The Registered Nurse - Clinical Resource Hub (CRH) TelePain Clinics position is located within the VA Texas Valley Costal Bend Health Care System. The RN may work from the VA in Harlingen, TX, McAllen, TX or Corpus Christi, TX.

Duties

Uses the nursing process and evidence-based practice to collaborate with the Teamlet and the larger Team to meet patient care needs. Provides patient and family health education with a focus on self-management, prevention, wellness, and Whole Health, based on the patient's goals ensuring that services are completed at the highest standard. Demonstrates advanced clinical knowledge in assessing, planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care. Utilizes motivational interviewing and Whole Health coaching techniques to guide patients to establish goals Participates in the development of an individualized plan of care for each patient. Educates patients regarding clinic procedures and what to expect during the procedure. Assists with clinic procedures and monitors patient for any adverse effect. Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. Collaborates with the interdisciplinary team, patients, and caregivers. Uses data registries to assist in identifying high risk patients for chronic pain management and care coordination. Monitors progress with clinical guidelines and/or pathways, analyzes variations, and initiates appropriate actions. Provides training and support to CRH and Spoke site staff as appropriate. Documents own interventions, including observations, treatments, care provided, education and patient/caregiver understanding. Oversees appropriate health team documentation of patient care. Maintains current knowledge of multidisciplinary resources, programs, and services. Refers patients for community resources as appropriate. Performs daily review of charts in preparation for scheduled patient appointments. Ensures results are available for the provider and obtains medical records, when applicable. Confirms appointment modality is suitable for the patient, including performing VA Video Connect testing if needed. Documents accordingly. Promotes cost effective use of resources including non-face-to-face approaches such as Clinical Video Telehealth, VA Video Connect, and telephone appointments. Reviews options with patients and families, including alternatives, risks/benefits, and services. Educates the patient and family on disease process, resources, plan of care, treatments, and procedures. Advocates fiscal responsibility in the management of patient care through effective utilization of resources. Screens patients for social service, home care, and other community care needs. Ensures the provider is aware of the patient's progress, as well as any issues, and concerns. Evaluates needs and facilitates the patient's ability to learn the principles of self-care; utilizes appropriate resources if the patient is unable to grasp the knowledge/skills needed for self-care. Work Schedule: Monday - Friday, 0800-1630 Location: May work from the VA in Harlingen, McAllen, or Corpus Christi Salary for Harlingen, TX and McAllen, TX: $71,923.00 - $146,993.00 per year Salary for Corpus Christi: $70,528 - $147,204 per year Telework: May be 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 Status:This position is part of the bargaining unit. 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

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. Education: 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. License: 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: 1-3 years of recent care coordination experience 1-3 years of Outpatient care experience 1 - 3 years of Med Surger/ED experience TeleHealth (video/telephone) nursing experience 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; Straight pulling (0.5) hours; Pushing (0.5 hours); Walking (5.3 hours); Standing (5.3 hours); Repeated bending (5.3 hours); 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; Depth perception; Ability to distinguish basic colors; Hearing (aid may be permitted).

Education

EDUCATION ACCREDITATION: The Associate Degree in Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science Degree in Nursing (MSN) must be recognized by the appropriate State-accrediting agency and accredited by either of the following accrediting agencies at the time the program was completed by the applicant:

1. The Accreditation Commission for Education in Nursing (ACEN) OR
2. The Commission on Collegiate Nursing Education (CCNE)
3. ACEN/NLNAC or CCNE program or degree accreditation may also be found under the U.S. Department of Education

NOTES:

• Department of Education: 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/.
• Foreign Education: 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.
• School Name: If your school has changed names, or is no longer in existence, you must provide this information in your application.
• No longer on accreditation site: 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 - Transcript: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Contacts

• Address VA TX Valley Coastal Bend HCS 2601 Veterans Drive Harlingen, TX 78550 US
• Name: VISN 17 SSU USAS Group
• Email: [email protected]