The Social and Behavioral Health (S&BHS) Registered Nurse Care Manager provides mental health specific related care to Veterans while maintaining an understanding of primary care related health conditions and etiologies. Care is provided to Veteran in-person, by phone, in groups, or through virtual means. 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: One year Mental Health experience Experience with Primary Care Mental Health Integration 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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 (45lbs and over); moderate carrying (15-44lbs); straight pulling (1 hour); pulling hand over hand; pushing (2 hours); reaching above shoulder; use of fingers; both hands required; walking (2 hours); standing (2 hours); kneeling (1 hour); repeated bending (1 hour); both legs required; operation of crane, truck, tractor, or motor vehicle; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; both eyes required; depth perception; ability to distinguish basic colors, ability to distinguish shades of colors; hearing (aid may be permitted); emotional and mental stability. Environmental Factors: Outside and inside; dry atmospheric conditions; excessive noise, intermittent; constant noise; dust; silica, asbestos, etc; fumes, smoke or gases; radiant energy; electrical energy; slippery or uneven walking surfaces; working around machinery with moving parts; working with hands in water; vibration; working closely with others; working alone; protracted or irregular hours of work; woking with hazardous drugs. ["Duties include but are not limited to: Applying problem-solving skills at the specialty level, using the team approach to identify, analyze and resolve problems. Using sound clinical judgment in assessing, planning, implementing, documenting and evaluating nursing care. Helping the Assistant Nurse/Clinic Manager and or the Service Chief in developing and evaluating programs for optimizing patient care in assigned areas. Frequently engaging co-workers/team in active problem-solving regarding clinical issues leading to an improvement. Supporting staff in providing a full range of nursing care to clients with complex care needs, assuming responsibility and accountability for nursing actions. Reinforcing and clarifying policies and procedures in the areas. Using expert clinical judgment in coordinating the delivery of care resulting in a positive impact/improvement at the program and/or Service level. Guiding staff in the implementation of the nursing process and evaluation of patient care outcomes. Being innovative and self-directed in evaluating complex and sophisticated programs for optimizing patient care and enhanced management resources. Actively participating in the development of Service philosophy, objectives, policies, and procedures. Assessing, planning, implementing and evaluating patient care delivery system for assigned area of responsibility. Prioritizing problems and identifying specific goals. Providing guidance to others implementing patient/family teaching programs at the Service level. Attending and actively participating in mandatory training and meetings, to include staying up to date on required TMS trainings and maintaining an active, unrestricted nursing license in an approved state or territory. Providing nursing care management for assigned Veterans in between their scheduled appointments and follow-up for missed or no-showed appointments. Helping to ensure continuity of care for assigned Veterans discharged from residential or inpatient treatment facilities (must have 4 appointments within 30 days of discharge) as well as Veteran's place on a new or continued high-risk flag (must have 4 appointments, 1 a week for the 4 weeks following the flag placement/continuation). Developing a mechanism to ensure that nursing care is being delivered in a timely and appropriate manner in accordance with Nursing policies procedures, and standards of Nursing practice and practitioner's orders. Advocating for patient's rights with other healthcare providers as necessary and encouraging staff to act as patient advocates. Being familiar with the facility policy for Nursing Alerts and participating appropriately. Identifying potential for unsafe patient and/or staff situations and initiating appropriate interventions. Leading appropriate crisis prevention/intervention for patients exhibiting at risk behavior(s). Ensuring compliance with infection prevention policies/procedures, safety measures, and computer security. This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Work Schedule: Monday-Friday, 8:00am to 4:30pm OR compressed 5-4-9 schedule Compressed/Flexible: Available Telework: Available as ADHOC only, based on the needs of the service. Position is not approved to be 100% telework or remote. Virtual: This is not a virtual or remote position. Relocation/Recruitment Incentives: Not authorized. EDRP Authorized: Contact Stacy Hermann @ V20CompensationTeam@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not authorized. Financial Disclosure Report: Not required. 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 VA offers a comprehensive total rewards package: VA Nurse Total Rewards"]

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