Assistant Nurse Manager, Utilization Management Care Coordination & CNSO

Location
San Diego, CA
Salary
Competitive
Posted
Jan 31, 2018
Closes
Feb 28, 2018
Contract Type
Permanent
Hours
Full Time

The Assistant Nurse Manager (ANM) Utilization Management, Care Coordinator (UMCC) and Centralized Nurse Staffing Office (CNSO) of the Nursing and Patient Care Services is located at the main hospital in La Jolla. The incumbent executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care throughout the continuum of the care. The ANM is responsible for the documented outcomes at the program or service level. Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility, VISN, or VACO. The ANM practices effects programs and services at medical center level, with clear outcomes, that improves care of a group of patients and demonstrates efficient utilization of resources. The incumbent demonstrates leadership that is sustainable regardless of role and incorporates professional standards of care and implements broad-reaching evidence-based change. The ANM actively leads groups and takes the lead in practice changes, is active in the facility nursing community and beyond, sought out for expertise, and actively volunteers and participates on committees. The ANM involves incorporating and implementing the requirements of the other qualification standards including:
leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning,
using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making, and evaluating outcomes,
functioning as an expert in clinical practice and/or in areas related to the assigned roles and responsibilities including patient throughput,
systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within area of expertise,
guiding, developing, and supporting staff from leadership perspective,
using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities.
Care is to be provided in the least restrictive, most cost-effective manner through use of the clinical practice guidelines and clinical pathways. Practice focused on the direct care of clients including staff, patients, families and visitors. Evidence that the eight core competencies of the High Performance Development Model (HPDM) and the Veterans Administration Core Values of I Care has been incorporated into the dimensions of practice that support their utilization.

The ANM of UM/CC & CNSO reports to the Nurse Manager of the assigned area/s and collaboratively provides leadership for the overall management of the assigned areas of responsibility. The ANM of UM/CC & CNSO demonstrates performance and leadership that improves safe, cost effective and medically appropriate levels of care for patients throughout the continuum of care in all settings. The ANM assists the Nurse Manager in overseeing the utilization management program, hospital discharge planning, transfer center the community lodging program and the operations of the CNSO. The ANM manages and facilitates utilization review and transitions to distinct clinical settings for VASDHS, and is involved in interdisciplinary medical center resource utilization. The ANM is responsible for the analysis and documented outcomes of the UM/CC & CNSO and other associated care coordination programs and manages the associated activities, where resource utilization is impacted and clinical decisions are made that have the potential to alter the course of patient care and VASDHS, VISN, or VACO goals.

Work Schedule: Full time permanent, 40 hours per week, Monday-Friday, tentatively 7:00am - 3:30pm; hours and days can/will be adjusted according to demand/flow - requires flexibility in schedule and assignments. Overtime/ Weekend/ Holiday work may be required to meet patient care needs.

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.
  • 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.
Preferred Experience: current knowledge of NUMI, Interqual criteria and bed flow processes; synthesize and analyze data; leading employees; computer programs, such as Microsoft excel and word.

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.
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 and Carrying (45 lbs and over); Straight Pulling, Pushing, Walking, Standing, Kneeling, Repeated bending, Keyboarding, Viewing computer screen (8 - 12 hours); Reaching above shoulder; Use of fingers; Both hands and 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 20/40 in the other; Depth perception; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted); and Emotional/Mental stability.

Selected applicants will be required to complete an online onboarding process.

To apply for this position, you must provide a complete Application Package which includes:

CV or Resume - It must include sufficient experience and/or education. Therefore, we encourage you to submit a thorough resume that directly relates to this position. Your resume MUST include the following: the month and year for each position held, and the number of work hours per week, e.g., 03/09 - 06/11 (or Present), 40 hrs/week.

VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search.

Unofficial transcript(s) - showing degree and confer date. We accept unofficial transcripts, as long as they contain the applicant's name, the name of the school, the date and degree that was awarded, and the list of classes and credits earned. NOTE: Applicant's education program must show accreditation either in ACEN or CCNE websites at the time the program was completed. If the school is not currently listed, applicants must provide evidence of past accreditation in the application materials.

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, etc.
Cover Letter
?DD-214 (member 4 copy)
?Other Veterans Document
?SF-50
?SF-15

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), VA letter and SF-15 if claiming 10 pt. preference or if you currently on active duty; a certification of expected discharge or release from active duty stating you are expecting to be discharged or released from active duty service in the armed forces under honorable conditions within 120 days must be submitted with your application for eligibility verification.

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