RN-QUALITY MANAGEMENT CONSULTANT

Full Job Description

Responsible and accountable for monitoring and evaluating clinical and administrative processes for the safe delivery of patient care throughout all applicable departments of the coastal clinics in Health Care System through an integrated Quality Management Program that includes Risk Management, Peer Review, and Patient Safety Programs.

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/12832538.

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: - Knowledge of regulatory and accreditation standards, including, NPSG, TJC Standards, VHA.

- Knowledge of various techniques for performance and process improvement: (1) Identifying opportunities for improvement (establish priorities, develop action plans, implement PI methods, identify process champions)(2)Implementation (establish teams, roles, scope, and monitor project timelines and deliverables) (3) Evaluation (effectiveness of outcomes, success of projects, and documentation/presentation of results) - Knowledge of patient safety concepts and experience with safety and risk management activities related to incident reporting, sentinel/unexpected events, root cause analysis, failure mode and effects analysis, external peer review program - Experience with performing chart review to monitor for performance improvement of processes and accreditation compliance - Ability to utilize health data analytics for design of data collection plans, data management (scorecards, dashboards, external sources of benchmarking and reporting, data validation), analysis using tools to display/evaluate processes, and basic statistical knowledge for describing, processing, and interpreting data to support decision-making.

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

Physical Requirements: The incumbent must be able to perform all activities of the position without restriction.

This position may involve standing, walking, stooping, bending, reaching, lifting, and turning. The work may involve going up and down flights of stairs. Major Duties:

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Responsibilities include, but are not limited to: The Nurse 1, Quality Management (QM) Consultant Registered Nurse (RN) demonstrates ability and creative approaches to improvement in quality of care outcomes.

The QM Consultant demonstrates performance that improves the care for a group of patients. They are responsible for participation in the documented outcomes at the program level.

Program level outcomes must be demonstrated at any organizational level within a department and/or facility.

Program is defined as a substantial coordinated group of activities impacting patients and/or employees.

The QM Consultant is assigned responsibility for their assigned QM program area activities for the Medical Center and all off-site locations.

The QM Consultant collects data, monitors staff compliance with relevant policies, directives, and standards, provides reports detailing trends, and provides direct staff support to all services in planning, designing, integrating, implementing, modifying, and administering, a comprehensive quality management program area.

The QM Consultant participates in facility councils, committees, and workgroups.

The Nurse II Quality Management (QM) Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to improvement in quality-of-care outcomes.

The QM Consultant demonstrates performance that is broad enough to improve the care for a group of patients.

The QM Consultant is responsible for the documented outcomes at the program or service level.

Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility.

Program is defined as a substantial coordinated group of activities impacting patients and/or employees.

The QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and all off-site locations.

The QM Consultant incumbent collects data, monitors staff compliance with relevant policies, directives, and standards, provides reports detailing trends, and provides direct staff support to all services in planning, designing, integrating, implementing, modifying, and administering, a comprehensive quality management program area.

The QM Consultant participates in several facility councils, committees, and workgroups. Performs duties directly contributing to the administrative management of a health care delivery system.

Duties require the ability to apply the specialized principles and practices of health care management in directing or supporting a health care delivery system.

The Nurse III Quality Management (QM) Consultant Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to improvement in quality-of-care outcomes.

The QM Consultant demonstrates performance and leadership that is broad enough to improve the care for a group of patients.

The QM Consultant is responsible for the documented outcomes at the program or service level.

Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility.

Program is defined as a substantial coordinated group of activities impacting patients and/or employees.

The QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and all off-site locations.

The QM Consultant collects data, monitors staff compliance with relevant policies, directives, and standards, provides reports detailing trends, and provides direct staff support to all services in planning, designing, integrating, implementing, modifying, and administering, a comprehensive quality management program area.

They participate in several facility councils, committees, and workgroups.

Executes the position responsibilities that demonstrate effective leadership, detailed planning, professional communication, creative and innovative approaches to the improvement of safety/healthcare program development and possess an ability to organize priorities.

Work Schedule: Monday through Friday 0800-1630 Compressed/Flexible: Not Available Telework: Adhoc Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required 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