The Registered Nurse Manager for Geriatrics and Extended Care, Home and Community Based Services, and the Community Nursing Home programs, is located at the Lebanon, PA VA Medical Center

Duties

The nurse manager is accountable for ensuring the highest quality of care for patients receiving both Home and Community Based Services (HCBS)/Community Specialty Care Programs, and those admitted to the Community Nursing Home (CNH) Program. Home and Community Based Services include Skilled Home Care, Home Infusion, Non-Skilled Home Care (Homemaker/Home Health Aide H/HHA) Adult Day Health Care (ADHC), In-home Hospice, Respite Care, Bowel and Bladder Care, and Veteran Directed Care. The Community Nursing Home Program includes both VA contracted facilities and skilled nursing facilities under the Community Care Network (CCN). The Nurse Manager has supervisory oversight for the RNs and administrative staff providing care in these programs, and is responsible for program, consult, and budgetary management. The Nurse Manager is responsible to: - Supervise subordinate RN's who provide care through completion of patient assessments by telephone through interviewing Veterans and caregivers, reviewing VA and non-VA records, and ultimately approving Care in the Community (CITC) for the above listed HCBS services. - Provides technical and administrative supervision to all administrative staff. - Establishes performance standards and evaluates the performance of all staff (clinical and administrative), makes determinations on grievances, recommends training, and approves leave. - Reviews nursing documentation and cases daily with staff - frequently providing direction on complicated cases (ex. home infusion, complex wound care). - Ensure staff are completing thorough assessments, and providing case management through monitoring, questioning, and ensuring follow-up by physicians and vendors in the community. - Directs patient care delivered by the interdisciplinary team and works with outside agencies to ensure proper care is received by Veterans who obtain care through the Community Specialty Care Programs. - Ensures that participating vendors meet all requirements of the Mission Act and state guidelines. - Responsible for the clinical and operational outcomes involved in the management of CNH program. - Oversees the care of all Veterans placed by VA in any of the VA affiliated skilled nursing facilities. Supervises RN case managers to ensure they are providing adequate oversight through review of documentation and discussing cases on a routine basis. - Veterans are to receive the same level of care in a CNH as they would in a CLC. Veterans in nursing homes are being admitted with highly acute illnesses which creates a high level of risk involved to the Veteran and this medical center. The Nurse Manager must possess a high degree of clinical judgement and independent critical thinking to ensure the Veteran's care is appropriate and timely. The Nurse Manager must make decisions to hold placements or remove Veterans from facilities when it is deemed that the facility is unable to provide the level of safety or quality expected by the VA. - Ensuring the safety and quality of care provided to these Veterans is the most important component of this position Address identified care concerns or discrepancies with the CNH RN's and is also frequently required to intervene with nursing home administrators. - Evaluates all contracted facilities through review of State Department of Health (DOH) inspections and Medicare Compare (CMS) ratings and quality measures. Completion of waivers as necessary dependent on DOH and CMS review. 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: Monday - Friday 8:00 am - 4: 30 pm Telework: At Supervisor discretion Virtual: This is not a virtual position. Financial Disclosure Report: Not required

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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: 1-2 years experience in GEC or Community Care Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 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 ranges from the adult, age 18, to the elderly adult, age 65 and over. This position requires visual acuity, keen hearing, clear distinctive speech, and 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 Lebanon VA Medical Center 1700 South Lincoln Avenue Lebanon, PA 17042 US
• Name: Tessy Wigfield
• Phone: 570-550-2889
• Email: [email protected]