Registered Nurse (Primary Care)

Summary

Registered Nurse (Primary Care Mental Health) The Primary Care Mental Health Integration (PCMHI) Collaborative Care Manager Registered Nurse (RN) executes position responsibilities to improve patient and organizational outcomes. The PCMHI CoCM provides evidence-based - condition specific (e.g. - depression) - protocol-driven services to collaboratively assist Patient Aligned Care Team (PACT) providers in treating common Mental Health and health behavior concerns in Primary Care.

Qualifications

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/12939736
• 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: 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.

Duties

• Functions of Assigned Duties: PCMHI Collaborative Care Manager (CoCM) services include patient education - activation - behavioral interventions - monitoring of medication adherence and response - as well as other protocol-driven services
• These services are provided in the outpatient PC setting utilizing all aspects of the nursing process within a collaborative - interdisciplinary practice setting
• The PCMHI CoCM participates in patient outreach and engagement in proper treatment
• Assesses - reviews - develops - maintains - and monitors Veteran specific plans of care - collaborating with the interdisciplinary team to ensure patient outcomes are reported and validated
• Participates in caseload consultation with team members
• Provides education and brief interventions using evidence-based techniques such as behavioral activation - motivational interviewing - and other focused treatment strategies
• T The PCMHI CoCM conducts relapse prevention planning throughout care - including transition from active treatment to maintenance as goals are achieved
• Effectively communicate with patients - families - caregivers - VA leadership - and members of the interdisciplinary team using therapeutic communication techniques - practices de-escalation techniques - responds to psychiatric emergencies as needed - and utilizes recovery-oriented language
• Collaborates with PCMHI leadership/team members to develop/ enhance educational materials and use marketing strategies to promote PCMHI CoCM services
• Continuously collaborate with the PCMHI team to ensure high quality - effective - Veteran-centered services at the patient and programmatic levels
• The PCMHI CoCM executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex client care VETERAN/PATIENT DRIVEN CARE: Leads initiatives to improve Veteran/patient experience - satisfaction and/or safety beyond the immediate practice setting
• Expectations: 1
• Leads initiatives to improve the Veteran experience i.e. - care coordination - timeliness to resolve issues - negative trends - or environment of care concerns - beyond the immediate practice setting
• 2
• Demonstrates leadership in patient advocacy by protecting the health - safety - and rights of patient population groups beyond the immediate practice setting
• 3
• Leads staff to identify - analyze and address ethical issues that impact patients - caregivers and staff beyond the immediate practice setting PRACTICE: Demonstrates expertise in professional practice using the nursing process (assessment - diagnosis - outcome identification - planning - implementation - and evaluation) with improved evidence-based and/or data-driven outcomes beyond the immediate practice setting
• Expectations: 1
• Leads and organizes delivery of care to ensure continuity of care and peer accountability for practice in alignment with the ANA Standards of Nursing Practice
• 2
• Applies advanced clinical knowledge/judgment to lead staff involvement in planning - decision-making - and evaluating outcomes beyond the immediate practice setting
• 3
• Applies nursing expertise to lead improvement - with demonstrated outcomes - beyond the immediate practice setting 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: 8:00am-4:30pm - Monday-Friday - Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized