form 10-2850a - Application for Nurse and Nurse Anesthetist)
    *Resume

    Applicants may also submit the following supporting document type(s),which may not be required for all applicants:

    *Cover Letter
    *DD-214
    *Other Veterans Document
    *SF-15
    *SF-50
    *Transcript

    VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (required) Available at the VA Forms website: http://www.va.gov/vaforms/search_action.asp?FormNo=10-2850&tkey=&Action=Search

    Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, etc.Forms are available at http://www.vacareers.va.gov/job-search/index.asp. You will not be contacted for additional information.

    Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s) indicating character of service, disability certification, SF-15 (if claiming 10 pt. preference) or if you are currently serving on active duty and expected to be released or discharged within 120 days; documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), or dates of impending separation. Documentation is required for eligibility verification.

    Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 2002602.

    NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.

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