Nurse - Care Coordinator (Surgical Service)
Department Of Veterans Affairs - Portland, OR

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To fulfill President Lincoln's promise: "To care for him who has borne the battle, and his widow and his orphan”, by providing the best care anywhere to Americas Veteran's

Magnet Designated since 2006

As a VA nurse, your opportunities are endless. Are you interested in being a part of nursing team within the largest, most technologically advanced integrated health care system in the nation?

VA nurses feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities.

For additional information about the Portland VA Medical Center and our Magnet designation, please visit: http://www.portland.va.gov/

Applicant's education and experience will be reviewed by a Professional Standards Board in determining the grade & salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

KEY REQUIREMENTS

U.S. Citizenship

Full unrestricted Licensure, Certification, or Registration required.

Must pass pre-employment examination.

Designated and/or Random Drug Testing required.

Background and/or Security Investigation required.

English Language Proficiency required.

DUTIES:
As a Nurse at the Portland VA Medical Center you will provide nursing care America's Veterans. Duties include documenting observations, assessments, and changes in patient's condition; collaborating with health team members to facilitate positive patient care outcomes; providing a full range of nursing care to patients with a variety of physical and/or behaviorial health care needs; and accountable for meeting and maintaining the qualification standards and functional statements of assigned grade. Our facility is seeking individuals who possess good organizational skills which enable completion of work, a demonstrated ability to assume leadership in a patient centered program, and the ability to establish effective communication with patients, families, visitors and members of the interdisciplinary team.

The RN Care Coordinator manages the activities of an identified surgical subspeciality patient population to provide quality, coordinated care while controlling costs and improving effciency of clinical systems. In addition, coordinates patient driven care and services across the continuum of care in collaboration with the interdisciplinary health care team. Specific functions within a leadership role include: 1) managing the functions of surgical providers, staff, residents and students needed to provide clinical care; 2) managing Operating Room scheduling and clinic matrix; 3) identifying system problems and leading/participating on improvement teams to resolve problems and to facilitate change and evaluate improvement outcomes; 4) using care coordination strategies for an identified group of patients; 5) guiding surgical subspecialty to accomplish PVAMC/VISN goals for continuity of care, cost efficiency, quality and utilization of resources; 6) providing oversight for proper utilization of bed days of care (BDOC) and appropriate level of care; 7) reviewing and aggregating data (i.e. DSS, utilization patterns, variances, QM, etc.) and reporting findings to team/division on progress toward goals; 8) providing staff education to reinforce current processes and/or implement new processes; 9) monitoring Operating Room efficiency including cancellation rates, utilization of OR time and communication among interdisciplinary team members; 10) providing patient/family education and/or oversight of patient education processes to assure that patients and families have the knowledge and skills they need for continuing care; 11) participating in team rounds utilizing care coordination strategies, recommending alternative resources and advocating for the patient and family; and 12) communicating and interacting with the health care team in planning and providing patient driven care across all levels and care settings.

QUALIFICATIONS REQUIRED:
GRADE DETERMINATIONS:
Your salary and grade will be determined by the Nursing Professional Standards Board (NPSB). The NPSB is a peer review process. The NPSB will review your individual qualifications, education, professional training/internship(s) and professional experience to determine the most appropriate salary and grade based on your individual accomplishments.

1) Citizen of the United States.

2) 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 National League for Nursing Accrediting Commission (NLNAC) or The Commission on Collegiate Nursing Education (CCNE).

3) 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 . 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.

4) Must be proficient in spoken and written English.

Applicant's education and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and salary of the applicant selected. Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel as follows: Practice: practice, ethics and resource utilization, Professional Development: performance, education/career development, Collaboration: collaboration, collegiality, Scientific Inquiry: quality of care, research.

Education/Experience Requirements:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience.
Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of experience, or an ADN or Diploma in Nursing and a bachelor's degree in a related field and no experience; or a Bachelors of Science in Nursing (BSN) and no experience.
Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of experience, or an ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 1-2 years of experience; or a BSN with approximately 1-2 years of experience, or a Master's degree in nursing (MSN) or related field with a BSN and no experience.
Nurse II - A BSN with approximately 2-3 years of experience, or ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 2-3 years experience or a Master's degree in nursing or related field with a BSN and approximately 1-2 years experience, or a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no experience.
Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years experience or Doctoral degree in nursing or related field and approximately 2-3 years experience. Reference: VA Handbook 5005/27, Part II, Appendix G-6 NURSE QUALIFICATION STANDARD http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=464&FType=2

Veterans' Preference:
When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/veterans.aspx .

HOW YOU WILL BE EVALUATED:
Your application, résumé, required documentation and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome.

BENEFITS:
Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, up to 5 weeks paid vacation (for full time nurses), sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life. For more information please visit us at http://www4.va.gov/JOBS/Job_Benefits/benefits.asp .

OTHER INFORMATION:
This position will be filled on a full-time permanent basis. Upon completing any required probationary period, the position will be permanent.

This position is in the Excepted Service and does not confer competitive status.

Receiving Service Credit for Earning Annual (Vacation) Leave: Full time nurses earn 8 hours per pay period. Part time nurses recieve 1 hour of leave per 10 hours worked. VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.

  • Although the duty station is shown in this announcement, it may be necessary to utilize the selected person's services at a different location within the Portland VA Medical Center commuting area if conditions require it in the future
  • Special Employment Consideration: VA encourages persons with disabilities to apply.
  • Applicants without prior federal service will be appointed at step one of the grade
  • Under Executive Order 11935, only United States citizens and nationals (residents of American Samoa and Swains Island) may compete for civil service jobs. Agencies are permitted to hire noncitizens only in very limited circumstances where there are no qualified citizens available for the position.
  • If you are a male born after December 31, 1959, and are at least 18 years of age, civil service employment law
(5 U.S.C. 3328) requires that you must register with the Selective Service System, unless you meet certain exemptions.

  • A security clearance and a favorable suitability determination are required. Misconduct in prior employment, criminal, dishonest or disgraceful conduct, habitual use of intoxicating beverages, abuse of narcotics, drugs or other controlled substances, or reasonable doubt of loyalty to the United States are examples of reasons an offer of employment may be denied.
  • Public transit subsidy benefits are available. Carpooling assistance is provided. However, single occupancy parking is limited on main Portland campus.
Relocation Expenses: Relocation expenses are not authorized for this position.

  • Relocation incentive is not authorized.
  • Recruitment incentive is not authorized.
  • A drug test may be required for an applicant who is tentatively selected.
  • A pre-employment physical examination will be required for an applicant who is tentatively selected.
  • Employee selected must serve a one (1) year probationary period for managers/supervisors as contained in
5 USC 315, unless she/he has already served the required supervisory period.

  • Applicants appointed to direct patient care positions must be proficient in spoken and written English as required by 38 USC 7402(d) and 7407(d).
  • This agency provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, please notify the agency. The decision on granting reasonable accommodation will be on a case-by-case basis
  • The United States Government does not discriminate in employment on the basis of race, color, religion, sex, national origin, political affiliation, sexual orientation, marital status, disability, age, membership in an employee organization, or other non-merit factor.
  • It is the policy of the Department of Veterans Affairs that all Federal wage and salary payments are paid to employees by Direct Deposit/Electronic Funds Transfer (DD/EFT).

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The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is...