Works with leaders for continuous survey readines (the Joint Commission, Inspector General, CARF, Ascellon etc) performance and Quality measures. Manages processes related to survey readiness and standard compliance, including performance data, tracers, chart reviews, and environment of care surveillance. 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: Bachelor of Science in Nursing; Master's degree in nursing or Master's Degree in field related to nursing highly preferred At least 3 years of RN experience in a complex hospital setting and/or at least 2 years of Accreditation experience Independent leadership role (formal or informal) in a complex hospital setting Experience in quality-of-care programs to include screening, data compilation, documentation and entry into a data base, comprehensive identification and reporting of all quality monitoring tools Experience utilizing system redesign principles to improve healthcare systems Experience with statistical methods, data analysis, and project management 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 (45 pounds and over), Straight pulling (6 hours), Pushing (2 hours), Reaching above shoulder, Walking (6 hours), Standing (2 hours), Repeated bending (6 hours), Ability to distinguish basic colors, Hearing (aid may be permitted) ["DUTIES: Responsible for planning, implementing, and managing a Continuous Survey Readiness Program. Participates in all Accreditation surveys to include Joint Commission, CARF, Office of Inspector General, Ascellon) and any other facility surveys. Interprets rules and regulations and has a broad knowledge of VA regulations, TJC, and other applicable federal and investigatory requirements to provide accurate information for management, chief of services, other officials, and staff. Provide leadership and coordination for facility action plans by monitoring follow-up to recommendations specific to risk resulting from the Joint Commission (TJC) and other internal and external Accreditation surveys. Acquires and maintains current knowledge relevant to the principles, practices and techniques associated with Accreditation, and Quality Improvement practices. Compiles data and communicates information to leadership in a format that is conducive for utilization in decision making, strategic planning and performance improvement. Rounds frequently between CBOCs, Seattle, and American Lake campuses to work with leadership and staff on Accreditation readiness issues Ability to think critically, using proven methods to resolve complex systems issues across multiple disciplines Participates in organizational committees and make recommendations to practice hanges to improve patient safety and/or quality outcomes. Work Schedule: Monday - Friday 7:30am - 4:00pm Telework: Not 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 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"]
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.