Quality Management. The RN Accreditation Specialist is responsible for the oversight, coordination, implementation, and evaluation of all facets of an effective accreditation readiness program across all William Jennings Bryan Dorn (Dorn) VA Medical Center (VAMC) programs. The Accreditation Specialist is organizationally responsible to the Chief, Quality Management. Please read announcement carefully. Failure to submit required documents and/or information may result in an ineligible rating. 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 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. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years 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: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. This position requires visual acuity (glasses permitted), keen hearing (hearing aid permitted), clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, lifting, carrying, 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, or home settings. Use of rapid mental and muscular coordination simultaneously. 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. ["The RN Accreditation Specialist leads all accreditation readiness processes for Dorn VAMC programs including Joint Commission (Hospital, Long Term Care, Behavioral Health, and Home Care), Commission on the Accreditation of Rehabilitation Facilities, the Office of the Inspector General, and other internal and external reviews. The Accreditation Specialist performs duties that directly contribute to both the continual accreditation of Dorn VAMC programs and the quality and safety of patient care they provide. The RN must have an attitude focused on building of continuous readiness that supports a culture of safety within the facility and is the foundation upon safe operations and high reliability are based. Duties include, but are not limited to: Facilitates the development, implementation, and sustainment of proactive and corrective improvements in order to meet accreditation standards and other regulatory and Veterans Affairs (VA) and Veterans Health Administration (VHA) requirements. Facilitates, supports, and assures completion of ongoing assessments and quality monitoring actions by service/subject matter experts to evaluate compliance with regulatory and accreditation standards. The incumbent maintains current documentation and data as required for continual readiness; completes survey-related administrative processes and applications; and provides consultation and support to all levels of facility leadership, the Quality Management Chief, and others responsible for Dorn accreditation activities, including all accreditation related requirements, DORN VAMC policy initiation/revision, readiness preparation, intra-survey facilitation, and development, implementation and monitoring of post-survey corrective action plans. Ensures senior leaders are fully informed about the accreditation program and engaged in final compliance decisions and approval processes for program related products and activities, as appropriate. Plans, facilitates, conducts and documents tracers, walkabouts, and quality monitoring audits, as scheduled and as needed, focusing on continual survey readiness and evaluation of specific corrective action plans; reports findings to process owners and tracks corrective action plans; and evaluates patient medical records for compliance with inpatient and outpatient services' policies and accreditation requirements. Participates on DORN VAMC committees as an accreditation and quality content expert; educates staff about accreditation-related regulations, standards, and VA/VHA/VISN/DORN VAMC guidance and processes and OIG initiatives; and provides consultation to ensure that DORN Medical Center Memoranda correctly and complete address all accreditation-related requirements. Evaluates accreditation and quality monitoring data and recommends improvements actions, through informative reporting as required, to facility committees, boards, councils and leadership staff. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care through collaborative strategies with others. Responsible for documented outcomes at the program and service level. Program or service level must be broad and complex and can be demonstrated at any organizational level within a facility, VISN, or VACO. May perform additional duties as assigned. This is a non-bargaining unit position. Work Schedule: 8 a.m. - 4:30 p.m., Monday through Friday (Subject to change based on agency needs).\nTelework: Not Authorized\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.