Registered Nurse - Clinical Resource Hub-Tele GEM Specialist
Veterans Health Administration
Anywhere in the U.S. (remote job)
Health system employer
- Eligibility
- RN
- Shift
- Days
- Unit
- Nurse
Ask Mira
Posted Sep 11
The work and the unit
- Specialty
- Nurse
- Setting
- Long Term Care
Schedule and commitments
- Shift
- Days
- Term
- Permanent
Do you qualify?
- New grads
- Welcomed
- Experience
- 5 years of Geriatric Experience, including 2 years of telehealth; BSN or MSN preferred but not required Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
- Also asks
- ??????? You will be asked to participate in a pre-employment evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.
What's around it?
About this role
Demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assesses, plans, implements, and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
Duties include but are not limited to: The VISN 4 CRH GEM Specialty RN uses the nursing process and evidence-based practice to provide whole healthcare approach to the Veteran. This is done in collaboration with the Specialty Care provider as well as families/caregivers and internal and community-based services. The CRH Specialty RN provides patient and family health education with a focus on whole health management, based on the patient's goals.
Read the full posting
The CRH Specialty RN is a member of the Specialty Care Pain team. Coordinating scheduling of appropriate labs and appointments, performing screenings, visit triage, and care coordination. Supports the location to and from which care is delivered, including but not limited to VA clinical locations and provider alternate worksites.
The incumbent in this position will support the VISN CRH which may provide Telehealth and face-to-face services not only to clinical areas within the VISN CRH but also other VISN CRHs throughout the nation. Provides direct care to one or multiple patients Collaborates with other members of the Specialty expanded health care team, facilitates pain management coordination and transition of care between services, and may involve the patient and family in the decision-making process. The incumbent works effectively with all levels of staff, to include collaborative efforts with other health professionals, providing ongoing care management/coordination services.
Responsible and accountable for all elements of the nursing process when providing direct patient care. The CRH RN independently provides professional assessment, coordination, telephone triage and planning of multiple health care services; acts on behalf of the Veteran to assure that necessary clinical services are received, and that progress is being made. The CRH RN is expected to provide RN coverage to remaining sites when staff is out of office.
Identify clinical issues impacting the patient/caregiver's ability to achieve optimal outcomes. Reinforcing and providing education to the Veterans and caregivers regarding findings and recommendations made in collaboration with the TeleGEM team members. Assist in the development of an individualized clinical plan of care in collaboration with the Veteran/family & IDT team during the TeleGEM team meeting for each Veteran.
Coordinate the process of care with the other interdisciplinary and PACT team members, and other community resources and services. This will help maximize efficiency and improve clinical outcomes. Incumbent is responsible for maintaining their discipline & continuing education requirements for licensure and/or certification in addition to mandatory VHA education requirements.
Participate in clinical leadership activities, including committee and workgroup participation, safety initiatives, research, and quality assurance. Participate in the development and implementation of TeleGEM's process for continuous performance improvement with measurable outcomes. This may require collecting and maintaining a data monitoring system.
Provide crisis intervention services, seeking to address the cause as well as presenting complaints, coordinate family conferences and serve as liaison to family members. Provide education, coordination and referral about VA, other government and community resources and services. Independently perform comprehensive initial and follow-up nursing assessments of the medical and psychosocial needs and functioning of the patient, caregiver, and their support systems.
This may include utilization and completion of different cognitive screens {MOCA, SLUMS, Blessed dementia scale (short version), etc.}, nutritional, medical (including ADL and IADL assessments, falls assessment, Hearing Handicap of the Elderly assessment), psychosocial evaluation scales (PHQ9; GAi), etc. during patient/caregiver interviews. 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: Mon-Fri 8:00am - 4:30pm Compressed/Flexible: Not Available Telework: This is a remote position Virtual: This is not a virtual position. Relocation/Recruitment Incentives: ??????? Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact , the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized
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.) 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/13061691. 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. Preferred
Experience
5 years of Geriatric Experience, including 2 years of telehealth; BSN or MSN preferred but not required Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical
Requirements
??????? You will be asked to participate in a pre-employment evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.
U. S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959.…
Sourced from Veterans Health Administration’s careers page.
How this role fits you
About the employer
Nationally the VA describes itself as the largest U.S. nurse employer, with more than 120,000 RNs, APNs, LPNs, and nursing assistants. The VA has said it is on pace to reduce staff by nearly 30,000 by the end of FY2025…
On your path
Telemetry is open from year one. One of the most open front doors in acute care; ACLS and rhythm.
Worth asking
- Can you walk me through differentials?
- What should I expect for weekly hours, weekend, holiday, call, and rotation?
More questions to askFewer questions
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?