Registered Nurse - Facility Administration

Full Job Description

This Registered Nurse functions as a clinical expert and executes position responsibilities that demonstrate aspects of assessment measurement and process improvement with regards to Focused and Ongoing Professional Practice Evaluations (PPE) for the South Texas Veteran Health Care System in San Antonio, Texas.

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/12879874.

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.

Preferred Experience: Assist with comprehensive, concurrent, and retrospective reviews in a timely manner, using criteria developed and approved by the medical staff and the hospital for focused clinical care.

Keeps abreast of current Joint Commission Standards and other accreditation standards, and the latest quality techniques in health care.

Demonstrated initiative, ability to work with others, and good professional judgement. Experience with spreadsheets and database software.

Work closely with services to assure FPPE and OPPE are obtained and reviewed in a timely manner. Participate in the early identification of trends in support of performance improvement opportunities.

Ability to prioritize, organize, carry out work assignments, independently and efficiently and have the ability to work independently and be self-directed and flexible.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: Light lifting, under 15 pounds, light carry, under 15 pounds, reaching above shoulders, use of fingers, both hands required, walking 1 hours, standing, 1 hour, ability to distinguish basic colors and shades of colors, hearing aid permitted, mental and emotional stability.

Major Duties:

This Registered Nurse - Facility Administration position is responsible for the following: Identifying problem areas for monitoring and evaluation and is active in analyzing findings and changing practice based on quality improvement findings.

Identifying and utilizing sources of data to measure evidence-based indicators.

Initiates individualized plans for each new privileged provider, establishes volume or time-based suspense, and tracks individualized plans through completion.

Assist clinical leaders with Focused Clinical Care Reviews and Focused Professional Practice Reviews for those providers where there is concern for substandard care, professional misconduct and/or professional incompetence.

Conducts clinical record review for appropriate indicators of each PPE plan and/or obtains clinical data from appropriate quality improvement nurse or other clinical provider.

Documents data for indicators in database and/or on appropriate PPE review form.

Coordinates with the clinical service to ensure PPE evaluation is completed and forwarded to the Medical Staff Professional Standards Board for review.

Documents PPE tracking and completion on the Medical Staff Professional Standards Board minutes. Ensures original.

completed and signed PPE evaluation is returned to the service for filling with a copy to the Medical Staff Office for filing in the Credentialing Folder.

Serves as an educational resource and provides consultation to other staff on the policy for PPE and in the development of indicators for PPE plans.

Use discretion in confidential matters and leads others in appropriately safeguarding confidential information.

Service as a resource for clients and staff in addressing ethical issues, and initiates action to resolve ethical/legal issues in collaboration with team members.

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 CST Telework: Ad-hoc telework only.

Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. PCS Appraised Value Offer (AVO): Not Authorized.