This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2023, or until position is filled. The first group of eligible applicants will be reviewed January 24, 2023. Subsequent reviews will be conducted biweekly until position is filled. THIS POSITION IS LOCATED AT GRAND JUNCTION, CO THIS POSITION IS NOT REMOTE 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: Preferred case management experience of one (1) year or more 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: This position requires potentially long periods of continued walking, standing, and sitting. The position requires the ability to cover clinical nursing services and meet physical demands found in the patient care environment. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual Tuberculosis (TB) screening or testing, as a condition of employment. Initiates Basic Life Support (BLS) in accordance with current BLS standards to include automatic defibrillation in life-threatening situations. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Major Duties include, but are not limited to: Provide personalized, proactive, patient-driven health care Utilize clinical protocols to provide clinical appropriate management of clinical symptoms with the assistance of standing protocols, Briggs Nurse Protocols, and appropriate disease management of Chronic heart failure (CHF) or chronic obstructive Pulmonary Disease (COPD), Diabetic patients, mental health, and other high-risk disease management Provide initial and ongoing comprehensive assessment to include a review of systems, which establishes a comprehensive plan of care Assess, identify, analyze and prioritize problems, interventions and appropriate measurable goals Triage and assess all data received from patients such as vital signs, reported symptoms and question responses Review all patient responses each work day and contact patients with high-risk responses each work day and contact patients with high-risk responses and trends, significant changes in condition or changes in other specific data elements received as clinically appropriate Identify and intervene for potential exacerbations or complications to facilitate timely care in clinic, ER/urgent care, or care in the community Provide appropriate interventions such as medication management, case management, and patient education Complete protocol-based interventions Triage incoming calls and concerns of patients/families, resolve those within scope of practice and route others to interdisciplinary team staff or other services Provide communication and data exchange with community-based providers when there is co-managed care Provide interdisciplinary consultation and interventions such as with Home Based Primary Care and other non-institutional care programs and venues, mental health, social work, pharmacy, nutrition, etc. Identify patients' knowledge, health factors, skills and behaviors that support self-management and identify gaps Provide health care coaching, patient education and psychosocial support Document and communicate with Patient Aligned Care Team members regarding changes in status; progress to goals; patterns or trends of data; symptoms or findings of concern and need for provider assessment and/or interventions Facilitate, document and communicate treatment changes as directed by providers and provide follow up evaluation after changes are implemented Provide support and guidance and review changes in medications, goals and the treatment plan during and after transitions in care such as following a hospital discharge, etc. Assess and analyze outcome indicators, develop action plans for both individual patients and aggregate populations to enable continuous performance improvement Provide health education, which spans the continuum of care from the skills and information needed to promote health and prevent disease, to the patient education needed to cope with and manage acute and chronic conditions Clinical preventive services are delivered for the primary prevention of disease, or for the early detection of disease in persons who are asymptomatic for the target condition, with the goal of preventing or minimizing future morbidity and mortality Clinical preventive services include: screening for treatable diseases, conditions or health risk behaviors (e.g., cancers, mental health conditions, tobacco use); immunizations; health education (e.g., education, counseling regarding tobacco use, physical activity, nutrition, promoting health and wellness); and preventive medications (such as prescribing statins for subclinical heart disease) May be assigned responsibilities as preceptor and/or charge Perform other related duties as assigned. 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, 8:00 a.m. - 4:30 p.m. Telework: Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not Required"]

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