Registered Nurse Clinical Nurse Consultant

Summary

The Clinical Nurse Consultant Registered Nurse position is located within the Nursing - Acute Care Services at the Phoenix VA Healthcare System (PVAHCS) - Phoenix - AZ. More information about the main campus at the Phoenix VA: Carl T. Hayden Veterans' Administration Medical Center | VA Phoenix Health Care | Veterans Affairs

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.) Preferred Experience: Wound care and ostomy experience
• Experience managing chronic wounds including diabetic ulcers - pressure injuries - venous ulcers - and surgical wounds
• Knowledge of wound assessment - staging - debridement assistance - and dressing selection
• Experience with negative pressure wound therapy (wound vacs)
• Recent - within the past year - experience in infection control measures and HealthCare-Associated Infections (HAIs)
• Certification as WCC - CWON - or WOCN preferred
• 2-5 years experience in Critical Care
• Proficiency in EMR - clinical education
• CNOR or equivalent certification
• Clinical Nurse Leader (CNL) or equivalent certification
• 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
• 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
• Physical Requirements: This position may include a level of physicality normally associated with duties performed by nurses such as walking - bending - stooping - and some lifting
• There may also be extended periods of sitting or standing
• Transferring patients and objects may be required
• Utilization of safe patient handling and mobility protocols using mechanical lifts that are provided.

Duties

• The Clinical Registered Nurse (RN) Consultant executes position responsibilities that demonstrates leadership - experience - and creative approaches to the management of complex patient care
• Care will be provided in the least restrictive - most cost-effective manner - through use of outpatient utilization management criteria - clinical practice guidelines and clinical pathways
• Assist with significant collaboration between community and Veterans Integrated Systems Network (VISN) healthcare personnel in the transition of veterans through the Veterans Affairs (VA) healthcare system
• They demonstrate performance and leadership skills that start to impact the standard of care for all patients throughout the continuum of care
• They are responsible for completing services within the organization that meets the requirements of National Directives
• Provides quality and performance measures analysis and reporting of consult trends and systems issues through the utilization of the nursing process
• Responsible for the triage and care coordination of complex patients - works closely with Veterans to ensure smooth transition of care to community or VA facilities and care related to referrals - improvement meetings and service meetings
• They will collaborate with the interdisciplinary team to improve the delivery of patient care
• The consultant must be poised and articulate in communicating with all parties involved in the delivery of care - to include the Veteran - family - medical staff - community partners - etc
• Delegates elements of care to the appropriate individual based upon assessed needs - condition - and safety of the patient
• Provides peers with informal constructive feedback for improvement
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• Contributes professional nursing perspective in discussions with the interdisciplinary team
• Partners with others to effect change and produce optimal outcomes
• Supports colleagues through knowledge sharing to provide safe - quality nursing care
• Shares educational findings - experiences - and ideas with peers
• Questions clinical practices for the purpose of providing evidence-based care
• Participates in activities and strategies to sustain evidence-based-practice
• 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: 0500-1530 Various hours to meet facility needs Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 30 Day Hiring Model The Department of Veterans Affairs is implementing a streamlined 30-Day Hiring Model designed to accelerate hiring while maintaining the highest standards of merit-based selection
• This improved process reduces traditional hiring timelines by integrating early coordination - faster assessments - and efficient pre-employment actions
• Applicants can expect a more transparent - predictable - and efficient hiring journey from announcement to entry on duty
• What Applicants Can Expect Expedited Candidate Review Once the announcement closes - Human Resources will quickly review applications - issue certificates of eligible candidates the day after the announcement closes and refer applicants for hiring manager consideration
• Quick Interviews & References HR may arrange interviews and will request references within 3-5 days after being referred to the hiring manager
• Streamlined Pre-Employment Requirements: Following a tentative offer - applicants should be prepared to complete required steps - such as fingerprinting and background check - credentialing - and medical examination within 3 days of the offer
• Clear and Timely Communication: Applicants will receive clear communication at key milestones - including referral - tentative offer - and onboarding instructions
• After meeting pre-employment requirements - candidates will receive a final job offer and start date
• Onboarding tasks may continue after starting - with HR ensuring timely completion for a smooth transition into VA service
• If selected - applicants should be prepared to come onboard within 30 days of the announcement closing.

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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