Registered Nurse Primary Care Mental Health Integration - FTW Outpatient Mental Health Clinic

Summary

PCMHI Collaborative Care Management (PCMHI CoCM) is a condition-specific (e.g. - depression) - protocol-driven service to collaboratively assist Patient Aligned Care Team (PACT) providers in treating common mental health and health behavior concerns - often in the context of pharmacotherapy provided by Primary Care Providers (PCPs). The PCMHI CoCM RN is responsible for providing competent - evidence-based care to assigned patients.

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:
• 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
• Preferred Experience: Bachelor's Degree or higher in Nursing and/or Mental Health Concentration
• Minimum 2 years hands-on direct patient care experience as an RN in Mental Health and/or Primary Care environment
• Experience in RN case management or care coordination
• RN Specialty Certification in Mental Health - Ambulatory Care - or Behavioral Health recognized by VA ONS
• Reference: For more information on this qualification standard - please visit
• Physical Requirements: Light lifting - under 15 pounds
• Light carrying - under 15 pounds
• Pulling hand over hand (8-12 hours)
• Pushing (8-12 hours)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (8-12 hours)
• Standing (8-12 hours)
• Kneeling
• Repeated bending (8-12 hours)
• Climbing - legs only
• Climbing - use of legs and arms
• Both legs required
• Near vision correctable at 13" to 16" to Jaeger 1 to 4
• Ability to distinguish basic colors
• Hearing (aid may be permitted).

Duties

• Primary Care Mental Health Integration (PCMHI) Collaborative Care Manager (CoCM) Registered Nurse (RN) position is responsible for patient education - activation - behavioral interventions - monitoring of medication adherence and response - as well as other protocol-driven services
• The PCMHI CoCM will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultation.These services are provided in the outpatient PC setting utilizing all aspects of the nursing process within a collaborative - interdisciplinary practice setting
• The PCMHI CoCM participates in patient outreach and engagement in proper treatment
• Assesses - reviews - develops - maintains - and monitors Veteran specific plans of care - collaborating with the interdisciplinary team to ensure patient outcomes are reported and validated
• Participates in caseload consultation with team members
• Provides education and brief interventions using evidence-based techniques such as behavioral activation - motivational interviewing - and other focused treatment strategies
• The PCMHI CoCM will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultation
• The PCMHI CoCM conducts relapse prevention planning throughout care - including transition from active treatment to maintenance as goals are achieved
• Effectively communicate with patients - families - caregivers - VA leadership - and members of the interdisciplinary team using therapeutic communication techniques - practices de-escalation techniques - and utilizes recovery-oriented language
• Collaborates with PCMHI leadership/team members to develop/enhance educational materials and use marketing strategies to promote PCMHI CoCM services
• 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: Monday through Friday - 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program
• You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment
• Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application
• Former EDRP participants ineligible to apply
• Former EDRP participants ineligible to apply for incentive
• Contact [email protected] - the EDRP Coordinator for questions/assistance
• Learn more Permanent Change of Station (PCS): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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