Nurse Manager - UM Community Care Department
Responsibilities include but are not limited to the following:
Supervises and evaluates day-to-day activities and performance of nursing staff assigned to the Community Care Department Plans and manages unit staffing (including hiring/terminations) to meet patient care needs, to achieve cost-effective unit operations and to meet productivity goals Collaborates with the interdisciplinary team to continuously improve productivity, efficiency, patient/customer satisfaction and patient care outcomes to include reporting of trends, interventions, and outcomes Provides the clinical expertise and leadership for the implementation of the organization's Utilization Management program Possesses intimate knowledge of InterQual Acute Care and Outpatient Criteria, utilization management best practices, clinical documentation requirements, current standards of care, and compliance guidelines (Joint Commission, IG, VISN, etc.) Utilizes critical thinking skills and sound judgment to ensure positive outcomes, maximizing third party collections, and delivering quality patient care services. assures that standards of care and practice are maintained in patient care Maintains and improves the professional role and competence of staff members which includes providing staff development opportunities and facilitating research evidence-based practice Coordinates and direct responsibility for the Community Care appeal process Oversees and accountable for Utilization Management across the continuum of fee basis patient care. Work Schedule:
Monday-Friday, 8:
00 a.m. to 4:
30 p.m. Financial Disclosure Report:
Not required Pay:
Competitive salary, regular salary increases. Paid Time Off:
Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 10 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. Recruitment Incentive/Relocation Incentive is not authorized for this position. EDRP is not authorized for this position. PCS is not authorized for this position. 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:
3-5 years nursing experience Minimum of 3 years case management experience desired Leadership experience 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:
Use of fingers, both hands required, visual requirement of seeing computer screen, and hearing (aid permitted).
Estimated Salary: $20 to $28 per hour based on qualifications.
Supervises and evaluates day-to-day activities and performance of nursing staff assigned to the Community Care Department Plans and manages unit staffing (including hiring/terminations) to meet patient care needs, to achieve cost-effective unit operations and to meet productivity goals Collaborates with the interdisciplinary team to continuously improve productivity, efficiency, patient/customer satisfaction and patient care outcomes to include reporting of trends, interventions, and outcomes Provides the clinical expertise and leadership for the implementation of the organization's Utilization Management program Possesses intimate knowledge of InterQual Acute Care and Outpatient Criteria, utilization management best practices, clinical documentation requirements, current standards of care, and compliance guidelines (Joint Commission, IG, VISN, etc.) Utilizes critical thinking skills and sound judgment to ensure positive outcomes, maximizing third party collections, and delivering quality patient care services. assures that standards of care and practice are maintained in patient care Maintains and improves the professional role and competence of staff members which includes providing staff development opportunities and facilitating research evidence-based practice Coordinates and direct responsibility for the Community Care appeal process Oversees and accountable for Utilization Management across the continuum of fee basis patient care. Work Schedule:
Monday-Friday, 8:
00 a.m. to 4:
30 p.m. Financial Disclosure Report:
Not required Pay:
Competitive salary, regular salary increases. Paid Time Off:
Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 10 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. Recruitment Incentive/Relocation Incentive is not authorized for this position. EDRP is not authorized for this position. PCS is not authorized for this position. 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:
3-5 years nursing experience Minimum of 3 years case management experience desired Leadership experience 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:
Use of fingers, both hands required, visual requirement of seeing computer screen, and hearing (aid permitted).
- Department:
0610 Nurse - Salary Range:
$76,424 to $139,785 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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