Nurse (Accreditation Manager)
Pay:
Competitive salary, regular salary increases. Paid Time Off:
Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 10 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. Duties may include but are not limited to:
Developing, implements, evaluates, sustains, and reports on accreditation-related programs, processes, and activities to maintain WWVAMC continual readiness and safe, high quality patient care. Assumes the leadership roles and responsibilities needed to guide WWVAMC continual survey readiness and related quality Improvement activities. Applies leadership, communication, team building skills and the principles of adult education to improve staff knowledge and attitudes about compliance with VA/VHA and guidance and accreditation standards. Serves as accreditation subject matter expert for staff at all organizational levels to support strategic decision-making, organizational initiatives, and performance improvement interventions. Participates in leadership and mentorship activities to create professional development opportunities for staff and build organizational capacity and resilience. Maintains documentation and data as required for continual readiness. Completes survey-related administrative processes. Provides consultation and support to all levels of facility leadership and others responsible for VAWW accreditation activities, including all accreditation related requirements, policy initiation/revision, readiness preparation, Intra-survey facilitation, and development, implementation, and monitoring of post-survey corrective action plans. Ensures that senior leaders are fully informed about the accreditation program and engaged in final compliance decisions and approval processes for program related products and activities, as appropriate. Plans, facilitates, conducts and documents clinical tracers, walkabouts, and quality monitoring audits, as scheduled and as needed, focusing on continual survey readiness and evaluation of specific corrective action plans. Reports findings to process owners and tracks corrective action plans. Evaluates patient medical records for compliance with outpatient services policies and accreditation requirements. Interviews staff, and patients and observes care to assess and improve compliance with regulations and guidance. Initiates, conducts, evaluates, and documents risk assessments, reporting findings and recommendations to organization leaders. Participates in or facilitates process improvement teams as required. Participates on WWVAMC committees as an accreditation and quality content expert. Educates staff about accreditation related regulations and standards, VANHA and VISN 20 guidance, and VA Office of Inspector General (VAOIG) focus initiatives. Provides consultation to ensure that Medical Center Memoranda correctly and complete address all accreditation-related requirements. Evaluates accreditation and quality monitoring data and recommends improvement actions through informative reporting as required, to facility committees, boards, councils, and senior leaders. Work Schedule:
Monday - Friday, 0800-1630 Financial Disclosure Report:
Not required Recruitment / Relocation Incentive:
Not Authorized Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. 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. Physical Requirements:
Light lifting, under 15 pounds; light carrying, under 15 pounds; reaching above the shoulders; use of fingers; walking; standing; kneeling 1 hour; repeated bending; Hearing (aid permitted).
Estimated Salary: $20 to $28 per hour based on qualifications.
Competitive salary, regular salary increases. Paid Time Off:
Annual leave at the rate of eight (8) hours per biweekly pay period; Sick leave at the rate of four (4) hours per biweekly pay period; 10 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. Duties may include but are not limited to:
Developing, implements, evaluates, sustains, and reports on accreditation-related programs, processes, and activities to maintain WWVAMC continual readiness and safe, high quality patient care. Assumes the leadership roles and responsibilities needed to guide WWVAMC continual survey readiness and related quality Improvement activities. Applies leadership, communication, team building skills and the principles of adult education to improve staff knowledge and attitudes about compliance with VA/VHA and guidance and accreditation standards. Serves as accreditation subject matter expert for staff at all organizational levels to support strategic decision-making, organizational initiatives, and performance improvement interventions. Participates in leadership and mentorship activities to create professional development opportunities for staff and build organizational capacity and resilience. Maintains documentation and data as required for continual readiness. Completes survey-related administrative processes. Provides consultation and support to all levels of facility leadership and others responsible for VAWW accreditation activities, including all accreditation related requirements, policy initiation/revision, readiness preparation, Intra-survey facilitation, and development, implementation, and monitoring of post-survey corrective action plans. Ensures that senior leaders are fully informed about the accreditation program and engaged in final compliance decisions and approval processes for program related products and activities, as appropriate. Plans, facilitates, conducts and documents clinical tracers, walkabouts, and quality monitoring audits, as scheduled and as needed, focusing on continual survey readiness and evaluation of specific corrective action plans. Reports findings to process owners and tracks corrective action plans. Evaluates patient medical records for compliance with outpatient services policies and accreditation requirements. Interviews staff, and patients and observes care to assess and improve compliance with regulations and guidance. Initiates, conducts, evaluates, and documents risk assessments, reporting findings and recommendations to organization leaders. Participates in or facilitates process improvement teams as required. Participates on WWVAMC committees as an accreditation and quality content expert. Educates staff about accreditation related regulations and standards, VANHA and VISN 20 guidance, and VA Office of Inspector General (VAOIG) focus initiatives. Provides consultation to ensure that Medical Center Memoranda correctly and complete address all accreditation-related requirements. Evaluates accreditation and quality monitoring data and recommends improvement actions through informative reporting as required, to facility committees, boards, councils, and senior leaders. Work Schedule:
Monday - Friday, 0800-1630 Financial Disclosure Report:
Not required Recruitment / Relocation Incentive:
Not Authorized Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. 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. Physical Requirements:
Light lifting, under 15 pounds; light carrying, under 15 pounds; reaching above the shoulders; use of fingers; walking; standing; kneeling 1 hour; repeated bending; Hearing (aid permitted).
- Department:
0610 Nurse - Salary Range:
$63,507 to $114,249 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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