The Chief Nurse - Integrated Access Service (IAS) is the clinical and administrative coordinator for all aspects of Access: Medical Center and Community Care which includes policies and practice, budgetary and administrative oversight of compliance with VHA Directives.

Duties

The Cincinnati VA Medical Center is a two-division campus located in Cincinnati, Ohio and Fort Thomas, Kentucky serving 15 counties in Southwest Ohio, Northern Kentucky, and Southeast Indiana with 6 Community Based Outpatient Clinics located in Bellevue, KY; Florence, KY; Lawrenceburg, IN; Hamilton, OH; Clermont County, OH, and Georgetown, OH. Cincinnati VAMC also supports two off main campus locations in the Cincinnati area via an Eye Center and Mental Health Outreach Community Division. VA offers a comprehensive total rewards package: VA Nurse Total Rewards The major duties of the Chief Nurse - Integrated Access Service includes, but is not limited to: Provides executive leadership and direct supervision for access at the Medical Center and Integrated Access Service Works directly for the Chief of Staff and has oversight of all functions associated with access and traditional Non VA care, purchased care, third party administrator provider agreements, financial and regulatory controls for the purchase of care in the Cincinnati Tri-state catchment area. Assesses, plans, and evaluates the access processes and daily operations of both the Medical Center and the Community Care program. This is a complex collection of laws, policies, and processes involving VA providers, community network providers, Third Party Administrator (TPA), a $90M+ budget and approximately 38,000 Veteran enrollees. Provides administrative, clinical and financial oversight to Medical Center Access and Community Care Services including, inpatient care, all manner of outpatient care, including scheduling, authorizations, TPA coordination, provider agreements, reconciliation of budget and paid claims, case management of patients referred to the community, and hospital notifications. Liaisons with VA providers, network providers, patients and staff are paramount. Large numbers of patients seek portions of care in the community. Monitors progress toward goals using multiple data sources and VISN and national guidance. Orchestrates the work of myriad multi-disciplinary staff including financial techs, RNs, AMSAs and providers to achieve care for over 38,000 Veterans and budgeting for purchased care. Acts on behalf of senior leadership when requested and/or attends scheduled committee meetings, representing senior leadership in discussion and decision- making. Uses an analytical framework, such as the nursing process, to create an environment that facilitates the delivery of care. Coordinates and evaluates integrated programs or demonstrates clinical excellence in management of population groups. Provides leadership in addressing ethical issues that impact patients and staff in or beyond the organization and the local health care community. Designs, modifies, and implements systems compatible with professional standards and within the mission and the goals of the organization to improve the cost-effective use of resources. Develops staff for career progression. Forecasts new knowledge needs for changing practice environments/population groups. Plans, implements, and evaluates strategies to meet those needs. Implements standards of professional practice and accrediting bodies and applicable regulations. Demonstrates leadership in developing productive working relationships with groups in other programs, services, academic settings, and community settings. Contributes to the professional growth and development of colleagues and other health care providers at the local, state, regional, or national level. Provides leadership in improving and sustaining the quality and effectiveness of care in diverse or complex programs. Collaborates with staff, other disciplines, faculty, and peers in developing, conducting, and evaluating research activities and programs. 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: Full-time; Monday - Friday; 7:30am - 4:00pm Telework: Ad-hoc available, per the discretion of the department Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required

Requirements

Qualifications

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. Graduate of a school of professional nursing approved 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. 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. 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: Experience and knowledge of Community Care processes and requirements Experience in applying Mission Act Standards as it applies to VHA Group Practice Management Experience in using complex databases to address questions using data driven processes Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse IV - Master's degree in nursing or related field with BSN and approximately 4-5 years of nursing practice/experience; OR a Doctoral degree in nursing or related field and appropriate basic or advanced certification desired, and approximately 3-4 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: The population of male and female veterans served ranged from the adult, age 18, to the elderly adult age 65 and over. The VA Medical Center is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. This position requires visual acuity, keen hearing, clear distinctive speech, manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Cincinnati VA Medical Center 3200 Vine Street Cincinnati, OH 45220 US
• Name: Nicholas Burger
• Phone: (937) 794-5101
• Email: [email protected]