The Quality, Safety & Value (QSV) Risk Management (RM) Registered Nurse (RN) is a member of the Quality, Safety & Value Service and is directly responsible to the Chief of Quality, Safety & Value Service. The RN serves as an expert practitioner whose practice encompasses a wide range of responsibility, accountability, and performs critical reviews of care performed by risk management, peers in accordance with all applicable laws, regulations, and current VHA policies. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 03/31/2023 Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: The Nurse is required to meet the physical standards as outlined in VA Directive and VA Handbook 5019.This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position may require potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. 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, able to shift priorities based on needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Provides direct support to assist service chiefs, managers, and others in planning, designing, integrating, implementing, modifying, and evaluating the effectiveness of committees, program components, and/or services to improve the quality of patient care, appropriateness, and timeliness of services. Maintains an integrated program that ensure the Risk Management functions related to minimizing risks/mortality review/peer reviews are completed in a consistent, accurate and timely manner. Identified, evaluates, and reduces the risk of injury to the veterans we serve, staff, and visitors, and the risk of loss of the organization itself. Works collaboratively with the medical staff and possess expertise in policy and procedures development. Reviews to ensure regulatory requirements are clearly delineated. Possess strong clinical knowledge to execute medical records review to identify quality of care issues. Supports ongoing data collection, tracking and trending, analysis of high-risk events, interventions, and identification of areas for proactive, preventive action to enhance and facilitate patient outcomes. Makes recommendations for process improvement regarding practice, ethics, and based on data analysis and findings. Conducts peer review for quality improvement purposes (including resource utilization) relevant to the care provided by individual practitioners, in support of clinical care programs and professional services in compliance with regulatory requirement. Conducts occurrence screens reviews to monitor and evaluate the quality of health care to determine whether there are significant deviations in mortality and morbidity rates for surgical procedures, and other non-surgical procedures in VA from the prevailing national morbidity and mortality standards for similar procedures. Identifies, recommends, and executes training related to Peer Review policy and regulatory requirements. Conducts operative mortality reviews and trends mortality data. Ensures that all deaths associated with unusual patterns undergo a formal peer review process and perform qualitative analysis of each death to identify suspicious events and report findings to the appropriate oversight council or board. Reviews out of hospital mortalities for risk of care and submitted for peer review as appropriate. Ensures Peer Reviews are appropriately documented in Healthcare Delivery Committee and ensures the ability to follow the flow and sequence of events and outcomes. Monitor Peer Review outcomes and ensures required Peer Review timelines are followed per appropriate regulatory requirements and guidance. Attends committee meetings as assigned, assists in the development of the medical center response in identifying performance measure improvement, works with all levels of staff within the facility, including top-level management, performance improvement teams, and Quality Improvement Specialists from other services. Identifies, recommends, and implements training and programs related to Peer Review, Policy Requirements, and Regulatory Requirements, that will improve patient care, patient satisfaction, and staff awareness, including new employee orientation and service presentations. Performs other duties as assigned. 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: 7:30am-4:00pm or 8:00-4:30pm Telework: Not Available 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 Financial Disclosure Report: Not required"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.