Virtual Care Advanced Practice Nurse

The Supervisory Assistant Nurse Manager (ANM) supports the Nurse Manager (NM) in overseeing operations of a nursing unit/patient care area. Fosters team development, ensures compliance with standards of clinical practice, and serves as a key liaison between staff and leadership.

English Language Proficiency

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

(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. - 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.) 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

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 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

*Reference: VA Regulations - specifically VA Handbook 5005 - Part II - Appendix G-6 Nurse Qualification Standard

This can be found in the local Human Resources Office

Walking - bending - stooping - and some lifting in the direct care of patients

Functions as a proficient clinician and is responsible and accountable for all elements of the nursing process when providing or overseeing direct patient care

Assesses - plans - implements - and evaluates delivery of 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

Self-directed and influences care outcomes by collaborating with members of the interdisciplinary team and leading innovative process improvement initiatives

While working in partnership with the Nurse Manager - functions as a Supervisor and Clinical Coordinator assuming responsibility for the operation of the designated unit

supervising and ongoing evaluation of care delivered by all nursing staff and employees assigned to the CBOC/Annex via Nursing Proficiencies and icr performance appraisals

The ANM is charged with contributing to the establishment and implementation of evidence based nursing standard of practice - monitoring the quality of care by means such as 2-day post discharge - including any other primary care related reports - scores - reminders or PACT quality indicators

ANM will also assure all education - competencies and staff orientations process in the unit are complete with consultation with NM

ANM will assist the P1 process and keep track of the progress of P1 projects - All Employee Survey Results - Press Ganey responses - SHEP scores - VSignals - Hand Hygiene - and MDRO Teaching to ensure quality care to our Veteran Patients

Assist with addressing and maintaining building operations in collaboration with Nurse Manager and Clinic Manager as well as the property owner - VA environmental services - and VA engineering services

The ANM will provide hands‑on clinical support in the nurse PACT roles during times of limited staffing resources

The ANM will facilitate and or assist with nurse staff meetings

he ANM has the authority to provide verbal and written counseling in collaboration with HR - Union and NM

ANM will need to promote and adhere to the PACT model of care

The ANM will promote - create - demonstrate and ensure a positive - culturally diverse work force in which the values and needs of all individual are respected while enhancing patient care delivery and professional development of Nursing staff

The ANM will manage the CBOC/Annex in the absence of the Nurse Manager

VA Nurse Total Rewards Work Schedule: Mon-Fri - Day Shift Telework: Yes

Ad-Hoc - as determined by the agency policy

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

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