Registered Nurse (Clinical Contact Center APRN)
The Registered Nurse (Clinical Contact Center APRN) provides leadership in direct patient care and works with members of the expanded health care team, including:
Physicians, Psychologists, Social workers, Clinical pharmacists, Clinical associates, Medical support assistants and other members of the Clinical Contact Center, in order to manage the urgent and episodic needs of patients, and coordinate medical care for a population of Veterans in the Clinical Contract Center practice setting. Clinical duties include being a clinical contact center provider for clinical contact center patients requiring provider evaluation and management consistent with Clinical Contact Center standard procedures. These include the performance of histories and physicals, prescriptions of medications within the defined scope of practice, ordering diagnostic studies as appropriate, coordination of care within the assigned medical facility as well as specialists and ancillary services in the community, and initiation and responding to requests for consultations, special tests, and studies. Additional duties include, but are not limited to:
- Provides care, emphasizing evidence-based medicine, primary and secondary preventative medicine, the use of a computerized medical record system, and continuous quality improvement based on individualized provider data. - Maintains an active telehealth practice in the VISN 17 Clinical Contact Center. Through a combination of leading by example, providing personal support and instruction, and didactic teaching as required, the incumbent will work to support the VA Mission, Vision, and Values. - Monitors clinical contact center practice through tools such as PACT Compass, ED metrics, SHEP scores, diseases registries, and peer review. - Provides leadership in identifying and addressing ethical issues relevant to the Clinical Contact Center; develops, implements, and evaluates processes and procedures aligned with ethical principles of practice. - Prescribe medications and orders diagnostic tests in a cost-effective manner. - Evaluations options available and selects a course of action which will result in the most favorable patient or organizational outcome. - Demonstrates knowledge and application of professional standards related to the area of practice and recommends and implements changes to meet such standards. - Develops and incorporates telehealth-specific competencies and program orientation based on performance standards and dimensions of professional practice. - Routinely evaluates, interprets, and ensures compliance of telehealth program and services based on established professional, community, or regulatory standards (i.e. The Joint Commission) and recommends and/or implements changes to meet or exceed applicable standards. -Promotes cooperation and teamwork within care teams in the Clinical Contact Center as well as between practitioners in the different service lines served by the Clinical Contact Center. Work Schedule:
Monday - Friday, 8:
00 a.m. to 4:
30 p.m. Occasional night and weekend coverage may be required. Financial Disclosure Report:
Not required 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. 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. Nurse Practitioners:
A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected. 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:
This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed 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.
Estimated Salary: $20 to $28 per hour based on qualifications.
Physicians, Psychologists, Social workers, Clinical pharmacists, Clinical associates, Medical support assistants and other members of the Clinical Contact Center, in order to manage the urgent and episodic needs of patients, and coordinate medical care for a population of Veterans in the Clinical Contract Center practice setting. Clinical duties include being a clinical contact center provider for clinical contact center patients requiring provider evaluation and management consistent with Clinical Contact Center standard procedures. These include the performance of histories and physicals, prescriptions of medications within the defined scope of practice, ordering diagnostic studies as appropriate, coordination of care within the assigned medical facility as well as specialists and ancillary services in the community, and initiation and responding to requests for consultations, special tests, and studies. Additional duties include, but are not limited to:
- Provides care, emphasizing evidence-based medicine, primary and secondary preventative medicine, the use of a computerized medical record system, and continuous quality improvement based on individualized provider data. - Maintains an active telehealth practice in the VISN 17 Clinical Contact Center. Through a combination of leading by example, providing personal support and instruction, and didactic teaching as required, the incumbent will work to support the VA Mission, Vision, and Values. - Monitors clinical contact center practice through tools such as PACT Compass, ED metrics, SHEP scores, diseases registries, and peer review. - Provides leadership in identifying and addressing ethical issues relevant to the Clinical Contact Center; develops, implements, and evaluates processes and procedures aligned with ethical principles of practice. - Prescribe medications and orders diagnostic tests in a cost-effective manner. - Evaluations options available and selects a course of action which will result in the most favorable patient or organizational outcome. - Demonstrates knowledge and application of professional standards related to the area of practice and recommends and implements changes to meet such standards. - Develops and incorporates telehealth-specific competencies and program orientation based on performance standards and dimensions of professional practice. - Routinely evaluates, interprets, and ensures compliance of telehealth program and services based on established professional, community, or regulatory standards (i.e. The Joint Commission) and recommends and/or implements changes to meet or exceed applicable standards. -Promotes cooperation and teamwork within care teams in the Clinical Contact Center as well as between practitioners in the different service lines served by the Clinical Contact Center. Work Schedule:
Monday - Friday, 8:
00 a.m. to 4:
30 p.m. Occasional night and weekend coverage may be required. Financial Disclosure Report:
Not required 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. 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. Nurse Practitioners:
A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must be in the specialty to which the individual is being appointed or selected. 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:
This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed 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.
- Department:
0610 Nurse - Salary Range:
$85,802 to $143,039 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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