Registered Nurse - Accreditation Coordinator

Summary

Using nursing process and practice principles, the Accreditation Coordinator practices in the Quality, Safety, and Value Department by providing leadership support for coordination, implementation, and evaluation of all facets of the Continual Readiness program and other QM activities within the Black Hills VA Healthcare System and rural CBOCs as assigned. This position can be located in Fort Meade or Hot Springs, SD.

Qualifications

Basic Requirements:

• 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 temporary basis 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 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., 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: Attention to detail and exceptional customer service Strong organizational skills and ability to multitask Microsoft Office experience Review functional statement 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: https://apply.usastaffing.gov/ViewQuestionnaire/12382158
• 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 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 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 *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
• *Note: Foreign education programs/degrees are not creditable as related degrees
• 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: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position
• Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination.

Duties

"VA offers a comprehensive total rewards package: VA Nurse Total Rewards Duties of the Registered Nurse Readiness Coordinator include, but are not limited to: Promotes a culture of high reliability and safety within the system and partners with clinical and operational support staff to assure standards and regulatory requirements are met in an environment of continual readiness efficacy.
Continually evaluates and improves processes, activities, learning, and communication within these programs.
Provides Readiness education and partners with education and management to integrate continual readiness and high reliability approaches in department/unit activities and processes.
Manages and utilized a variety of automated software systems and supporting processes for Continual Readiness and Quality Management (including but not limited to): TJC Secured Extranet, VISN Share Point, and CPRS.
Functions as back up for the Office of Director Quality Coordinator to coordinate and manage External Peer Review program, Clinical Reminders, and Medical Office of Day Ongoing professional practice audits.
Provides useable, relevant data to the organization about results, issues, and progress in continual readiness, promotion of high reliability, and patient safety.
Collaborates with operations/clinical owners to develop preventative and corrective action plans for identified findings or gaps in service and coordinates organizational responses to same.
Utilizes rigorous systematic, data driven continuous improvement approaches to promote strong leadership, patient safety, system redesign, and high reliability.
Proactively identifies high risk/out of compliance areas, establishes communications and action plans to address, partners with operations to establish internal controls, implement resolutions, and measurable outcomes.
Leads/facilitates improvement teams Manages and responds to communications/notices from TJC, OIG, and NCPS, including timely communication, notification, resolution, and documentation of same.
Partners with the local and regional counterparts to identify and implement best practices.
Facilitates in the coordination of accreditation program specific reviews and preparation for internal and external reviews.
Assists in ensuring processes are in place to meet the established standards of the accreditation program specific reviews.
Programs include Commission on Accreditation of Rehabilitation Facilities (CARF), Office of Inspector General (OIG), Joint Commission, and Annual Workplace Evaluation (AWE).Completes Joint Commission and CARF applications.
Develop policy guidance, motivational materials, and information to facilitate staff compliance.
Conduct or coordinate tracers throughout the Black Hills Health Care System and rural CBOC's.
Must be knowledgeable in use and management of Reusable Medical Equipment (RME) as applicable for all equipment for which trained.
This position potentially requires flexibility in schedule and assignments.
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 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 Work Schedule: Monday - Friday: 7:30 a.m.
- 4:00 p.m.
Telework: ADHOC-May be authorize (Employee who Telework on an occasional, episodic, or short-term, and have completed required telework training and telework agreement).
Virtual: This is not a virtual position.
Financial Disclosure Report: Not required The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers.
This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest.
As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran.
This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community.
This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being."