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The Oncology Care Navigator (OCN) 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 disposition planning for cancer patients.
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.) HPTs who are on track to graduate/complete the requirements should respond as if they have met the requirements
Provide details in the narrative sections of the assessment
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/12898155
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: At least 2 years Oncology experience in an acute/ambulatory care setting
At least 2 years of experience in Case Management and working with multidisciplinary teams
Experienced collaborator with internal and external care providers specifically in medical care transition of patients
Experience with high volumes of workload (patient census) with demonstrated flexibility and professionalism in support of patient care standards
Experience with educating patients - families - and caregivers on the diagnostic and staging process as well as current emerging treatment options available
Ability to communicate professionally/effectively in both written and verbal correspondence - on the phone - and/or in-person
Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
Physical Requirements: Lifting up to 35·pounds for 8-12 hours - intermittently - moderate carrying (15-35 pounds) for 8 to 12 hours - intermittently - lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care - pulling for 8 to 12 hours intermittently - pushing for 8-12 hours - intermittently - reaching above the shoulders for 8-12 hours - intermittently - both hands required - walking 8-12 hours - intermittently - standing 8-12 hours intermittently - kneeling 8 to 12 hours - intermittently - repeated bending for 8-12 hours - intermittently - climbing and use of both legs and arms for 8-12 hours - intermittently - both legs required - near vision at 13 to 16" Jaeger 1 to 4 - far vision correctable in one eye to 20/20 and to 20/40 in the other eye - ability to distinguish basic colors - hearing aid permitted - twisting - simple grasp and fine manipulation.
Duties
***THIS IS NOT A REMOTE POSITION - YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** The OCN RN assists Veterans - family members - and caregivers with receiving the most appropriate options and services to meet their complex health care needs
Coordinates care with multiple providers across all levels and sites of care
Coordination also includes assuring services interface within the Veterans Affairs and community programs to provide continuity of care to patients
Provides oversight of the patient's journey through the diagnostic and treatment continuum - ensuring that all steps in the process are scheduled - timely and completed - while tracking the overall treatment plan
OCN RN will identify and eliminates barriers to care for patients in need of oncology care and coordinates care across the continuum and through transitions in care
OCN RN will follow certain patients from the earliest suspicion of cancer through the continuum of cancer care including diagnosis - treatment - survivorship/surveillance - or palliation/end of life
The OCN RN is 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
The OCN RN will develop and execute appropriate multi-disciplinary oncology navigation activities in collaboration with interdisciplinary team -IDT as needed in support of the Veteran's health needs
The OCN RN is responsible for outreach efforts to establish and maintain positive working relationships with key community stakeholders -e.g. - community hospitals and providers - etc.-
The OCN RN will interface with outside referral agencies and ensure that their business and clinical practices are compliant with regulatory standards
Anticipates and implements preventive patient care measures
Possesses the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs - providing care as considered necessary
Provides guidance and education to patients and caregivers and collaborates with other professionals at all levels
Addresses psychosocial - as well as nursing and medical needs of patients and their families/caregivers - through participation with the interdisciplinary care team
Ensures the plan of care and educational requirements are individualized and tailored specifically to support each individual patient's needs
Reports status of service needs and contributes to problem resolution and modification of processes as necessary
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 OCN provides education/training to all clinicians and services on the OCN's role and processes
The OCN RN documents all encounters in the Electronic Medical Record (EMR)
Additionally - the incumbent documents all Veteran interactions/encounters/communication using face-to-face - Clinical Video Telehealth (CVT) - telephonic - VA Video Connect (VVC) - or secure message (SM) in EMR
Will appropriately code encounters/communication/historical notes using the International Classification of Diseases (ICD) - Evaluation and Management (E&M) - and DM-specific Healthcare Common Procedure Coding System (HCPCS) codes
Encounters will be completed and signed within 72 hours of initiation
The incumbent conducts nursing peer reviews as assigned
OCN RN participates in local and VISN oncology-related meetings including conferences and committees
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: Not Authorized Permanent Change of Station -PCS: Not Authorized
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.