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Veterans Affairs, Veterans Health Administration Registered Nurse - MHICM (Mental Health Intensive Care Management) in North Little Rock, Arkansas

Summary

The Mental Health Intensive Case Management Nurse is responsible for providing intensive case management to enrolled Veterans, primarily in the community. Services are provided within a 60-mile radius of Central Arkansas Veterans Healthcare System in North Little Rock, AR. Veterans enrolled must be seen at least once a week and as often as clinically indicated. The incumbent provides nursing services in the community, such as administering long-acting decanoates and/or filling pill planners.

Responsibilities

The incumbent is responsible for coordinating the day-to-day provision of mental care and case management services to assigned Veterans, assisting with follow up, alliance building, and liaison with other disciplines, caregivers, family members and community resources. The incumbent works with members of an interdisciplinary screening team in responding to consults for MHICM services. This requires familiarity with the care delivery process and resources. The incumbent assists participants' families and clinical team members in coordinating care in CAVHS and the community and resource referrals if needed, when clinically indicated, and works in unison with the Interdisciplinary Treatment teams in promoting a Patient-Centered culture; assuring that quality health-care services are provided to the Veterans promptly, safely, courteously and compassionately as well as their significant others and/or major stakeholders are appropriately involved. The incumbent provides patient, family, and/or caregiver education and support, as well as actively promotes patient self-management and personal health responsibility. The incumbent is responsible to communicate with all members of the healthcare team on behalf of the patient and has direct involvement with the development and enhancement of processes with the aim to improve the clinical experience for Veterans, families and clinical staff members. The incumbent communicates effectively both orally and in writing with professional, administrative and technical staff at all levels. The incumbent functions as liaison between MHS internal and external resources, including community agencies, guardians, conservators and providers concerning appropriate notifications. The incumbent collaborates and shares information with medical and/or clinical treatment staff members regarding potential improvement in patient care delivery through comparisons to community standards. The incumbent demonstrates effective communication skills and behavior that promotes professional cooperation and team building with internal and external customers. The incumbent shares information to assure continuity and safety in area of assignment and collaborates with co-workers in completing workload. The incumbent generates Treatment Plans and participates on teams, contributes to team conferences and is actively involved in planning for continuity of Veteran care. The incumbent consults with other healthcare providers to formulate a collaborative plan of care. The incumbent provides education related to the provision of mental health care. The incumbent performs work related to the review, monitoring, analysis, planning and assessment of processes utilized by the MHICM program. The incumbent performs other related duties as assigned. Work Schedule: Monday - Friday, 0800 - 1630 with flexibility based on the needs of the service

Financial Disclosure Report: Not required

Relocation Incentive: Not Authorized

PCS Relocation Expenses: Not Authorized

Requirements

Conditions of Employment

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 the appropriate State-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). 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: Education/Experience: Bachelor of Science in Nursing A minimum of two years of successful Registered Nurse (RN) Nursing Experience/Clinical Practice. A minimum of two years of successful Mental Health RN Nursing Experience, preferably with Veterans with serious mental illnesses. Basic Life Support (BLS) Certification. Demonstrates sound judgment, nursing process and critical thinking skills. Demonstrates ability to effectively communicate orally and in writing. Knowledge of computer systems and standard software programs. Demonstrates skills in managing complex systems, with advanced organizational skills. Knowledge and understanding of Department of Veterans Affairs (DVA) regulations/policies/procedures, current Joint Commission (JC) Standards, Commission on Accreditation of Rehabilitation Facilities (CARF), and other current internal and external accrediting body standards. Demonstrates a pleasant and respectful disposition. Demonstrates the ability to respond in a positive manner with Mental Health Intensive Case Management Veterans. 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. 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 (including depth perception), keen hearing (aide permitted), clear distinctive speech, and manual dexterity in both hands. This position requires potentially long periods of continued walking (2-4 hours), standing (2-6 hours), stooping, sitting, bending, pulling (1-2 hours), pushing (1-2 hours), lifting (>50 pounds), and carrying (>50 pounds). Transferring patients and objects may be required. Mechanical inpatient 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, operative/invasive procedures, or home settings. The incumbent may be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Ability for rapid mental and muscular coordination simultaneously. 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 testing, as a condition of employment. Must be able to work closely with others, as well as protracted or irregular hours of work. Must be compliance with the use of ergonomic exercises and employee safety requirements.

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.

Additional Information

Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.

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