The VA Portland Healthcare System is hiring a Home Based Primary Care Nurse Manager (NM). The NM is responsible for providing and assigning competent - evidence-based care to patients with oversight of supervisor as appropriate to the setting: The individual will direct the provision of nursing education - orientation - competencies and quality improvement and outcomes utilization.
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.) Preferred Experience: Must have valid driver's license - proof of insurance - and able/willing to drive
One year of successful clinical experience preferred (e.g
Home health/HBPC - Med/Surg - ER/ICU/Urgent Care - adult primary care) Experience working in an intensive interdisciplinary team preferred BLS certified Managerial/supervisory experience preferred
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/12953176
Grade/Level Scope Education 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/
Operation of crane - truck - tractor - or motor vehicle
Ability for rapid mental and muscular coordination simultaneously
Specific visual requirement: at least 20/40 & 70' peripheral in horizontal meridian each eye
Both eyes required
Ability to distinguish basic colors
Ability to distinguish shades of colors
Hearing (aid may be permitted)
Mental and emotional stability required
Environmental Factors: Outside and inside
Excessive heat
Excessive cold
Dust
Fumes - smoke - or gases
Slippery or uneven walking surfaces
Working around moving objects or vehicles
Working closely with others
Working alone
Animal dander
Insects.
Duties
Portland is a port city in the Pacific Northwest and the most populous city in the U.S. state of Oregon
Situated in the northwestern area of the state at the confluence of the Willamette and Columbia rivers
Portland is known for having the amenities of a major city (such as an international airport - an efficient public transit system - major league sports teams and many museums and art galleries) and the charms of a small city (such as plentiful arts and crafts fairs - independent bookstores and local traditions like the annual Rose Festival Parade)
Rain or shine - you can take advantage of the city's proximity to nature by playing in the Willamette River - wandering through lush public parks and gardens - biking the city's 162 miles (261 km) of bike lanes and hiking trails both within city limits and in the nearby Columbia River Gorge
The Nurse Manager (NM) is the designated first-line supervisory authority and is responsible and accountable for the operation of their assigned units and provides coverage for other NMs as needed
Duties include - but not limited to: Directs a team of professionals providing home care across an assigned geographic area - providing leadership and creative approaches to the management of a spectrum of patient conditions in the home
Functions as a clinical expert and is responsible and accountable for all elements of the nursing process when providing or supervising direct patient care
Assesses - plans - implements - and evaluates delivery of 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
Demonstrate sound decision-making and judgment and possess excellent interpersonal skills
Self-directed and influences care outcomes by collaborating with members of the interdisciplinary team and leading innovative process improvement initiatives
Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex client care
Practice includes directing other providers with: (1) Planned work to be accomplished by subordinates - setting priorities and preparing schedules and assignments for the completion of this work - (2) Assigning work to subordinates based on priorities - selective consideration of the difficulty of the requirements of the assignments - and the capabilities of subordinates - (3) 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 through discussion with higher level supervisors - (7) Seeking and coordinating disciplinary action when appropriate - (8) participating as an active member of the Nursing Professional Council and quality improvement initiatives - and (9) Identifying developmental and training needs of subordinates and makes provision for such development and training (VA Handbook 5007 - Part III - Chapter 8)
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 0730-1600 or 0800-1630 Telework: Not available 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.