Registered Nurse - Mental Health Intensive Case Management
Veterans Affairs, Veterans Health Administration
Location: Clovis, New Mexico
Internal Number: 672733000
The RN -Mental Health Intensive Case Management (MHICM) demonstrates competency and proficiency in all the functions and responsibilities. In addition, this nurse demonstrates a sustained high level of clinical practice, leadership and management skills to improve patient care for the Seriously Mentally Ill (SMI) Veterans; demonstrates leadership in delivering and improving holistic care by collaborating with others in a multidisciplinary care team. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. Education: 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. License: 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. Preferred Experience: BSN 2-3 years experience working with the seriously mentally ill. Experience conducting safety plans, risk assessments, etc. Experience with psychiatric medications Experience collaborating effectively with multidisciplinary teams within and outside of Mental Health. Experience in working with Veteran clinical populations, seriously mentally ill, PTSD, and dual diagnoses. Clinical proficiencies in suicide risk assessment 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. 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: Moderate lifting, 15-44 pounds; Heavy carrying, 45 pounds and over; Pushing (1 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (1-2 hours); Standing (1-2 hours); Repeated bending (1-2 hours); Climbing, use of legs and arms; Both legs required; Operation of vehicle; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Emotional and Mental Stability. ["This is an OPEN CONTINUOUS ANNOUNCEMENT which will remain open until November 22, 2022, or until all positions are filled. The first cut-off date is September 6, 2022. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Applicants will remain active for 3 months after their initial application is received and/or updated. After that time, you must update your application through your USAJobs account if you would like to be made active again for possible consideration during the open period. Performs intensive case management for SMI Veterans at least weekly. Promotes Veterans' successful independent living in spite of impairment. Assists Veterans to develop knowledge and skills to improve and maintain his or her health and mental capabilities. Completes initial assessments and reassessments of patients' condition, response to treatment. Initiates follow-up as needed and documents using clear concise and objective data Monitors symptoms, stressors, risks, coping mechanisms, medication management, leisure activities, skills training needs, family support needs, education needs, housing and financial support, care planning, assists with maintaining medication schedules and monitoring vital signs. Provides injectable depot medication and other duties as identified by needs assessments. Provides education and training to the veteran and/or family for identified educational needs and those to promote routine daily living functions. Maintains flexibility and safety while case-managing multiple needs for multiple Veterans Adapts to Veterans' educational styles and needs while providing care. Promotes rehabilitation through practical problem solving, crisis resolution, adaptive skill building, and transition to self-care and independent living when possible. Systematically and collaboratively evaluates the current clinical needs of MHICM Veterans, develops treatment plans, and initiates actions to promote optimal level of functioning. Advises veterans on functions that are essential to personal safety, self-preservation and comfort in the community. Helps team members with their roles to achieve the MHICM mission. Collaborates with MHICM interdisciplinary team daily to discuss case load and Veteran needs and status changes. Prepares report on case load for interdisciplinary meeting. Obtains and maintains BLS. Maintains compliance with all governing boy directives, guidance and standards. Participates in continuing education for personal and professional development Assists in evaluating polices and procedures and reporting their effectiveness or need for revisions if necessary. Serves on committees as assigned. Provides recovery-oriented care. Promotes critical elements: Veteran centered, strength based, and self-directed. Provides evidence-based practice modalities of care: Motivational Interviewing, Behavioral Coaching, Cognitive Behavioral Therapy, Illness Management and Recovery. Follows applicable regulations and instructions regarding access to computerized files, release of access codes, and other sensitive information. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday, 7:00am - 3:30pm\nLocation: Position is located at the Clovis VA Outpatient Clinic in Clovis, NM\nTelework: Not available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not authorized\nPermanent Change of Station (PCS): Not authorized\nFinancial Disclosure Report: Not required"]
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.