Career Center

Summary

Thank you for your interest in the Full-Time Registered Nurse - Medical Specialty Clinic Nurse Navigator - Patient Care Services within the Harry S. Truman Memorial Veterans' Hospital - Columbia - Missouri.

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/12863258
• 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: Care coordination/nurse navigator experience - specialty care experience - dermatology experience Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Heavy Lifting (45 lbs and over)
• Moderate Carrying (15-44 lbs)
• Light Carrying (under5 lbs)
• Straight Pulling (1 hour)
• Pushing (1 hour)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (up to 8-12 hours)
• Standing (up to 8-12 hours)
• Kneeling (1 hour)
• Repeated bending (up to 1 hour)
• Climbing - legs only (1 hour)
• Climbing - use of legs and arms
• Both legs required
• Ability for rapid mental and muscular coordination simultaneously
• Near vision correctable at 13" to 16" so Jaeger 1 to 4
• Mental and emotional stability
• Far vision correctable in one eye to 20/20 and to 20/40 in the other
• Both eye required
• Depth perception
• Ability to distinguish basic color
• Ability to distinguish shades of colors
• Hearing (aid permitted).

Duties

• General Description of Assigned Duties: Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care
• Assesses - plans - implements - and evaluates care based on age specific components
• Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care
• Follows procedures per established policies and guidelines
• Influences care outcomes by collaborating with members of the interdisciplinary team
• Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex client care
• Functions or Scope of Assigned Duties: The Care Coordinator Registered Nurse (RN) executes position responsibilities that demonstrate expert leadership - experience - and creative approaches in providing complex patient management
• Provides patient management - care coordination - and discharge/disposition planning for inpatient and outpatient settings
• The Care Coordinator assists Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their complex health care needs
• This includes - but is not limited to - acute - chronic - multiple - complex - catastrophic - or life-threatening illnesses
• combat stress - residuals of traumatic brain injury
• community adjustment
• addictions and other health problems
• Coordinates care with multiple providers across all levels and sites of care
• Coordination also includes assuring services interface within the Veterans Affairs (VA) and community programs to provide continuity of care to patients
• The Care Coordinator addresses psychosocial - as well as nursing and medical needs of patients and their families/caregivers - through participation with the interdisciplinary care team
• Coordinates and expedites care from diagnosis to treatment
• Analyzes and manages laboratory and radiology results and provides information to the providers
• Utilizes databases to provide population management to track patient care through all episodes of care
• Evaluates care and outcomes to ensure timely and appropriate provision of services
• Advocates for holistic care through patient/family education and provider interaction and implements an educational plan to meet the patient care needs
• The following list delineates commonly performed tasks that the Medical Specialty Care Nurse Navigator will be responsible for: 1
• Outpatient clinic coordination including triage of patients - patient education - monitoring patient progress toward predetermined goals and timely follow up of patient inquiries
• 2
• Patient management and/or monitoring of various diagnoses and disease processes
• RN will possess knowledge of treatment modalities - evidence-based nursing care - medical protocols - and the ability to manage patients with medical diagnosis
• 3
• Addressing patient educational needs and knowledge deficits as well as patient/family barriers to learning
• Provide patient/family education in the outpatient setting or via telephone
• 4
• Serving as a preceptor to new staff
• 5
• Initiation of and active participation in performance improvement activities for the Medical Specialty Care clinics including GEMBA projects and huddles
• 6
• Timely response to veteran inquiries via secure message - telephone - voicemail - etc
• 7
• Adhering to VHA rules and regulations of Consult Management
• 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 to Friday 0730- 1600 (0700-1530 or 0800-1630 tours optional as well) Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized