Registered Nurse

Summary The Spinal Cord Injury Unit (SCI), Minimum Data Set (MDS) Coordinator is a professional Registered Nurse (RN) with a broad-based clinical knowledge and application in working with the Spinal Cord Injury population and appointed to work in tandem with the Resident Assessment Instrument (RAI) MDS Program for VA San Diego Healthcare System. Responsibilities This RN provides patient and family centered care that optimizes quality of life by anticipating, preventing, and treating suffering according to the Scope and Standards of Practice Documents the implementation and care of health promotion and prevention, management of acute and chronic illnesses. Performs a high level of clinical, managerial and leadership skills and adheres to Veterans Health Administration policies, procedures and evidenced based practice in SCI/CLC. Utilizes the current LTC/CLC standards and the Center of Medicare and Medicaid Services (CMS) and its application to the RAI-MDS process. Perform timely submission of all MDS records to the Austin database. Reviews final validation report to ensure that all records were successfully accepted. For records transmitted with errors (warnings and/or rejected records), corrections are made, and the records are transmitted. Communicates to leadership and the interdisciplinary team (IDT) members any changes to VHA directives/handbooks and CMS guidelines related to the RAI-MDS process. Ensures individuals (SW, RD and PharmD) certify their participation in RAI-MDS process by signing in designated assigned sections. Utilizes the quality measures data to enhance the quality of care provided to the residents, recommends changes to assist management with process improvement, prepares interrater reliability validation, and prepares reports as appropriate. Maintains the database integrity of the RAI-MDS software program collegially with local Information Technology Services and the Austin Information Technical Center. Collaborates with IDT, nursing management and staff to maximize RUGs, case mix and workload data based on accurate documentation. Conducts RUG and QM report validation to ensure accuracy of information. Serves as a resource to the leadership team and surveyors for data gathering process. Maintain an up to date 802 excel report at all times. Manage the Caribou access registration process of newly hire Nursing employees as well as other departments to Caribou software for MDS, ADL and Care Plan modules. Coordinates with Program Analyst (NARS Authorized) to ensure keys are provided prior registration. Provides education to nursing staff in collaboration with RN Educator regarding Caribou ADL documentation and care planning process. Function as an MDS Nurse: Completes the Resident Interviews in accordance with required timelines and scripted format. Gathers information for the MDS from the resident and from direct caregivers who have had the most contact with the resident during the assessment period. Completes the MDS assessments on assigned nursing sections on all residents for all lengths of stay. Demonstrates proficiency using the nursing process in providing care for residents with complex cares. Complies with and completes the nursing and therapist assigned sections of the MDS within the established scheduling timeframes. Completes sections assigned to RD,SW and PharmD if the members are not available. Completes the nursing assigned Care Area Assessments generated from the MDS. Assist and follow up that comprehensive IDT care plan assigned to RN is complete according to the MDS schedule for each resident. Review and update the comprehensive interdisciplinary care plan monthly according to the IDT monthly review for each resident. Facilitates care planning meetings. Discuss Care Area Triggered problems for comprehensive IDT Care Plan of each resident scheduled during care plan meetings. Maintains knowledge and understanding of Treating Specialties, Quality Measures (QMs),RUGs, and VERA allocation. Ensure that provider has the correct treating specialties on admission and when resident reach long stay. Supports the performance of the inter-rater reliability studies to assess the accuracy of the RAI- MDS assessment. Performs other duties as assigned 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: Full Time, from 07:30 - 16:00 Telework: N/A Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment 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. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications 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: 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 . click apply for full job details