Registered Nurse (Clinical Resource Hub)

Summary
The Clinical Resource Hub (CRH) Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex outpatient care. Demonstrates performance and leadership that is broad enough to improve the care for a group of outpatients. Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through knowledge sharing to provide safe - quality outpatient nursing care.
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/12894353
• 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/
• Preferred Experience: Experience in endocrinology nursing - including comprehensive assessment and management of diabetes - thyroid disorders - and other endocrine conditions across diverse patient populations
• Advanced experience in diabetes management - including insulin therapy - medication titration - and interpretation of glucose data from digital health platforms (MySugr - Dexcom Clarity - etc.) including generation and analysis of glucose reports to guide clinical decision-making
• Proven ability to support patients using diabetes technologies - including continuous glucose monitoring (CGM) systems - with education on device use - troubleshooting - data sharing - and interpretation of trends
• Clinical experience in rheumatology care - including management of autoimmune and inflammatory conditions - administration and monitoring of biologic and infusion therapies - and assessment for treatment-related adverse effects
• Strong patient education skills - empowering individuals with chronic conditions through tailored education on self-management - lifestyle modification - and adherence to complex treatment plans
• Demonstrated ability to collaborate effectively within multidisciplinary teams to coordinate integrated care across endocrinology - diabetes - and rheumatology services
• High-level clinical reasoning and decision-making skills in managing complex - long-term conditions - supported by accurate documentation and use of digital health records
• Physical Requirements: Moderate lifting (15-44lbs)
• Moderate carrying (15-44lbs)
• Light carrying (under 15lbs)
• Pushing (1 hour(s))
• Reaching above
• Pushing (1 hour(s)) shoulders
• Use of fingers
• Ability for rapid mental and muscular coordination simultaneously
• Depth perception
• Ability to distinguish basic colors
• Ability to distinguish shades of colors
• Hearing (aid may be permitted)
• sitting for up to 8 hours Environmental Factors: Working closely with others
• working alone
• Protracted or irregular hours of work
• Possible extended hours
  

Duties

• The Clinical Resource Hub (CRH) Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex outpatient care
• The CRH RN is required to provide critical medical - technical - and program support necessary to sustain efficient telehealth operations for the Veterans Integrated Systems Network (VISN) CRH
• Duties include - but not limited: Supports the location to and from which care is delivered - including but not limited to VA clinical locations and provider alternate worksites
• Supports the VISN CRH which may provide telehealth and face-to-face services not only to clinical areas within the VISN CRH but also other VISN CRHs throughout the nation
• Provides direct care to one or multiple panels of patients
• Coordinates the scheduling of appropriate labs and appointments - performing screenings - visit and consult triage - and care coordination
• Collaborates with other members of the expanded health care team - facilitates coordination and transition of care between services - and may involve the patient and family in the decision ­making process
• Minimizes fragmentation of healthcare delivery and optimizes quality of patient and family outcomes in a cost-effective manner
• Collaborates effectively with all levels of staff - to include other health professionals - providing ongoing care management and coordination services
• Provides professional assessment - coordination - telephone triage and planning of multiple health care services
• acts on behalf of the Veteran to assure that necessary clinical services are received - and that progress is being made
• Responsible for providing direct patient care to Veterans and training and support to CRH and Spoke site staff as appropriate
• 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: Monday- Friday - 8am- 16:30 MDT - schedule varies for needs of the service Compressed/Flexible: Not Available Telework: May be available for highly qualified candidates Virtual: May be available depending on location and space availability
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

<