The VA San Diego Healthcare System is recruiting for the Intensive Community Mental Health Recovery (ICMHR) Services Registered Nurse, the position is community-based with most patient contacts occurring in the Veterans' homes and/or community.

Duties

Intensive Community Mental Health Recovery Services [ICMHR]Specific Duties: Full-time registered nurse assigned to the RANGE program (Rural Access Network for Growth Enhancement) located within the Mental Health Care Line at the VA San Diego Healthcare system. Services are provided primarily in the home, community settings, but may at times be provided in the medical center/CBOC/Rio Mental Health Annex settings. Provides intensive community mental health recovery services to Veterans enrolled in RANGE Program. Provides intensive case management services; active community-based provision of services including home and community visits with Veterans engaged in ICMHR programs. Provides transportation of Veterans to appointments within the VA System and in the community. All Nurses will complete VASHS training as required and adhere to Mental Health Care Line [MCHL] 024 Policy (ICMHR Staff Personal Safety & Managing Disruptive and/or Dangerous Behavior in the Community), and VHA policy; MCM 138-06 (Motor Vehicle Management Program Policy). Administer Long-Acting Injectable Psychotropic Medication as ordered, in alignment with Nurse Practice and VHA Policy. Provide ongoing assistance with medication Management to promote adherence (Providing guidance/assistance with Veterans setting up med boxes, calendar alerts, pharmacy delivery, or other appropriate interventions to promote adherence). Collaborates with team members in case findings and treatment planning. Provides direct patient care as needed. Coordinates ongoing, complex care needs of patients. Addresses complex learning needs of patients and families. Collaborates with multiple disciplines/departments and implements appropriate follow-up with patients to improve the delivery of care and patient outcomes. Implements methods for measuring effectiveness of interventions utilizing outcome evaluations to improve treatment services in keeping with NEPEC standards and requirements, (i.e. completing Initial Data Forms (IDFs), Follow-up Data Forms (FDFs) and Case Manager forms) as well as Measurement Care tools for each Veteran on the RN's caseload. The RN is able to demonstrate the ability to design changes based on empirical finding. Develops and participates in development of a treatment plan for each RANGE Veteran with measurable goals outlined based on relevant psychological, medical, and psychiatric information. Arranges transportation, home care, referrals for housing and other psychosocial issues as needs are identified. Address physical/medical care requirements of patients as indicated/needed and in collaboration with treating Provider. Triage patients in the field, clinic or via phone calls and/or VVC. Assists with planning/coordinating hospital admission and refers to the Psychiatric Emergency Clinic [PEC], VA Emergency Department [ED] or community Urgent/Emergent Care providers when appropriate. May assist with triaging ICMHR consults by interviewing the Veteran utilizing questionnaires and other measurement devices while assessing the Veteran's emotional, functional, and psychological condition. Participate on hospital or service committee work groups as indicated. 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: Full Time Telework: Ad-hoc

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: Bachelors in Nursing [BSN], or currently enrolled in a BSN or Bridge program. ANCC Board Certification in Psychiatric Mental Health Nursing or Case Management. Five years' experience working with people diagnosed with Serious Mental Health illness [SMI] Two years' experience working with people diagnosed with SMI in the community. 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: Physical Requirements: Heavy Lifting and Carrying (35 lbs. and over); Straight Pulling, Pushing, Walking, Standing, Kneeling, Repeated bending, Keyboarding, Viewing computer screen (8 - 12 hours); Reaching above shoulder; Use of fingers; Both hands and legs required; Ability for rapid mental and muscular coordination simultaneously.

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 San Diego VA Medical Center 3350 La Jolla Village Drive San Diego, CA 92161 US
• Name: GeeHan Chua
• Phone: (925) 372-2334
• Email: [email protected]