Registered Nurse (High Reliabilty Supervisory Program Manager)

Full Job Description

This position is open to current employees of VISN 9.

Selectee will be required to be within commuting distance of Tennessee Valley Healthcare System The Nurse HRO Supervisory Program Manager (HRO SPM) is essential in coordinating education, programs, policies, and processes necessary for implementing the principles of a High Reliability Organization (HRO) within the medical center.

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/12875943.

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: See VA Handbook 5005, Part III, Chapter 2, paragraph 7, and VA Handbook 5019, Occupational Health Services.

All applicants must be physically and mentally able to perform efficiently the duties of the position.

Must be able to lift (30 lbs or more); twisting and/or bending, standing and/or walking almost constantly during the course of the day Major Duties:

Acting as a crucial liaison between Tennessee Valley Healthcare System (TVHS), Executive Leadership, and VISN 9, this role involves overseeing activities related to HRO and providing regular progress reports to senior leadership and Veterans Integrated Services Network (VISN) 9.

Utilizing data and comparative analytical processes, the HRO SPM recommends the design and implementation of innovative programs aimed at enhancing service excellence, customer satisfaction, and compliance with patient care and regulatory standards.

This position actively engages with clinical care areas and collaborates with individual staff, teams, and services to improve safety, quality, and efficiency of care.

The incumbent ensures effective communication throughout the facility regarding HRO events, share impactful stories, and the overall implementation plan.

Additionally, the HRO SPM serves as the lead for implementing a Just Culture, promoting an environment of transparency and accountability.

Partnering with members of the Quality & Patient Safety team, the HRO Supervisory Program Manager identifies vulnerabilities and develops processes and programs that advance patient care across the continuum.

Responsibilities also include reviewing Joint Patient Safety Reporting (JPSRs), Root Cause Analysis, SAIL and EPRP data, and other performance measures to assist in creating process improvement changes and enhancing the delivery of care.Furthermore, this role supports the medical center in implementing priority sections of the HRO Toolkit, ensuring a systematic approach to fostering a high-reliability healthcare environment.

The HRO SPM oversees the provision of staff education, orientation, competencies, and providing quality improvement and outcomes utilization consultation related to the program.

The incumbent demonstrates leadership in delivering and improving holistic care through collaborative strategies with others and evaluates practice in an ongoing process, based on best evidence.

The HRO SPM provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals.

Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes.

Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care.

Participates in activities and strategies to sustain an evidence-based-practice culture. The HRO SPM continuously evaluates the program, collecting and submitting facility performance measures.

Participates in quality improvement activities and develops performance measures to ensure programmatic outcomes are successful.

Ensures the organization's strategic plan, mission, vision, and values are understood by the team and integrated into the program's strategies, goals, objectives, work plans and products, and services.

Communicates and evaluates assignments, projects, problems to be solved, actionable events, milestones, and/or program issues under review, and timeframes for completion.

The HRO SPM demonstrates proficiency in leadership based on sound judgment, critical thinking, and deliberate planning.

Leads discussions with facility leaders regarding program goals and requirements to meet the operational needs of the facility and program.

Provides strategic advice and recommendations, while collectively collaborating with the program staff to develop solutions to complex issues and reporting actions to leadership.

The HRO SPM is responsible for the documented outcomes at the program level and for supporting the program in all services within the organization.

Program level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility, Veterans Integrated Services Network (VISN), or Veterans Affairs Central Office (VACO).

(N041 pay scale) 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 7:00am to 3:30pm Telework: Ad-hoc telework available Virtual: This is not a virtual position.

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