The Registered Nurse - System Redesign serves as part of the VA Salt Lake City Health Care (VASLCHCS) System Redesign and LEAN improvement team under the direction of the Chief of Quality Management. S/he is expected to lead transformational activities which improve quality, safety, effectiveness and efficiency throughout the organization. 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. Preferred Experience: Master's degree Performance improvement background 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 position involves considerable standing, walking, stooping, bending, reaching, lifting, and turning. It requires restraining confused patients, repositioning patients, assisting with transferring patients to Wheelchairs/stretchers/cars, and transporting them to other departments or facilities. Mechanical devices available and are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. 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. This position requires visual acuity, good hearing, distinctive speech and manual dexterity. The position requires the nurse to work for periods of time with arms above shoulder level with neck in a fully flexed or extended position and the ability to physically control or protect his/herself from physically abusive patients. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse will act as a project manager and consultant for large and complex healthcare and operational improvements. This position provides oversight for the implementation, spread, and sustainability of LEAN processes, techniques and activities across the Medical Center including inpatient and outpatient clinical services, business and administrative services, and management services. This position includes the broad requirements of an independently functioning point of contact with duties that include utilizing LEAN principles to improve flow processes and access throughout the organization and across all disciplines. These principles include modern and practical methods such as Lean Six Sigma™, Continuous Quality Improvement (CQI), Systems Redesign and other improvement strategies. The Registered Nurse plays a critical role in leading the effort to prioritize and manage improvement activities to meet or exceed performance expectations related to access, patient flow, and timely, efficient and cost effective processes throughout the healthcare system. To accomplish these tasks, the Nurse should have a broad-based knowledge of the overall Health Care System & Medical Center organization, mission, vision, function and values, and current healthcare delivery methods. In addition, the Nurse should be skilled in the project management process, quantitative and statistical methods, and should possess Skills for coaching and training LEAN principles and Systems Redesign Major Duties: Takes on a leadership role in organizing and conducting performance improvement efforts based on LEAN and systems engineering principles. Provides support to identify appropriate process measures and monitors for quality and performance improvement based on system engineering tools and principles. Identify systems design problems and then identify alternative systems and processes based on LEAN principles to reduce these types of errors. Conduct studies based on systems engineering principles to optimize quality, safety, effectiveness, and efficiency in healthcare systems. Provides support to medical centers involved in improving patient access and flow. Plan and conduct analytical studies of management functions to improve organizational structure and staffing level efficiency. Develop statistical, graphical and narrative reports and communicate these studies to executive leadership, medical center leadership, and other staff. Leads efforts in the use of information to improve quality, safety, effectiveness, and efficiency. Contributes to competency development to meet Joint Commission and other accreditation standards. Serves as subject matter expert on LEAN principles, strategic direction and general planning and on ways to raise performance and achieve results. Provides direction and guidance for staff participating in systems redesign, including setting performance standards, adding to position descriptions, and providing feedback on performance. Deal effectively with people from a wide variety of educational and socioeconomic backgrounds involving sensitive and controversial issues. Effective communication skills, both verbal and written. Other duties as assigned. Pay: Competitive salary, annual performance bonus, regular salary increases\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday; 7:30am to 4:00pm\nTelework: Eligible\nVirtual: This is not a virtual position.\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.