The Nurse Manager provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. 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. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Major Duties include, but are not limited to: Responsible and accountable for all nursing process when providing and/or supervising direct patient care Assess, plan, implement and evaluate care based on age-specific components Determine the number of available beds within the organization, ensure patients movement occur according to provider orders to include admit, transfer, and discharge Responsible for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge Administer medications and procedures per established policies and guidelines Influence care outcomes by collaborating with members of the interdisciplinary team Active participation in unit/program level quality improvement processes and initiatives as well as customer service programs Designated first-line supervisory authority, responsibility, and accountability for the 24/7 operations, ensure that subordinate personnel provide timely nursing care which complies with standards of clinical practice Plan work for subordinates, set priorities and prepare schedules Evaluate the performance, make recommendations for appointments, advancements or reassignments Give advice, counsel, or instruction to subordinate personnel on work and administrative matters Hear and resolve complaints and refer more serious complaints to higher level supervisors Recommend and/or taking disciplinary action where appropriate Identify developmental and training needs of subordinates Maintain continuous accreditation readiness Ensure safe quality of care is being delivered according to hospital policy Monitor from compliance regarding hospital policy and document non-compliance to the appropriate nurse manager Assess patient safety concerns and take appropriate action Address supply/ equipment issues and facility concerns (i.e. telemetry issues or plumbing problems) Enhance the patient/family experience through supportive interactions and explanations of hospital policies Provide real time service recovery and advocacy Ensure that staff make appropriate action during emergency situations ranging from a rapid response to an evacuation Primary liaison for Inter-facility transfers for VA to VA in addition to VA to Non VA Acute care medical centers Coordinate bed placement, transportation and assess for patient eligibility Work in conjunction with the transplant coordinator to ensure timely response to Facilitate transportation, chart review, and nurse to nurse report to receiving facilities during weekends, holidays, and after regular business hours Attend committees directly responsible for direct patient care input i.e.: critical care committee, nurse practice committee, Bed Management System (BMS), and Quality and Safety Responsible for performance improvement data, customer service/patient satisfaction, patient and employee safety, interview applicants, employee relations, standards of care and practice, the work environment, and accreditation and regulatory standards Develop and manage collaborative partnerships with physicians and other clinicians Responsible for staffing their units on a continual basis (24/7) Ensure staffing meets established nursing hours per patient day requirements, and work with other Nurse Managers to identify and share resources Responsible for time scheduling, coach staff, deal with employee conduct and performance issues, complete recurring reports and performance evaluations Participate on service and medical center committees and task forces to improve nursing practice and patient care Identify educational needs of staff and ensures that these needs are addressed Support and facilitate student nurse clinical experiences, as well as orienting new Nurse Managers Work in partnership with the union and adheres to EEO principles Designate a cross-covering Nurse Manager in their absence to handle administrative and clinical issues, such as staffing coverage, granting leave, and patient and/or staff issues Provide nursing education after normal business hours Pay: Competitive salary, regular salary increases, potential for performance awards\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory\nWork Schedule: Monday - Friday, 8:00 a.m. - 4:30 p.m.\nTelework: Not Available\nVirtual: This is not a virtual position\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.