Nurse (Clinical Resource Hub)

Full Job Description

The Clinical Resource Hub (CRH) Registered Nurse (RN) supports the location to and from which care is delivered, including but not limited to VA clinical locations and provider alternate worksites.

Supports the VISN CRH which may provide telehealth and face-to-face services not only to clinical areas within the VISN CRH but also other VISN CRHs throughout the nation.

The CRH RN provides direct care to one or multiple panels of patients. Basic 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.) Preferred Experience: Three or more years of PACT RNCM with chronic disease management.

Experience in virtual/telehealth. Experience in Oracle-Health/Federal EHR.

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.

Grade 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/12919032.

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/.

Physical Requirements: Moderate lifting (15-44 lbs); Moderate carrying (15-44 lbs); Light carrying (under 15 lbs); Pushing (1 hr); Reaching above shoulder; Use of fingers; Ability for rapid mental and muscular coordination simultaneously; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid may be permitted); Sitting up to 8 hours.

Environmental Factors: Working closely with others; Working alone; Protracted or irregular hours of work; Possible extended hours. Major Duties:

The Clinical Resource Hub (CRH) Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex outpatient care.

Duties include, but not limited to: Demonstrates performance and leadership that is broad enough to improve the care for a group of outpatients.

Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through knowledge sharing to provide safe, quality outpatient nursing care.

Fosters a safe and supportive environment conducive to the professional development of health care professionals.

Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.

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

Required to provide critical medical, technical, and program support necessary to sustain efficient telehealth operations for the Veterans Integrated Systems Network (VISN) CRH.

coordinating scheduling of appropriate labs and appointments, performing screenings, visit and consult triage, and care coordination.

Collaborates with other members of the expanded health care team, facilitates coordination and transition of care between services, and may involve the patient and family in the decision-making process.

Minimizes fragmentation of healthcare delivery and optimizes quality of patient and family outcomes in a cost-effective manner.

Collaborates effectively with all levels of staff, to include other health professionals, providing ongoing care management and coordination services.

Provides professional assessment, coordination, telephone triage and planning of multiple health care services.

Acts on behalf of the Veteran to assure that necessary clinical services are received, and that progress is being made.

Responsible for providing direct patient care to Veterans and training and support to CRH and Spoke site staff as appropriate.

Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care.

Assesses, plans, implements, and evaluates care based on age specific components.

Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.

Follows procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team.

Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs.

Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.

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 - Friday 8:00am - 4:30pm Mountain Standard Time Compressed/Flexible: Available Telework: May be available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized