The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. VA San Diego Healthcare System (VASDHS) is an interdisciplinary teaching healthcare system, serving medical and surgical, and mental health inpatients and outpatients. The outpatient population is managed via Primary Care (Patient Aligned Care Teams), Emergency Department, Same Day Medical & Surgical Programs, Case Management and other special programs.
Learn more about this agency
1.Provides initial and ongoing comprehensive assessment to include a review of systems which establish a comprehensive plan of care.
2.Uses the treatment plan to assess, identify, analyze, and prioritize problems, interventions, and SMART goals (Simple, Measurable, Achievable, Realistic, Time-oriented).
3.Triage and assess all data received from Home Telehealth patients such as vital signs, reported symptoms, and question responses.
4.Reviews all patient responses each work day and contacts patients with high risk responses and trends, significant changes in condition or changes in other specific data elements received as clinically appropriate.
5.Identify and intervenes for potential exacerbations or complications to facilitate timely care in clinic, emergency response/urgent care, or care in the community.
6.Provide appropriate intervention such as medication management, case management, and patient education.
7.Triage incoming calls and concerns of patients/families, resolve those within scope of practice and route to other interdisciplinary team staff or services.
8.Provide communication and data exchange with community based providers when there is co-managed care.
9.Provide interdisciplinary consultations and interventions with Home Telehealth Pharmacist, HBPC, and other non-institutional care programs/services such as mental health, pharmacy, nutrition, and social work.
10.Identifies patient knowledge, health factors, skills and behaviors that support self-management.
11.Provides health care coaching, patient education, and psychosocial support.
Work Schedule: Full Time, 40 hours a week. exact work schedule to be discussed during interview.
Financial Disclosure Report: Not required
Conditions of Employment
You must be a U.S. Citizen to apply for this job
Designated and/or random drug testing required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
Selected applicants will be required to complete an online onboarding process
Must pass pre-employment physical examination
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.
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.
BSN and 5 years full time employment as an RN.
One year of Telehealth Nursing Experience.
One year of PACT or Primary Care Nursing experience.
Ambulatory Care Coordination or Case Management Nursing Certification.
Experience working in an autonomous nurse role.
Contributions to performance improvement and evidenced based activities in nursing practice.
Ability to use different mediums such as computers, laptops, phones, clinical video, software programs and apps to communicate effectively with Veterans, Caregivers, internal and external specialties/agencies.
Training/practice in Shared Governance, Relationship Based Care, and/or High Reliability organization Models.
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:Heavy lifting (45 lbs and over); Heavy carrying (45 lbs and over); Straight pulling and pushing; reaching above shoulder; use of fingers; both hands required; walking and standing up to 8 hours; repeated bending; Ability for rapid mental and muscular coordination simultaneously; hearing aid permitted.
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.
Department Of Veterans Affairs