RN- BHIP Outpatient Mental Health (SOHI)

Full Job Description

James A Haley is excited to recruit for an Nurse within our Nursing Mental Health department. 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/12920282.

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.

Required Education/Experience: - At least 2 years of inpatient or outpatient MH Nursing experience - RN BSN Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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 wear 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, and 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. Major Duties:

The registered nurse BHIP 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.

The registered nurse assigned to the mental health team functions as part of interdisciplinary treatment teams providing care for outpatient mental health patients.

Assignment can also be made to a specialty service team within mental health.

Mental health provides the following services: Group Programming, Evidence-Based Treatments, Tele-mental Health, Medication Management, Couples and Family Counseling, Psychological Assessment, and other mental health services.Duties include, but are not limited to: Provides risk assessment and triage services for patients seeking access to mental health services.

Performs structured clinical assessments and complex, systematic psychiatric assessments which include the total health status of the patient.

Provides crisis intervention services which include a nursing assessment of needs and safety concerns and then linking the veteran as needed to the proper services for appropriate intervention to ensure safety.

Provides comprehensive health triage both on the phone and face to face including but not limited to assessing walk-ins to include an evaluation of safety and treatment needs as indicated with goal of meeting the needs of the Veteran in a timely manner.

Provides communication and collaboration with families and /or other concerned individuals as appropriate (given confidentiality concerns) to support the Veterans Recovery goals.

Responds to My HealtheVet secure messages and/ or triaging secure messages to providers.

Collaborates with other disciplines and caregivers and uses group processes for decision making in interdisciplinary problem solving. Administers long-acting psychiatric injections.

Collaborates in the development of an appropriate treatment plan and/or safety plan for patients, and the ability to communicate that plan to the patient and family.

Provides nursing intervention as needed and as defined by the RN Scope of Practice in the management of medication and other health issues.

Shares clinical/professional expertise with others within the facility or beyond through consultation, presentations, publications, participation in professional organizations, etc.

as a resource person or consultant in an area of practice.

Assists with the process of voluntary and involuntary hospitalization including providing one-to-one supervision of individuals requiring such service.

Assists with patient care by completing CPRS Mental Health Reminders Coordinates with administrative officer to order medical supplies.

Collaborates with Mental Health Intensive Case Manager and pharmacy to order and verify long-acting psychiatry medications on weekly basis. Monitors medication and supplies expiration dates monthly.

Contacts NEIE Medical waste services for schedule and pick up. Assists and provide coverage for Primary Care Clinic and Substance Use Disorder Clinic Monitors AED and Narcan daily.

Places depot appointment reminder calls to patients Places and documents follow up calls for no shows.

Coordinates with other agencies and making referrals to provide patients with necessary community services.

Monitors telephone calls and identify potential emergencies, coordinate patient care with other facilities and agencies.

Directs nursing care to individuals and groups of patients in accordance with the policies of the JAHVH. Serves as a liaison to Inpatient Mental Health to facilitate continuity of care.

Provides coverage as needed for other staff in the Mental Health Clinic. Facilitates psychoeducation and support groups Other duties as assigned.

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 7:30am - 4:00pm Travel: Yes, 25% Compressed/Flexible: Not Authorized Telework: Not Authorized Virtual: This is not a virtual position.

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