Registered Nurse (Community Nursing Home/Adult Day Health Care Coordinator)
This position acts as the Care Coordinator for the Community Contract Nursing Home/Adult Day Health Ccare programs: The RN care Ccoordinator will possess a minimum of a bachelor's degree in nursing. or in a related fieldThe RN Care Ccoordinator possess intimate knowledge of the VA requirements for CNH and ADHC directives/Handbooks utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines. The coordinator will at times be able to provide current accurate reports regarding expenditures for the programs. Accountable for utilizing critical thinking skills and sound judgment to ensure positive outcomes and delivering quality patient care performance improvement activities. The care coordinator will develop and coordinate seamless transitioning of patients throughout the inpatient and outpatient care process into the CNH or ADHC programs. Demonstrates knowledge and ability to apply principles of evidence based practice. The coordinator will provide support at the unit level, the service level, and the organizational level. This person serves as the chair for the CNH committee and the contracting Officer technical representative (COR for CNH/ADHC. In addition the RN is responsible for the following duties:
Provides a full range of nursing care to patients with complex care needs utilizing the nursing process based on the ANA standards of the nursing practice.
Demonstrates consistent clinical competence in providing nursing care.
Performs assessment of patients via participation in interdisciplinary team rounds, computer search and record review.
Performs telephone triage by accurately interpreting data and problem solving with patients and home care agencies.
Demonstrates evidence of critical thinking skills in identifying, analyzing and resolving patient care problems in the home.
Validates the interdisciplinary plan of care from agencies based on assessments.
Performs ongoing assessment of patient condition and responsible to treatment.
Provides leadership in establishing goals evaluating the plan of care, and in discharge planning.
Completes referrals to other disciplines and/or services as appropriate.
Accurately documents in the medical record patient findings, assessments, and care provided.
Documentation is technically informative, complete, accurate, consistent, concise, and timely.
Evaluates and documents patient response to interventions and progress towards attainment of goals and expected outcomes.
Uses a team approach to identify, analyze, and resolve patient care problems that result in improved patient outcomes.
Work Schedule: Monday-Friday 8:00am-4:30pm
Functional Statement Title/#: CNH ADHC Functional statement
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 G6)
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.
Condition of Employment. A registered nurse (RN) will have a current, full, active and unrestricted registration as a graduate professional nurse in a State, Territory, or Commonwealth (i.e., Puerto Rico) of the U.S. or in the District of Columbia. The appointing official may waive this registration if the RN is to serve in a country other than the U.S. and the RN has registration in that country (e.g., Philippines). The RN must maintain a current, full, active and unrestricted registration to continue employment with VA.
Impaired Registration. An impaired registration is any registration(s) revoked, suspended, denied, restricted, limited, or issued/placed in a probationary status. A registered nurse who has or ever had any such impairment to their registration as listed above may be appointed only in accordance with the provisions of chapter 3, section B, paragraph 15 of this part.
Physical Standards. See VA Directive and Handbook 5019.
English Language Proficiency. RNs appointed to direct patient care positions must be proficient in spoken and written English
Successful Nursing Practice. Documented evidence of experience as an RN that is determined to be sustained and consistently at or above an acceptable level of quality. This may include experience as a Graduate Nurse Technician (GNT) provided the candidate was utilized as a professional nurse and passed the State licensing (board) examination on the first attempt, and experience as a Nurse Technician Pending Graduation provided the candidate possessed an active, current registration to practice nursing in a State and was utilized as a professional nurse (See chapter 3, section G, paragraph 5, this part). It may also include performance as a VA registered nurse that is at or above the fully satisfactory level. Professional nursing experience should be documented on the Proficiency Report, VA Form 10-2623, the VA Form 10-2850a, Application for Employment - Nurses and Nurse Anesthetists, or on a candidate's resume.
Length of Nursing Practice (Experience). The amount of time documented on VA Form 10-2850a or on a candidate's resume. (A performance evaluation or reference covering the candidate's most recent employment as a RN is essential.) Part-time experience as a RN is credited according to the relationship it bears to the full-time workweek. For example, a RN who worked 20 hours a week (i.e., on a half-time basis) would receive one full-time workweek of credit for each 2 weeks of such service.
Degree in a Related Field. Baccalaureate and graduate degrees in fields related to nursing from a college or university which was accredited by the state at the time the candidate completed the program. Information on accredited colleges and universities is contained in Accredited Institutions of Post-secondary Education, published annually by the American Council on Education, One Dupont Circle NW, Washington, DC 20036 or call (202) 939-9300. Information can be obtained from the ACE web site.
The criteria are as follows:
? Practice: practice, ethics and resource utilization;
? Professional Development: performance, education/career development;
? Collaboration; collaboration, collegiality;
? Scientific Inquiry: quality of care, research.
Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.
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.
Reference: VA Handbook 5005, Part II, Appendix G6 Nurse Qualification Standard.
Physical Requirements: This position requires Heavy Lifting, 45 pounds heavy carrying, 45 pounds straight pulling (4 hours); pushing (4 hours); use of fingers; both hands required; walking & standing 8-12 hours; repeated bending 8 hours; both legs required; ability for rapid mental & muscular coordination simultaneously; near vision correctable @ 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.
To apply for this position, you must provide a complete Application Package which includes:
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
- Executive Core Qualifications (ECQs)
- Other Veterans Document