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RN Outpatient Clinics

4 months ago

Augusta, Maine, United States Department Of Veterans Affairs Full time
Summary

This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2024. Eligible applications received will be referred at regular intervals or as additional vacancies occur on an as-needed basis until position(s) are filled.



Duties
Mental Health Outpatient:
  • Evaluates the patient's progress towards the desired outcomes and revises the plan of care and interventions as necessary.
  • Delivers safe basic care to assign patients while developing technical competency's.
Medicine
  • Coordinates clinic visits for assigned patients to optimize care.
  • Conducts pre-visit planning and communicates patient needs and recommends treatment to care team members.
  • Serves as the primary contact/clinical liaison between referral hospitals, treatment facilities, and patients.
  • Provides direct nursing care and documents care in electronic health record.
  • Implements and coordinates specific caseload strategic interventions to move patients through the continuum of care.
Spinal Cord
  • Serves as the RN Team Leader for a team of patients with the support of a LPN and/or HT in the delivery of care for Veterans with spinal cord injuries and neurological disorders.
  • Perform tracheostomy care, colostomy and bladder irrigations, transport of patients, application and removal of complex assistive/adaptive equipment, pressure injury/ulcer dressing changes.
  • Provides complex care planning for Veterans with varying levels of spinal cord injuries (inclusive of Ventilator Dependent) and other neurological orders.
Primary Care
  • Provides case management for high-risk cohort of patients utilizing chronic disease management data mining tools to include but not limited to Care Management Tool (CMT), Business Intelligent Strategic Learning (BISL), VISN 20 Access Report VISTA, and VHA Support Service Center (VSSC) reports such as PC Almanac, Compass, Primary Care Management Module (PCMM) Care Needs Assessment (CNA).
  • Utilizes registries to manage disease processes such as Diabetic, Mammography, Cardiovascular, and Opioid Registries to access data base for pain management
  • Performs timely Post-Discharge/ ED/ Urgent Care and Walk-ins' using appropriate documentation templates/notes, codes, education.
  • Assesses and enrolls eligible patients into nontraditional modalities of care such as Home telehealth and Telemedicine.
  • Utilizes Teach and Motivational Interviewing techniques to encourage positive health behavioral change and Health Promotion and Disease Prevention.
  • Provides patient and family education with a focus on self-management, prevention, and wellness, based on 'what matters most' to the patient.
  • Reviews, tracks, devises strategies to improve Healthcare Effective Data Information Sets (HEDIS) metrics, clinical reminders, panel access, timely encounter closures, other performance metrics.
  • Partnering with multidisciplinary services, internal, external to the VA. Initiates and participates in various quality and process improvement activities that result in improved patient outcomes.
  • Provide VA Video Connect (VVC), Clinical Video Technology (CVT), or Telemedicine.
  • Maintaining knowledge/skills in applying an intensive body of rules, procedures, operations in telehealth related technologies and a variety of computer hardware/ software used in technology, data entry, retrieval, record maintenance, document, report generation.
  • May be required to perform specimen collection of (urine, sputum, blood, or stool) ensuring to utilize proper labeling, packaging, and transport instructions from the Primary Care Community Based Clinics or assigned areas to the main facility laboratory.
  • Utilizes proper facility required patient identified methods and ensure patient confidentiality is maintained.
  • Access and complete specimen orders from the hospital computerized system, utilize centrifugation (id required), and prepare specimen prior to laboratory testing.
  • Effective communication skills prior to, during, and after specimen collection, ensuring to review pertinent information with the patient.
  • Maintains specimen integrity by using aseptic techniques, following department procedures, observing and adhering to personal protective equipment policies and guidelines.
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: Various schedules

Compressed/Flexible: Not Available

Telework: Not Available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: May be authorized

Permanent Change of Station (PCS): Not authorized

Financial Disclosure Report: Not required