The incumbent practices as a Patient Aligned Care Team (PACT), Women's Health (WH), Clinical Nurse Manager in the Nursing department of Primary Care Services, within John D. Dingell VA Medical Center (Detroit VAMC). The Clinical Nurse Manager (CNM), has 24-hour responsibility for operating the PACT, Primary Care Clinics, in the Nursing department within the Detroit VAMC.

Duties

The scope of the work of a Clinical Nurse Manager is to support teamwork to decrease waste across the PACT, Women's Health Clinics (WH), and facility, improve efficiency, enhance patient care outcomes, improve staff communications, immediate accountability in practice, and patient and staff satisfaction. Leads in developing and monitoring clinical outcomes metrics related to patient, staff, and organizational PACT unit goals. Ensure care practices are patient-centered and maximum patient-centered care practices. Collaborates with other supervisors/staff, physicians, and ancillary services to resolve these concerns. Consults with patients/families, when necessary, serving as a patient advocate Functions as a leave granting official monitors time and attendance of assigned staff Analyzes and upgrades patient care through quality improvement activities Assists with orientation and training of nursing staff, evaluates and documents staff performance Strives to maintain clinical competencies through continuous study, in services, and participation in obtaining continuing education units. Provides management of the Traveling Veterans Program, Coordinator Serves as relief ACNS, as needed The CNM supports shared governance and patient activation in the care area. This impacts with support services, Interdisciplinary Team members, outside agencies, education resources, and regulatory bodies that provide services to our veterans. This includes staff development and support in the clinical competency of staff. The CNM supports effective fiscal management of program and service resources that supports operations such as access points, patient flow, staffing, equipment/supply, PAR levels, etc. This emphasis creates program leaders in strategic planning/forecasting, staffing methodology consultants, tracking, and managing payroll exceptions, and addressing unanticipated leave and fiscal responsibility, i.e., overtime usage. Lead in management and clinical care to support principles related to teamwork, efficiency, and quality care. Demonstrates leadership in delivering and improving virtual holistic care through collaborative strategies with others. The Clinical Nurse Manager is a registered nurse who is proficient in leadership and nursing practice and understands a situation in terms of short/long-term goals and impact (outcomes). The proficient CNM learns from experience what typical events to expect in each situation and how plans need to be modified in response to these events, always ensuring the veteran and/or caregiver is the driver of care. The CNM is accountable for identifying, addressing, and reporting barriers that impeded patient care. 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: 7:30 am - 4:00 pm; Monday - Friday. 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

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. 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/12367679. 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: Moderate lifting 15-44 pounds; Light lifting 15 pounds; Moderate carrying 15-44 pounds; Light carrying under 15 pounds; Use of fingers, both hands required, walking 2-4 hours, standing 1-2 hours, bending 1-2 hours; both legs required, both eyes required; Depth perception, ability to distinguish basic colors; ability to distinguish shades of color, working closely with others. Travel required (will be exposed to elements during travel).

Education

IMPORTANT: A transcript, either official or unofficial, must be submitted with your application for ALL degrees. A copy of your certificate/degree or screenshot of your current classes are not a replacement of your transcript and they will not be used in the qualifying process. Transcripts must include the following information:

• Your name
• Name of the college or university
• Full address of the college or university
• Degree received
• Date Conferred

Contacts

• Address John D Dingell Department of Veterans Affairs Medical Center 4646 John R Street Detroit, MI 48201 US
• Name: DaVita Boggon
• Email: [email protected]