Registered Nurse - Supportive CTraC - Palliative Care - Medical Service

Summary This Registered Nurse position is located in the Medical Service at the West Roxbury campus location of VHA Boston. This position is full‑time at 40 hours per week. Qualifications 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 a temporary base 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 than 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 Preferred Experience: 1‑3 years experience in palliative care nursing – preferably outpatient clinic or home care; Experience in care coordination – case management geriatrics and hospice 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 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 a 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 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: All applicants must be physically able to satisfactorily perform the duties of the position. Duties Collaborate with inpatient teams to identify Veterans with complex medical and social needs and serious illness for enrolment in Supportive Coordinated Transitional Care (CTraC) Program; Provide post‑discharge care coordination – education – anticipatory symptom management – and alignment with goals of care; Coordinate care between inpatient and outpatient palliative care – geriatrics – prosthetics – rehabilitation medicine – and pharmacy teams; Provide outpatient clinic support to include triage of consults – hospice referrals – responding to veteran and family calls and secure messages – symptom assessment and collaboration with providers Facilitate hospice referrals to home and other facilities including in other states Collaborate closely with hospice agencies and social work Provide nursing and clinician education on hospice – palliative care and Supportive CTraC at VA – affiliates – and MA Hospice Federation Participate in national CTraC community and mentor Supportive CTraC nurses across the VA Collect data on Supportive CTraC program to ensure value added – improved care – and cost avoidance Continually evaluate program effectiveness in collaboration with GEC leads 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 401(k) 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 U.S. State or territory Work Schedule: Full‑Time – 40 hours/week – Monday-Friday – 8am‑4:30pm (Compressed/Flexible: Not Available; Telework: AdHoc Telework may be authorized when needed for inclement weather and state emergencies; Virtual: This is not a virtual position) Relocation/Recruitment Incentives: Not Authorized; Permanent Change of Station (PCS): Not Authorized Notifications: This position is in the Excepted Service; Current and former Federal employees must submit copies of their most recent SF‑50 – (Notice of Personnel Action). The SF‑50 must identify the position title – series – grade – step – tenure and type of service (Competitive or Excepted). In some cases – more than one SF‑50 may be required to show a higher grade previously held. This position is covered by a special rate. #J-18808-Ljbffr