Summary

Functions as an advanced clinician and executes position responsibilities that demonstrate leadership - experience - creative approaches to management of complex patient care. Assesses - plans - implements - evaluates delivery of care based on age-specific components. Demonstrates performance and leadership that is broad enough to improve the care for a group of patients and will serve as a liaison for risk management - peer review - patient safety - and accreditation within Quality Service.

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/12807935
• 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: 3-5 Years of Nursing Experience MSN (Preferred) National Certification (Preferred) Physical Requirements: This position includes a level of physicality normally associated with direct patient care duties performed by nurses such as potentially long periods of continued walking - standing - sitting - stooping - moderate lifting - or kneeling (VA Qualification Standards - Office of the Chief Human Capital Officer)
• Examples may include but are not limited to: 1
• Reaching - crouching - stooping - stretching
• 2
• Assisting patients and moving equipment - repeated bending - pushing - and/or pulling
• 3
• Significant amounts of time standing while assisting assigned patients
• 4
• Utilization of safe patient handling and mobility protocols
• 5
• Visual acuity and keen hearing
• 6
• Manual dexterity
• 7
• Possible exposure to infected patients and contaminated materials and may be required to don personal protective clothing in isolation situations
• 8
• Operative/invasive procedures
• 9
• Exposure to patients who are combative secondary to delirium - dementia - or mental health disorders
• 10
• Employee must complete employee health requirements as directed
• This position potentially requires flexibility in schedule and assignments - such as irregular tours of duty (i.e
• nights/weekends) and may require up to twenty-five (25) percent travel from the duty station to other sites/CBOCs as appropriate to provide direct patient care - training needs - or emergency situations (i.e
• hurricanes - floods - pandemic - etc.)

Duties

• The Quality Systems (QS) Specialist Registered Nurse (RN) demonstrates leadership - experience - and creative approaches to improvement in quality-of-care outcomes
• The QS Specialist demonstrates performance that is broad enough to improve the care for a group of patients
• The QS Specialist is responsible for the documented outcomes at the program or service level
• Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility
• Program is defined as a substantial coordinated group of activities impacting patients and/or employees
• The QS Specialist may be assigned responsibility in risk management - peer review - patient safety - accreditation - and performance improvement related to quality management program area activities for the Medical Center and all off-site locations
• The QS Specialist incumbent collects data - monitors staff compliance with relevant policies - directives - and standards - provides reports detailing trends - and provides direct staff support to all services in planning - designing - integrating - implementing - modifying - and administering - a comprehensive quality management program area
• The QS Specialist participates in several facility councils - committees - and workgroups
• Performs duties directly contributing to the administrative management of a health care delivery system
• Duties require the ability to apply the specialized principles and practices of health care management in directing or supporting a health care delivery system
• Responsible for participating within unit based and/or organizational level Shared Governance councils - utilizing clinical expertise - evidence-based practice - and knowledge to assist with finding solutions to problems or issues to improve the quality care provided to our veterans
• 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 - 07:30am - 4:00pm Compressed/Flexible: This position potentially requires flexibility in schedule and assignments
• Telework: Ad-Hoc Only Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized