The Peer Review/Risk Management RN oversees the entire Risk Management Program. Their role involves evaluating and improving the appropriateness and timeliness of services to minimize risk. They assist with various Quality Management activities, including, quality improvement, patient safety, incident reporting, and external peer review. They also handle internal investigations, accreditation processes, administrative and clinical reviews, and monitoring of internal and external reviews.

Duties

The Peer Review/Risk Management RN is organizationally responsible to the Chief of Quality Management (CQM). The Peer Review/Risk Management position provides direct staff support the Front Line Staff, Service Chiefs and others in the development, implementation and coordination of a Risk Management Program. This program is used to evaluate and improve appropriateness and timeliness of services provided to minimize risk. The incumbent assists the CQM with multiple and complex activities in Quality Management, including but not limited to, continuous quality improvement; VISN and VHA initiatives and committees, patient safety; incident reporting; risk management; external peer review program (EPRP) and other Mission Critical performance measures and monitoring; internal investigations; Joint Commission on Accreditation of Healthcare Organizations (TJC) and other accreditation processes; coordination of administrative and clinical reviews; and internal and external review monitoring. Duties Include but not limited to: Monitors the overall Risk Management Program for compliance with policy, patterns and/or trends. Assists in medical center activities and preparations for The Joint Commissions and other accreditation and external reviews. Monitors the follow-up to recommendations specific to risk resulting from The Joint Commissions and other accreditation and external review visits. Develops baseline references and profiles and identified statistical deviations or variances which might affect risk management efforts and/or might merit additional study. Applies research methods to ensure an efficient and effective program function. Researches, interprets, identifies, develops, and presents educational programs for health care professionals and support services regarding risk management. 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. Acquires and maintains current knowledge relevant to the principles, practices, and techniques associated with nursing and other clinical professions through literature and periodical review, workshop attendance, and/or the use of sound bench marking practices. Serves as consultant on clinical issues and/or performance improvement initiatives pertaining to risk management; to the health care system, VISN and VHA. Assesses the quality of risk programs within the VISN and/or other medical centers as requested. Coordinates and serves as technical support for peer reviews, tort claims and administrative investigation boards. Serves as a member of Behavioral Review Committee and Clinical Bioethics Committee. Is responsible for providing clinical and administrative recommendations relative to the risk management function. Work Schedule: Monday-Friday,8:00AM - 4:30PM Telework: 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

Requirements

Qualifications

Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), 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 the appropriate accrediting agency and accredited 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (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 to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). 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. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Preferred Experience: VA Risk Management experience. Outside of risk management experience, BSN and MSN, Quality Management experience. There may be requirements to travel based upon legal aspect of the job. This could include court, disposition, and etc. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12353530. Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience. Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. 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: 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. Mechanical lifts are provided. 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 or home-settings. 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. Must complete annual Employee Health requirements, such as annual TB screening or COVID testing, Flu vaccine as a condition of employment.

Contacts

• Address New Orleans VA Medical Center 2400 Canal Street New Orleans, LA 70119 US
• Name: Rosella Scott
• Phone: (502)295-8287
• Email: [email protected]