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This is an OPEN CONTINUOUS ANNOUNCEMENT. This announcement will remain open until September 30, 2023 (or when positions filled). The initial cut-off date for referral of eligible applications will be October 21, 2022. Eligible applications received after that date will be referred at regular intervals, every Friday, or as additional vacancies occur on an as-needed basis until positions filled. 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: 5 Years of Case Management Experience, Certification in Nephrology Nursing 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: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. Dorn VAMC is a major interdisciplinary teaching facility, serving medical, surgical, and neurological inpatients and outpatients. There is a large outpatient psychiatric population, with admissions for medical co-morbidities. 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. Transferring patients and objects may be required. Lift 45 pounds or over, carry 45 pounds or over; reaching above the shoulders, emotional stability, ability to distinguish basic and shades of color; The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. 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. ["The Renal Nurse Case Manager is responsible for working in close collaboration with the Chief of Nephrology and Nephrology team to ensure and provide program services to patients requiring chronic kidney disease management. The Renal Nurse Case Manager is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. This nurse possesses specialized knowledge and skills regarding the treatment of patients with chronic kidney disease in both the inpatient and outpatient settings. He/she possesses the ability to provide hemodialysis. He/she is required to work with the transplant and vascular access coordinators requiring referrals for surgical and interventional radiology procedures to provide and/or sustain venous access for dialysis. In addition, the nurse demonstrates proficiency for practice based conscious and deliberate planning and is self-directed in goal setting for managing the care of adult and the geriatric patients, in accordance with the Nurse Practice Act, Medical Center, and VAHQ standards of practice. The incumbent provides direct nursing care to individual under the guidance and direction of the Nephrologist and Nurse Manager. Essential Duties and Responsibilities include the following: Records patients' medical information and vital signs Readies diagnostic procedure equipment Administers/oversees the renal infusion treatment from start to finish IV insertion Demonstrates the ability to post procedure monitoring and documentation Cleans and dresses permanent and temporary catheters Monitors patient and adjusts specialized equipment used on patients, and interprets and records information Identifies adverse medication reactions and notifies the physician Secures blood work Teaches patients and significant others how to manage their illness, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication, if needed Perform Charge Nurse duties as assigned Ensure continuity of care for patients requiring referrals for surgical procedures and/or interventional radiology procedures to provide or sustain venous access for dialysis. Refers to vascular access coordinator to facilitates early access placement with emphasis on fistula placement among Pre-ESRD patients seen in the renal and hypertension clinics. Identify need to facilitate process of referral to vascular access coordinator for diagnosis for accesses with dysfunction or other pathology. Proactively collect and report accurate and complete data and assessments of the accesses to facility, teammates, patients and other care providers for baseline and ongoing outcomes. Educate teammates, stakeholders, and hemodialysis patients in the care and management of chronic kidney disease, with particular attention to opportunities for improvement. Maintain and monitor patient panels. Monitors chronic kidney disease care delivery with particular focus on preventive care management, i.e. blood pressure, blood glucose, etc. Ensure documentation of care and outcome and communicate vascular concerns, critical values, outcomes and status to assigned provider. Provides ongoing patient support, oversight and education related to chronic kidney disease management. Serves as a resource on CKD issues Participate in the VHA National Kidney Program for Renal Case Managers. Participate in Dialysis Quality Assurance meeting to provide optimal care for patients receiving chronic kidney disease management. Maybe required to provide direct patient care in the dialysis unit or in-patient coverage for hemodialysis therapy for safe patient staffing. Maybe delegated other duties/tasks by nurse manager or assistant nurse manager. 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: Monday - Friday, 8:00AM - 4:30PM, (subject to change based on agency's needs) Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required"]

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