Nurse (Domiciliary Admission Coordinator)

Full Job Description

The Domiciliary Admission Coordinator Registered Nurse (RN) executes position responsibilities that demonstrate leadership through the delivery of improving holistic care, experiences, and participating in creative approaches to managing complex patient care through collaborative strategies with others.

The nurse is responsible for providing competent, evidence-based care to assigned patients and oversight of licensed vocational nurses/nursing assistants, as appropriate to the setting.

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.) 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/12895676.

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/.

Preferred Experience: Minimum two years successful clinical experience in mental health nursing and/or relevant experience preferred.

Evidence of self-directed and independent nursing practice required. Excellent interpersonal and therapeutic communication skills are required.

Evidence of dependability in work related environment required. Able to function autonomously and as an active member of an interdisciplinary team. BLS required.

Evidence of proven critical thinking, complex problem solving, and collaborative work in an interdisciplinary environment.

Proficiency with creating and maintaining Microsoft Excel spreadsheets required.

Physical Requirements: Light lifting, under 15 pounds; Light carrying, under 15 pounds; Reaching above shoulder; Use of fingers; Both hands required; Walking (8-12 hours); Standing (8-12 hours); Repeated bending (1 hour); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable to 13" to 16" to jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid may be permitted).

Environmental Factors: Working closely with others; Working alone. Major Duties:

Boise, Idaho blends urban sophistication with outdoor thrills. Take a stroll through Downtown Boise & Old Boise, where history meets modern design, or the Boise River Greenbelt.

The city offers a vibrant and diverse dining and night life scene, Visit Boise's food guide, and is home to Boise State University's Bronco Stadium.

Boise is a Kid friendly and Pet friendly destination. For more adventure head to Bogus Basin Ski Resort & Boise Foothills, or to the world-famous Sun Valley or scenic McCall.

General Description of Assigned Duties: 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.

Coordinates care with a focus on patient education, self-management, and customer satisfaction throughout the continuum of care.

Administers medications and procedures in accordance with established policies and guidelines. Influences care outcomes through collaboration with members of the interdisciplinary team.

Executes responsibilities that demonstrate leadership, experience, and creative approaches to managing complex client care.

Functions or Scope of Assigned Duties: Serves as an active member of an interdisciplinary team assisting with patient planning, assessments, identification of barriers, and activities required for successful transition into the residential treatment setting.

Applies the nursing process, including systematic data gathering, assessment, and appropriate nursing judgment to ensure positive patient outcomes.

Coordinates and collaborates with interdisciplinary teams, VA and non-VA departments, community agencies, and healthcare providers to address patient needs.

Participates in the development, implementation, evaluation, and revision of policies, procedures, and guidelines.

Assists in directing nursing education, orientation, competency development, and quality improvement initiatives.

Provides patient-centered and recovery-oriented care for individuals with substance use disorders and/or mental health conditions.

Facilitates shift reports, warm hand-offs, and nurse-led psychoeducational groups. Utilizes therapeutic communication techniques, de-escalation strategies, and recovery-oriented language.

Oversees safe medication management programs and promotes critical thinking in clinical practice.

Participates in patient safety and environment of care rounds; directs team response to psychiatric and medical emergencies; reports and resolves safety concerns.

Documents nursing assessments, risk screens, measurement-based care tools, nursing care plans, and safety/environment rounds per facility policy.

Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient.

Provides peers with constructive feedback and supports colleagues through knowledge sharing to ensure safe, quality nursing care.

Fosters a safe and supportive environment conducive to professional development. Demonstrates leadership performance broad enough to improve care for a group of patients.

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

Responsible for documented outcomes at the program or service level, which must be broad, complex, and demonstrable at any organizational level within the facility.

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; 6:30am - 3:00pm or 7:00am - 3:30pm Telework: Not available Virtual: This is not a virtual position.