The Atlanta VA Healthcare System is seeking an eligible Registered Nurse for the position of Utilization Management in Quality and Patient Safety. This is a Pre-Admission Screening position located in the Emergency Department - shifts are three 10am-10pm one week, three 10am-10pm and one 10am-6pm the other week, with rotating every third weekend.

Duties

Duties include by are not limited to: - This is a Pre-Admission Screening position located in the Emergency Department - shifts are three 10am-10pm one week, three 10am-10pm and one 10am-6pm the other week, with rotating every third weekend. -Promotes effective and efficient utilization of clinical resources.- Mobilizes resources as needed to achieve expected goal within the desired timeframe.- Possesses intimate knowledge of lnterQual criteria, utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines.- Conducts reviews for appropriate utilization of services from pre-admission through discharge. - Conducts concurrent medical record reviews using specific indicators and criteria approved by the medical staff. - Interprets, applies, and enters data into National Utilization Management Integrated (NUMI) software. - Assesses patient care required throughout the continuum of care for diagnosis, procedures, and DRG's. - Communicates with providers and Physician Utilization Management Advisors (PUMA) at regular intervals throughout the hospitalization and develops effective working relationships. Assists providers in maintaining appropriate cost, care, and desired patient outcomes. - Participates in daily interdisciplinary care rounds and/or conferences to review supporting documentation and treatment goals, to optimize resource utilization, and to recommend alternate levels of care when acute care is no longer needed. - Assists in providing direction and participates in the development and implementation of policies and protocols in order to provide advice and guidance in managing special cases or meeting patient needs. - Evaluates clinical outcomes of nursing practice - Demonstrates leadership in analyzing and implementing strategies specific to patient care issues. - Tracks, trends, and analyzes appropriate data. - Participates in interdisciplinary committees/teams/task forces focused on utilization management data and organizational performance. - Maintains knowledge and application of patient safety concepts and principles. - Uses professional standards of care and practice to guide nursing practice. - Performs other medical record reviews as needed in support of VAHCS. - In the role of Pre-Admission Screener, evaluates all potential admissions for appropriate level of care, collaborates with providers, and makes recommendations as needed to insure documentation and admission orders support appropriate level of care. - Takes responsibility for any other duties as assigned. 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: 10am-10pm and rotating weekends 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/12455414. 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: Must pass a RN physical. Standing, walking, stooping, sitting for up to 12 hours at a time. Preferred Experience: Three to five years of nursing experience preferred - critical care/ED nursing experience preferred - UM experience preferred.

Contacts

• Address Atlanta VA Medical Center 1670 Clairmont Road Decatur, GA 30033 US
• Name: Angie Nottingham
• Phone: (509) 743-6974
• Email: [email protected]