Whole Health is an approach to health care that empowers and equips people to take charge of their health and well-being and live their life to the fullest. The VA is committed to Whole Health and values Veteran and Employee health and wellbeing. As a VA employee, you will practice Whole Health in an environment that supports personalized and proactive care.
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.) Preferred Experience: Registered Nurse (RN) with at least 2 years of experience in Care Coordination and/or Case Management Five (5) or more years of successful RN experience in Medical-Surgical nursing and/or Ambulatory/Primary Care highly desired Home Telehealth Experience BSN required, MSN preferred 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/12747218. 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/. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Sitting for long periods utilizing a computer screen and telephone is required. The incumbent may be posted to perform virtual work from home or an alternative work site to maintain continuation of operation readiness. This position required that you are able to lift at least 35 lbs. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or mental health disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations and able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment.
The Remote Patient Monitoring-Home Telehealth (RPM-HT) nurse is responsible for facilitating the fulfillment of the VAMHCS Mission, Vision, and Values. The incumbent performs in a specialized area of nursing that focuses on patient-centric care, ensuring that the right care is being given in the right setting, at the right time. Home Telehealth is focused on providing specific in-home telehealth technology to a selected group of patients with specific chronic illnesses who are high utilizers of healthcare services. The role of the RPM-HT nurse requires the ability to use various software applications and telehealth monitoring devices, to interpret specific clinical data as it relates to disease management. In addition, the RPM-HT nurse must relate well with patients, family members, and members of the care team. The incumbent also should have a comprehensive knowledge of hospital systems, familiarity with personnel in multiple departments, and the ability to advocate for the best interest of the patient with all clinical staff. He/she is responsible for the provision of high-quality, customer-focused, and cost-effective patient care in the community. The RPM-HT nurse is responsible for educating the patient/family on the technology to be used, as well as, assessing, planning, and coordinating care based on the needs of the patient. The incumbent will provide patient education, monitoring of patient status using home telehealth technology, transfer of patient data into CPRS and other software packages as designated, and timely communication to the provider when critical information is received. The RPM-HT nurse is engaged in the ongoing systematic evaluation and improvement of the quality and effectiveness of patient care and outcomes within the VA Maryland Healthcare System (VAMHCS). The incumbent provides input in the improvement of clinical performance. The incumbent may assist in guiding members of the care team in the application of evidenced-based practice and may be involved in some research activities. The RPM-HT nurse works in collaboration with members of the interdisciplinary teams across the healthcare continuum to ensure the appropriateness of referrals into the program and to ensure follow-up communication to members of the interdisciplinary team. The RPM-HT nurse may exchange knowledge and clinical expertise with Clinical Nurse Specialists, health care providers, and educators throughout the VAMHCS, as well as within the community. The RPMHT nurse is knowledgeable regarding compliance with nursing practice at the local, community, VISN levels, and within national professional statutes and regulations. The incumbent is knowledgeable of external standards such as Joint Commission, and internal standards such as Clinical Practice Guidelines and VA Performance Measures. The RPM-HT nurse uses specific technology to assist in the nursing process, to interpret data subjectively and objectively, and to communicate clinically appropriate responses with the goal of achieving desirable patient outcomes. 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: 730AM to 4PM Telework: ADHOC Only Virtual: This is not a virtual position.