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VA offers a comprehensive total rewards package: VA Nurse Total Rewards
Major duties/functions include, but are not limited to:
Demonstrates proficiency in practice based on conscious, deliberate planning. Self-directed in goal setting for managing complex patient situations (VA Handbook 5005, Part II, Appendix G6). The Nurse Manager is a competent nurse who demonstrates competence in practice and decision-making, deliberate planning, and critical thinking skills. The Nurse Manager integrates knowledge, skills, abilities, and judgment and is self-directed in goal setting for managing complex situations. The focus is beyond the self to the evolution of systems thinking by synthesizing knowledge to solve problems that result in demonstrated outcomes. This nurse demonstrates the ability to cope with and manage competing priorities. The competent nurse evaluates others, coaches and mentors others, and demonstrates leadership skills through collaborative efforts
1. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care (ANA Code of Ethics for Nurses).
2. Independently plans and delivers technically competent care to patients with complex needs.
2.1. Safely and effectively uses equipment required for patient care. Reports equipment in need of repair.
2.2. Recognizes subtle abnormal signs and symptoms and/or changes in patients' condition and responds appropriately.
3. Makes assignments and directs activities of unit staff, (RNs, LPNs, students, PSAs, other team members).
4. Formulates and implements a plan of care based on the ANA Standards of Nursing Practice.
4.1. Completes initial assessment of patient condition and response to treatment and initiates follow-up as needed.
4.2. Includes the patient and family/significant other in developing the initial plan of care, establishing goals, and discharge planning.
4.3. Updates plan of care as needed based on patient responses.
4.4. Assesses patient's learning needs, learning preference, and readiness to learn.
4.5. Develops and implements a plan to meet learning needs, instructing patients and families in educational needs and discharge planning.
5. Documents the nursing process.
5.1. Documentation is technically informative, consistent, accurate, concise, and timely manner.
5.2. Evaluates and documents patient response to interventions and progress towards attainment of expected outcomes.
5.3. Completes notes and/or uses addenda to avoid unsigned progress notes.
5.4. Revises plan of care according to evaluations of patient responses.
5.5. Uses the Computerized Patient Record System (CPRS) and the Bar Coded Medication Administration (BCMA) software per policy.
6. Manages nursing care of patients.
6.1. Provides direction to staff in meeting patient care needs.
6.2. Ensures that assigned delegated tasks are completed by team members.
6.3. Organizes and completes own assignments in a safe and timely manner, assisting team members as necessary.
6.4. Organizes and prioritizes in order to meet changing patient care needs and staff assignments.
6.5. Assigns patient care responsibilities based upon patient needs and competencies of staff.
7. Demonstrates grade-appropriate and consistent critical thinking skills.
7.1. The nurse can recognize the patient has a problem.
7.2. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice.
7.3. The nurse has a relative sense of urgency.
7.4. The nurse takes the right action for the right reason (del Bueno).
8. Position-specific Competency Checklist is completed annually and is rated competent in all measured areas.
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: Work schedule will be determined by the Supervisor.
Compressed/Flexible: No.
Telework: No.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized.
EDRP Authorized: Contact visn5edrpcoordinators@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized.
PCS Appraised Value Offer (AVO): Not Authorized.
Financial Disclosure Report: Not required
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VA offers a comprehensive total rewards package: 2023 VHA Total Reward$ of a Social Worker Career Flyer.pdf
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VA offers a comprehensive total rewards package: Allied Health Professionals Total Rewards
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The Registered Nurse will performs assignments at the new Community Based Outpatient Clinic's (CBOC's) as a member of the Patient Aligned Care Team (PACT). Registered Nurse is responsible and accountable for all elements of the nursing process when providing direct patient/resident/resident care. Assesses, plans, implements and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient/resident/resident transition through the continuum of care, patient/resident/resident and family education, patient/resident/resident self-management after discharge, and supporting factors that impact customer satisfaction. Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Provides a full range of nursing care to patient/residents with complex care needs utilizing the nursing process based on the ANA Standards of Nursing Practice. Recognizes subtle changes in patient/resident's condition and responds timely, choosing the correct interventions. Demonstrates evidence of critical thinking skills in identifying, analyzing, and resolving patient/resident care problems on the unit. Performs ongoing assessment of patient/resident condition and response to treatment. Provides leadership in establishing goals, evaluating the plan of care, and in discharge planning. Initiates referrals to other disciplines and/or services as appropriate. Accurately documents in the medical record patient/resident/resident findings, assessments, and care provided. Evaluates and documents patient/resident/resident response to interventions and progress towards attainment of goals and expected outcomes. Revises interdisciplinary plan of care based upon on-going patient/resident/resident assessment and evaluation. Uses the Computerized Patient/resident Record System (CPRS), pyxis and/or the Bar-Coded Medication Administration (BCMA) software if applicable per policy. Uses a team approach to identify, analyze, and resolve patient/resident care problems that result in improved patient/resident outcomes. Provides direction to staff for unit activities in meeting patient/resident care needs. Ensures that delegated tasks as assigned are completed by other staff. Ensures the physician and/or the nurse manager/ immediate supervisor/coordinator are notified of untoward events involving patient/residents and staff, either by assigned RN or by self. Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs.
Work Schedule: TBD
Locations: Riverside, Hemet, Barstow, Banning, Desert Hot Springs.
Financial Disclosure Report: Not required
Official account of Jobstore.
The Cardiology ANM is aligned within the Medical Practice/Chief Medical Officer of the Cardiology Department as well as the Chief Nurse of Critical Care and is responsible for providing the clinical leadership and expertise for the coordination of the Medical Center's Cardiology service. He/she possesses intimate knowledge of Veterans Healthcare Administration (VHA) guidelines, clinical documentation requirements, current standards of care, and compliance guidelines. The Cardiology ANM collaborates with the Education Department, and the Cardiology Nurse Manager to develop, coordinate and provide ongoing education to cardiology nursing staff for knowledge and skills enhancement while ensuring clinical competence. The incumbent supports the VAs mission by possessing and exemplifying the ICARE Values and Core Competencies. The Cardiology ANM demonstrates proficiency in practice based on conscious, deliberate planning. Executes position responsibilities that demonstrates leadership, experience, and creative approaches to management of complex patient care. 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- and population-specific components. Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient, and family education, patient self-management, and supporting factors that impact customer satisfaction. The Assistant Nurse Manager (ANM) provides direct and indirect care to the VA patients in the
Cardiovascular and Electrophysiology Labs and other Cardiology areas within the Cardiology Section. The ANM demonstrates leadership, experience, and creative approaches in delivering and improving patient care through collaborative strategies with other colleagues. The ANM is accountable for adhering to established policies, standards of care and standards of practice. The ANM will provide leadership when providing, establishing, and implementing improved nursing standards of practice and patient care. The ANM facilitates an interdisciplinary approach to high quality, safe, cost effective and customer focused health care delivery. The ANM directly supervises and provides education to all nursing (RN) and diagnostic radiation technology (DRT) personnel in the Cardiovascular and Electrophysiology Lab areas, TEE/Cardioversion procedure areas, Stress Lab area, Cardiovascular Case Management area, Cardiac Rehab and Cardiology Specialty Clinic areas. The ANM functions as a role model when functioning as the Assistant Nurse Manager. The ANM works in conjunction with the Cardiology Nurse Manager, Cardiovascular Lab Director, Cardiology Section Chief and Critical Chief Nurse. The Cardiology ANM is accountable for his/her assigned staff for adhering to established policies, standards of care and practice within the Cardiovascular Lab, Electrophysiology Lab, Stress Lab, TEE/Cardioversion procedure areas and Case Management area, Cardiac Rehab and Cardiology Specialty Clinic areas. The ANM is responsible for supervision and administration of nursing care delivery, managing CVL staff (Registered Nurses and Diagnostic Radiologic Technologists) and Cardiology Case Managers and coordinating all related activities. The ANM will demonstrate leadership in developing and implementing programs specific to the Cardiovascular/Electrophysiology area to improve the delivery of patient care. Additional duties may be required of the RN based on the needs of the Cardiology Department.
Work Schedule: Monday-Friday
Financial Disclosure Report: Not required
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Duties may include but are not limited to:
Hygiene
Assistance with ADLS (meals, baths, nutrition, ambulation, dressing, etc.)
Elimination and nutrition.
Vital signs
Specimen collection/phlebotomy (blood, sputum, urine, stool)
Breathalyzer
Monitoring of patients on precautions (suicide, homicide, medical equipment, elopement, restraints, seclusion)
Laundry
Ostomy care (empty bags)
Catheter care and discontinuation
Peg tube care
Basic life support
Documentation
Discontinuation of IV
Turning and repositioning Veterans
Transporting Veterans
Stocking rooms and supply carts
Suctioning of the oral cavity (no deep suctioning)
Range of motion (passive and active)
Splint and brace care
Therapeutic verbal de-escalation
Restraint care
Bladder Scans
Other duties as assigned.
Work Schedule: 730 p.m. to 8 a.m.
Telework: Not available.
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not authorized.
Permanent Change of Station (PCS): Not authorized.
Financial Disclosure Report: Not required.
Official account of Jobstore.
The Specialty Clinic Assistant Nurse Manager is directly responsible to the Nurse Manager of Specialty Clinics. The Assistant Nurse Manager accepts direct oversight and leadership from Nurse Mangers for unit-based tasks and assigned duties. The duties are split to include direct patient care assignments/duties and as a designated second-line leadership authority, responsibility, and accountability for the operations of their units, ensuring that subordinate personnel provide timely nursing care which complies with generally accepted standards of clinical practice. This includes the authority to accept, amend or reject the work of subordinates. In conjunction with the Nurse Manager, the charge nurses and will collaborate with the NODs on the off tours.
The Assistant Nurse Manager responsibilities includes the following functions: 1) Planning work to be accomplished by subordinates, setting priorities and preparing schedules for completion of work; 2) Assigning work to subordinates based on priorities, selective consideration of the difficulty and the requirements of the assignments and the capabilities of subordinates; 3) Providing input for evaluating the performance of subordinates; 4) Making recommendations for appointments, advancements or reassignments of subordinates; 5) Giving advice, counsel or instruction to subordinate personnel on work and administrative matters; 6) Hearing and resolving complaints of subordinates and referring more serious complaints not resolved to higher level supervisors; 7) Recommending disciplinary action when appropriate; and 8) Identifying developmental and training needs of subordinates and providing or making provision for such development and training (VA Handbook 5007, Part Ill, Chapter 8) 9) Providing recovery-based care to assigned patients and providing coverage based on unit needs and staffing. Other responsibilities include, but not limited to the following duties:
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Upon assignment to this position, the incumbent's salary will include two additional steps for assignment to a Nurse Manager position.
The incumbent demonstrates (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice, including access to care and discharge planning; (b) Using advanced clinical knowledge/judgment to promote staff involvement in planning, decision-making, and evaluating outcomes, (c) Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities, (d) Systematically evaluating current practice, and formulating outcomes for groups of patients and/or organizational processes within an area of expertise, (e) Guiding, developing, and supporting staff from a leadership perspective, and (f) Using professional standards of care, scientific evidence, and practice to evaluate programs and/or service activities. The nature of the work environment places the incumbent in a key position requiring tact, diplomacy, and reliable decision-making abilities to carry out assigned responsibilities.
The incumbent will ensure that subordinate personnel comply with generally accepted standards of clinical practice. This includes the authority to accept, amend, or reject the work of subordinates. Has continuing responsibility for all the following functions: (1) Planning work to be accomplished by subordinates, setting priorities and preparing schedules for completion of work; (2) Assigning work to subordinates based on priorities, selective consideration of the difficulty and the requirements of the assignments, and the capabilities of subordinates; (3) Evaluating the performance of subordinates; development, administration, and validation of initial and annual competencies for staff (4) Making recommendations for appointments, advancements or reassignments of subordinates; (5) Giving advice, counsel, or instruction to subordinate personnel on work and administrative matters; (6) Hearing and resolving complaints of subordinates and referring more serious complaints not resolved to higher level executive; (7) Recommending and/or taking disciplinary action where appropriate; and (8) Identifying developmental and training needs of subordinates and providing or making provision for such development and training (VA Handbook 5007, Part III, Chapter 8). Additionally responsible for performance improvement, customer service/patient satisfaction, patient and employee safety, interviewing applicants, employee relations, standards of care and practice, the work environment, and accreditation and regulatory standards for nursing.
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-Friday, 08:00am-04:30pm
Telework: Available Ad Hoc Only
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
Official account of Jobstore.
VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws
Major duties of this position will include, but are not limited to:
Clinical-Direct Patient Care Activities (some require scope of practice):
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The Geriatrics and Extended Care (GEC) Registered Nurse (RN) is a professional nurse/Case Manager who works as part of
The GEC Home Based Purchased Care Services (HBPCS) department within the Office of Care Coordination (OCC).
This RN works with eligible Veterans, and their PACT teams, to determine appropriate level of care needs and collaborates with various types of community home care agencies (such as purchased skilled care, non-skilled care, contracted adult day health care, local Aging and Disability Network Agencies (ADNA)), and community Contracted Nursing Homes, to authorize services.
The GEC/CNH/VDC nurse is responsible for the case management of those enrolled, the implementation of services, and evaluation of these programs. Nursing case management addresses the medical, nursing, and/or personal care needs of Veterans to enable their return to an optimal level of functioning. Identification of cost-effective resources while providing quality care is necessary to reach the desired outcome and is an essential component of case management services. RNs conduct a comprehensive assessment of the Veteran and the Veteran's family/caregiver. RNs also support systems that identify actual or potential problems, set health care goals, reassess the Veteran's progress towards those goals, and adjust the Veteran's health care plan as needed in collaboration with the Veteran's multidisciplinary health care team. The RN conducts work independently using his/her educational training, clinical experiences, VA policies, and JCAHO and other accreditation organization standards in administering direct services.
The Geriatrics and Extended Care RN will be responsible for the following:
- Routinely communicates and coordinates Veteran care needs with the PACT RN Care Manager, Social Work, and other specialty care team members.
- Assists with oversight and monitoring for VA-purchased home health care programs and services.
- Has delegation of authority to review for Veteran clinical and administrative eligibilities for all GEC programs.
- Completes clinical assessments through chart review and Veteran/caregiver interviews to determine appropriateness for services.
- Assists with processing authorizations for the following programs: contract nursing home, adult day health care, home health aide, home skilled care, home hospice, respite care, bowel and bladder, and Veteran Directed care.
- Helps to individualize Veteran treatment plans and interventions, monitors outcomes of treatment, and monitors the effectiveness of all GEC programs.
- Evaluates for, and assists in, obtaining authorizations for appropriate durable medical equipment, medications, disposable supplies, skilled and non-skilled services, and community resources (i.e., structured placement) necessary to meet the unique health and psychosocial needs of the Veteran, family, and caregiver.
- Attends meetings as requested and seeks guidance from VACO program office as needed.
- Assists in development and implementation of information systems to track service activities including visits, referrals, patient demographics, and patient satisfaction.
- Completes clinical reviews and works with the veteran's interdisciplinary team (and ADNA in cases related to VDC program) to ensure appropriate level of care is provided.
- Completes review of cases and create entries for Extended Care Committee as necessary.
- Completes necessary independent visits to home/ADHCs as required.
- Collaborates with Social Work Services and other Lebanon VAMC staff for best outcomes, and veteran-centric plans of care.
- Facilitates advocacy and VA representation to local community partners and entities.
- Determining the budget (VDC)/authorization amount using the Purchased HCBS Case Mix and Budget Tool.
- Assists non-VA community providers and collaborates to ensure Veterans care needs are met.
- Assists in developing an agreement with the local Aging and Disability Network Agencies (ADNA) to designate them a provider of VDC services.
- Reviewing monthly spending reports to assure appropriate expenditure of funds (In cases of VDC).
- Additional Duties as assigned.
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: 7:30 a.m. - 4:00 p.m. Monday - Friday.
Telework: Available pending supervisor approval.
Financial Disclosure Report: Not required.
Official account of Jobstore.
The Clinical Manager Registered Nurse is the designated first-line supervisory authority, responsibility, and accountability for the 24/7 operations of their units, to include acting as a direct patient care provider when needed and ensuring that subordinate personnel provide timely nursing care which complies with generally accepted standards of clinical practice. This includes the authority to accept, amend, or reject the work of subordinates.
Duties include but are not limited to:
Official account of Jobstore.
The Case Manager is a registered nurse responsible for identifying and facilitating options and services for meeting patients' health needs while decreasing fragmentation and duplication of care and enhancing quality, cost-effective clinical outcomes. They serve complex medical and surgical patients and are identified as the lead care coordinator for the population served. The Case Manager identifies gaps in care pre and post procedurally; collaborating with the Veteran, family, and interdisciplinary team to address needs.
The Case Manager demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.
Their Duties and knowledge required includes but is not limited to the following:
Official account of Jobstore.
The incumbent is a qualified, experienced Medical Technologist that shares with the Pathology and Laboratory Medicine Service Line Executive (PLMS), full responsibility for managing and supervising all phases of laboratory service operations.
The duties of the Medical Technologist (Laboratory Manager) include but are not limited to:
- Develops guidelines.
- Assesses laboratory effectiveness.
- Establishes and maintains quality assurance programs.
- Serves as an authority on laboratory medicine.
- Serves as a consultant to local, network, and national program officials.
- Keeps abreast of current research, clinical methods, and technical advances in the field.
- Develops and integrates new techniques, and procedures into laboratory programs.
- Provides direction and guidance to staff.
- Develops and manages program budget.
- Maintains coverage throughout the laboratory and active recruitment and personnel selection functions.
- Interprets and provides technical guidance on agency policies and procedures.
Work Schedule: Monday-Friday 8:00 a.m. to 4:30 p.m.
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #:
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
Official account of Jobstore.
The incumbent is a qualified, experienced Medical Technologist that shares with the Pathology and Laboratory Medicine Service Line Executive (PLMS), full responsibility for managing and supervising all phases of laboratory service operations.
The duties of the Medical Technologist (Laboratory Manager) include but are not limited to:
- Develops guidelines.
- Assesses laboratory effectiveness.
- Establishes and maintains quality assurance programs.
- Serves as an authority on laboratory medicine.
- Serves as a consultant to local, network, and national program officials.
- Keeps abreast of current research, clinical methods, and technical advances in the field.
- Develops and integrates new techniques, and procedures into laboratory programs.
- Provides direction and guidance to staff.
- Develops and manages program budget.
- Maintains coverage throughout the laboratory and active recruitment and personnel selection functions.
- Interprets and provides technical guidance on agency policies and procedures.
Work Schedule: Monday-Friday 8:00 a.m. to 4:30 p.m.
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #:
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
Official account of Jobstore.
The Assistant Nurse Manager serves as an assistant with in line authority to the unit Nurse Manager in providing leadership and direction to Nursing staff. The Assistant Nurse Manager is accountable for adhering to established policies, standards of care and standards of practice, and demonstrating leadership in improving nursing care. The Assistant Nurse Manager is accountable for the administration, management, supervision and evaluation of both nursing care and nursing personnel on his/her designated unit and as assigned for the Medical Center on the off tours, weekends, and holidays. The Assistant Nurse Manager demonstrates, promotes, creates and ensures a culturally diverse workforce in which the values and needs of all individuals are respected. The Assistant Nurse Manager provides an environment that fosters employees to perform to their full potential.
NT53 Assistant Nurse Manager Pay Schedule
Work Schedule: Based on the needs of the Service
Financial Disclosure Report: Not required
VA offers a comprehensive total rewards package: VA Nurse Total Rewards
Official account of Jobstore.