Job opening: Accreditation Quality Nurse
Salary: $72 244 - 124 405 per year
Published at: Nov 14 2023
Employment Type: Full-time
EL Paso VA Health Care System is seeking and Accreditation Registered Nurse for the Quality and Patient Safety Service in El Paso, TX.
Duties
A. Provides oversight, expert leadership, and ongoing consultative services toward organizational continuous survey readiness for the following accrediting and regulatory agencies, to include but not limited to TJC, VA, VHA, VISN, OIG, and other external reviews.
B. Provides leadership in the aspects of assessment, measurement, and process improvements to quality, safety and value of patient care and organizational functions.
C. Assists Chief of Quality Safety and Value in the development of a systematic approach to assessing and improving organizational performance, central coordination of policy development and review, formulation, communication, implementation, and evaluation of the accreditation processes.
D. Manages the survey reporting process through various stages of review and approval. Review preliminary survey results for accuracy and completeness, review and respond to comments on the preliminary results, and facilitate the survey reporting process.
E. Determines compliance with, develops, revises, and evaluates all policies and procedures with accreditation program implications.
F. Applies the nursing process to systems or processes at the unit/team/work group/organizational level to improve care and ensure compliance to regulatory standards and performance measures.
G. Explores the environment for best practices and works to implement them by involving staff in seeking to constantly improve processes and outcomes.
H. Supports the organization by serving on committees where subject matter expertise is necessary.
I. Evaluates practice of self and others using professional standards, relevant statutes, and regulations, and takes action to improve performance.
J. Acquires and maintains current knowledge relevant to the principles, practices, and techniques associated with nursing, compliance, process improvement, risk management, and quality improvement practices through literature and periodical review, workshop attendance, and/or other use of sound benchmark practices.
K. Takes leadership role in identifying potential problems involving resources and quality and takes effective action to avert or manage the situation in a manner that meets the needs of patients and the overall mission of the health care system. Teaches others to anticipate, recognize, and manage potential emergent situations.
L. Monitors the follow-up to recommendations specific to risk resulting from the Joint Commission and other accreditation and external review visits.
M. Interprets rules and regulations and has a broad knowledge of VA regulations, TJC, and other applicable federal and investigatory requirements to provide accurate information for management, chief of services, other officials and staff.
N. Ability to present reports containing findings, influence and negotiate effectively with top management of the HCS, service chiefs or other officials to accept and implement recommendations of major significance, organizational improvement, or program effectiveness. These may serve as the basis for new administrative programs or changes.
O. Maintains current membership and establishes effective collegial relationships with other professional organizations and the larger health care community on a local, state, and national basis. P. Able to demonstrate a basic understanding of many of the following: The organization and administration of multifaceted health care delivery systems; specialty and subspecialty care; education principles; evidence-based practice, data base management; accreditation standards, national patient safety goals, epidemiology: evaluation techniques, including statistics, research methodology and program evaluation: group process and team development.
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, 0800-1630
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required
Bargaining Unit: This position is part of the Bargaining unit.
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:
Expertise in The Joint Commission, VA, VHA, VISN, OIG, and other external reviews
Manages the survey reporting process through various stages of review and approval. Review preliminary survey results for accuracy and completeness, review and respond to comments on the preliminary results, and facilitate the survey reporting process
Has a broad knowledge of VA regulations, TJC, and other applicable federal and investigatory requirements
Determines compliance with, develops, revises, and evaluates all policies and procedures with accreditation program implications
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: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Pulling hand over hand (1.0 hours); Pushing (1 hour); Reaching above shoulder; Use of fingers; Both hands required; Walking (1 hour); Standing (1 hour); Kneeling (1 hour); Repeated bending (1 hour); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid may be permitted); Sitting (4 hours).
Education
The Associate Degree Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE). Verification of accreditation may be obtained from
http://www.acenursing.us/accreditedprograms/programsearch.htm or
https://directory.ccnecommunity.org/reports/accprog.asp
- If your school has changed names, or is no longer in existence, you must provide this information in your application.
- If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet.
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 El Paso VA Clinic
5001 North Piedras Street
El Paso, TX 79930
US
- Name: VISN 17 SSU USAS Group
- Email: [email protected]
Map