The Specialty Care Integrated Clinical Community (ICC) Dialysis/ Nephrology Center Clinic Director/ Nurse Manager (NM) is the first line supervisory authority at the Dialysis center and is responsible for nursing and clinical care services, clinical and administration operations, and supervision of dialysis center personnel.

Duties

The Clinic Director/NM works in close collaboration with Renal and Nephrology Section Chief and other members of the health care team to aid in the development of care coordination, ensure access, and timely high-quality care. Major Duties include but are not limited to: Adheres to all VA Dialysis Center policies; which include: dialysis prescription, dialysis administered medications, recommended immunization procedures for ESRD patients and staff, frequency of physician visits, transplantation, consultation with renal dietician and social worker, etc. Supervises Dialysis Staff Team members including RNs, Dialysis Techs, and MSA staff in the general operations and care provision of Dialysis Center patients in both implementation and ongoing care needs of high-risk End Stage Renal Disease (ESRD) Hemodialysis and Peritoneal patient population. Supervises therapies provided, including but not limited to chronic and acute hemodialysis, ICU/ED treatments, continuous renal replacement therapy (CRRT), therapeutic plasma exchange (TPE) and home dialysis therapies (home peritoneal and home hemodialysis if implemented). Ensures emergency management systems are in place. Collaborates with Interdisciplinary team including nephrologist, Renal NP, dietician, vascular/surgery coordinator, Interventional radiology team, Social Worker, Peritoneal Dialysis RN coordinator, Specialty Care Manager and Renal Clinic RN care manager in the coordination of pre-dialysis education and plan of care for the CKD patient, including dialysis options education, vascular access placement, peritoneal dialysis education, and dialysis implementation. Determines work goals to be accomplished by subordinates by setting priorities and preparing schedules for completion of work throughout Dialysis/Nephrology Department. Assigning work to subordinates based on priorities, selective consideration of the difficulty and the requirements of the assignments, and the capabilities of subordinates. Evaluating the performance of subordinates. Making recommendations for appointments, advancements, or reassignments of subordinates. Giving advice, counsel, or instruction to subordinate personnel on work and administrative matters. Hearing and resolving complaints of subordinates and referring more serious complaints not resolved to higher level supervisors. Recommending and/or taking disciplinary action where appropriate Identifying developmental and training needs of subordinates and providing or making provision for such development and training (VA Handbook 5007, Part III, Chapter 8). Facilitates a high functioning team of Administrative and Technical Support staff including MSA and clinical personnel who will systematically review processes regarding clinic operations, and scheduling of patients according to VA scheduling Directives, and MVAHCS processes. Facilitates professional development of clinically competent staff through training and education in care coordination, patient advocacy, therapeutic engagement, ethical conduct, and patient self-determination. Strives to ensure that dialysis care meets or exceeds pertinent performance measures. Monitors performance and ensures clinical staff have the appropriate tools and resources to meet pertinent performance measures in collaboration with the Clinic Physician Leadership. Uses data for decision making including and not limited to National Dashboards, NHSN data base, QAPI data. Evaluates and identifies the operational needs of the clinics Dialysis Center on a daily basis. Facilitates the procurement of essential equipment and supplies in collaboration with Physician Clinic Leadership. Dialysis Techs and Nursing Staff. Fosters a climate of dialysis efficiency and continuous improvement in collaboration with Physician and Nursing Leadership. Monitors the quality of workload productivity and assists with implementation and improvement of documentation modalities such as: Cyberren, CPRS and 2728-2746 data collection and entries. 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: Days Telework: Not available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not authorized

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: Masters Degree in Nursing (MSN). 3-5 years of recent nursing experience. Recent clinical experience in Nephrology/Dialysis. Board 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/12495454. 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: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of examination.

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/.

Contacts

• Address Minneapolis VA Medical Center One Veterans Drive Minneapolis, MN 55417 US
• Name: Clarissa Baccam
• Phone: 515-699-5693
• Email: [email protected]