Registered Nurse - Clinical Resource Hub, Mental Health

Summary
The CRH MH RN will provide professional assessments, coordination, telephone triage, and planning of multiple health care services. The RN is Responsible for providing direct patient care to Veterans and training and supporting CRH and Spoke site staff as appropriate.
This job is open to

• Internal to an agency
  Current federal employees of this agency.

Clarification from the agency
Open to current permanent employees of VISN 16.
Videos
Duties
Major Duties to include but not limited to:

• The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations and shifting priorities based on patient needs.
• The position may require long sitting through meetings and/or at the computer.
• This position requires visual acuity, keen hearing, clear, distinctive speech, and manual dexterity. This position requires long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing.
• The CRH MH RN uses the nursing process and evidence-based practice to provide care to the Veteran utilizing the BHIP model.
• This individual is responsible for providing Behavioral Health nursing-specific education to CRH Spoke site patients and ensuring that CRH services are completed to the highest standard.
• The CRH MH RN provides patient and family health education, focusing on Mental Health self-management, prevention, and wellness based on the patient's goals.
• The incumbent provides direct care to patients in the BHIP model and collaborates with other behavioral health care team members to augment provider Mental Health services, creating a comprehensive approach to virtual outpatient Mental Health.
• The incumbent assesses patients and provides additional support between visits with LIPs.
• The CRH MH RN follows standard processes used by the Mental Health team and uses data registries to assist in identifying high-risk patients for monitoring and follow-up.
• The position may require travel to provide training and support CRH Spoke sites and possible physical deployment to Spoke sites to provide care to panels of patients for an extended period.
• THE CRH MH RN uses the nursing process and evidence-based practice to provide care to the Veteran, focusing on PCMHI direct care.
• The incumbent is a member of the extended PACT team responsible for providing MH nursing-specific education to spoke-site patients and ensuring that PCMHI services are completed to the highest standard.
• This is done in collaboration with the PACT Team (Patient, Primary Care Provider, Hub/Spoke site RN Care Manager, Clinical Associate, and Clerical Associate) and expanded Team (psychologist, social worker, clinical pharmacy specialist, and other clinicians) as well as families/caregivers and internal and community-based services.
• The CRH MH RN demonstrates leadership by advocating for patients and collaborating with colleagues as she/he continues to enhance her/his and the team's professional growth, development and practice.
• The position may require travel to provide training and support CRH Spoke sites and possible physical deployment to Spoke sites to provide care to panels or panels of patients for an extended period.

• The incumbent is responsible for providing direct patient care to Veterans and training and support to CRH and Spoke site staff as appropriate.
• The incumbent must be poised and articulate in communication and work cooperatively in a team environment.
• The incumbent must provide critical medical, technical, and program support necessary to sustain efficient telehealth operations for the VISN CRH.
• The CRH RN is responsible for facilitating communication and collaboration between all healthcare team members. Operational support coordinated and provided by this position includes direct patient care and the support of health care delivery through telehealth and face-to-face modalities.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards
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: M-F 8:30am-4pm
Telework: Ad-hoc only
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized.
Financial Disclosure Report: Not required
Requirements
Conditions of Employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

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.
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/12354971.
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.
Preferred Experience:
Extensive triage experience in outpatient setting - 2 years preferred.
Mental Health Case Management experience- 2 years preferred.
Ability to work independently and effectively communicate with multiple facilities.
Telehealth Experience.
Proficient in MS and Teams Office, Word, excel, power point, and can construct and deliver presentations
Physical Requirements: The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The position may require long periods of sitting through meetings and/or at the computer. 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.
Additional information
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regar...