Registered Nurse, Minimum Data Set (MDS) Community Living Center (CLC)
U.S. Department of Veterans Affairs
Summary The Registered Nurse - Minimum Data Set (MDS) - Community Living Center (CLC) - executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex resident care. The RN MDS collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines. The RN MDS demonstrates performance and leadership that is broad enough to improve the care for CLC residents. 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). 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 basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005 – Appendix G6) Individuals who are 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: BSN One (1) to two (2) years of direct Minimum Data Set (MDS) experience; One (1) to three (3) years of long‑term care/Community Living Center experience; Knowledge of federal/state regulations; RAC‑CT certification; Experience with Cerner/Oracle Electronic Health Record. 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 needs. An ADN or Diploma in Nursing and 1 year of specialized nursing experience equivalent to Nurse I – Level I; 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 II. Or a BSN and 1 year of professional nursing experience equivalent to the Nurse I – Level II. 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 III. Or an MSN with one year of specialized nursing experience equivalent to Nurse I – Level III. Or a Master’s degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse I – Level III. Or a Doctoral degree in Nursing with no professional nursing experience. Or a Doctoral degree in a related field with a BSN and no 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity; potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing; transferring patients and objects; mechanical inpatient lifts are provided; exposure to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative invasive procedures, or home settings; occasional exposure 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; must complete annual Employee Health requirements such as annual TB screening or testing – as a condition of employment; the incumbent who provides care in home settings or other off‑site locations may be required to drive and/or ride in GSA XII. Duties The RN – MDS CLC performs duties that include – but are not limited to – the following: Responsible for coding the sections of the Resident Assessment Instrument (RAI)/MDS Assessment and the Care Area Assessments (CAAs) that are assigned to nursing – adhering to current Centers for Medicare and Medicaid Services (CMS) and Veterans Health Administration (VHA) timeframes of assessment completion. Participates in the CLC Interdisciplinary Team care plan meetings and reviewing, communicating and monitoring the residents’ care plan. Collaborates with the CLC Resident Assessment Coordinator (RAC) to educate CLC staff on the completion of the RAI/MDS process. Provides documentation requirements for accurate MDS data entry and educational sessions pertaining to RAI/MDS software and program updates as needed. Supports quality improvement activities based on CLC quality management data. Participates in ongoing survey readiness activities in the CLC. Documents and takes corrective action when notified by the CLC management team – charge nurse – or designee of any discrepancies in coding or documentation of RAI/MDS assessments and CAAs reported during the interrater reliability review. Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through knowledge sharing to provide safe – quality nursing care. Fosters a safe and supportive environment conducive to the professional development of health‑care professionals. Evaluates outcomes of evidence‑based decisions and practice changes for individuals – groups – and populations. Benefits VA offers a comprehensive total rewards package: competitive salary, regular salary increases, potential for performance awards, 50 days of paid time off per year (26 days of annual leave – 13 days of sick leave – 11 paid Federal holidays per year), a traditional federal pension (5 years vesting) and federal 401K with up to 5% contribution by VA, federal health/vision/dental/term life/long‑term care insurance (many federal insurance programs can be carried into retirement), full and unrestricted license from any US state or territory, Monday–Friday schedule 7:30 am–4:00 pm, no telework available, virtual work not allowed. #J-18808-Ljbffr U.S. Department of Veterans Affairs
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