Registered Nurse (Quality Manager - Greenville)

The Greenville VA Clinic is seeking (2) highly skilled/experienced Registered Nurses to serve within Quality & Patient Safety. Demonstrates leadership, experience/ingenious approaches to management of complex patient care. Accountable for the management of patient care, human, fiscal/material resources, & the total environment of the unit. Responsible to ensure that the highest possible quality of care is achieved & a safe therapeutic environment. The Clinical Consultant for Quality at Greenville HCC is directly responsible to the Chief, Quality and Patient Safety. The Clinical Consultant for Quality promotes a culture of quality and safety within the facility. Evaluates the impact of QPS programs on the overall safety of services provided to and for Veterans Affairs patients in all health care settings, including the medical center in Durham and the outpatient facilities in Durham, Raleigh, Greenville, Morehead City, NC, occasionally serving, Cherry Point and Havelock Clinics. The Clinical Consultant for Quality makes judgments and decisions that reflect the distinct and fundamental role of nursing in the quality and safety of patient care. The incumbent regularly applies and adapts guidelines to resolve Medical Center issues. Duties include, but not limited to: Uses clinical knowledge and judgment to improve the quality of care at Durham VA Medical Center. Integrates and maintains a comprehensive Performance Improvement Program to improve the safety of patients, visitors, and staff. Key members of the survey readiness and process improvement team within the Quality and Patient Safety Service (QPS). Manages core Quality Management programs such as Survey Readiness and External Peer Review Program. Works closely and collaboratively with other staff within and outside QPS service. Identifies organizational vulnerabilities and opportunities to improve. Utilizes quality improvement and management science practices and tools (Six Sigma, Lean, and others) to guide and monitor the effectiveness of improvement work. Uses data to identify and measure performance and opportunities to improve, establish accountability, and monitor progress. Leads programs, teams, and committees and is instrumental in driving improvement and change. Demonstrates professionalism and accountability in all aspects of his/her functioning. Performs a variety of duties requiring in-depth knowledge of JCAHO and OIG CHIP survey programs. Serves as a consultant and resource for conducting rounds with the Clean Sweep tools, auditing clinical areas for readiness indicators such as infection control practices, proper documentation, medication storage, and environment of care standards, and any concerns identified are promptly resolved. Ensure proper documentation and data entry of clean sweep checklists into the AMP Software. Continuous responsibility of the changes in the accreditation process, i.e. JCAHO and OIG CAP. He/ She keeps abreast of such publications to ensure Medical Center compliance. Leads, directs, and assists medical center staff in understanding performance measures requirements. Develops action plans and facilitates processes that lead to successful performance and develops practices to improve outcomes. Identifies and analyzes performance data to identify adverse trends or conditions and develops corrective action plans. Proactively identifies and communicates any significant performance measure concerns that could have a potential negative impact on the health care system. Collects, organizes and regularly communicates performance measure information such as EQM and HEDIS to appropriate individuals across sites. Coordinates External Peer Review Program staff visits, ensures that clinical information is available to the reviewer. Ensures that all External Peer Review Program (EPRP) information is captured correctly, validated and correctly reported on exit reports. Maintains program requirements/validation criteria for performance measurement program. Manages, maintains, and ensures the security of sensitive and confidential information such as provide specific information that reflects clinical practice patterns. Provides clinical support to Ambulatory Care Service at Greenville HCC as needed. Preferred Experience: Minimum of 5 years successful Nursing practice with a minimum of 2 years working as a Quality Management Consultant or affiliated job. 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 • Friday, 7:30am • 4:00pm Compressed/Flexible: Not available Telework: Ad-Hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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/13098154. 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 Level of Education: BSN with a masters in nursing or a Health-Related field PhD in Nursing Preferred Certifications: Certified Professional in Healthcare Quality (CPHQ), Lean Six Sigma Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: See VA Directive and Handbook 5019. This position requires potentially long periods of continued walking, standing, sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands, both legs & repeated bending. Heavy lifting (45 lbs. & over) Heavy Carrying (45 lbs. & over) Straight Pulling (up to 4 hours) Pushing (up to 4 hours) Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours) Standing (up to 8 hours); Repeated bending (up to 8 hours) Both legs required; Ability for rapid mental & muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision 20/40 in one eye; Ability to distinguish basic colors & shades of colors; Hearing (aid permitted). The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders; Emotional & Mental Stability: 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/testing, as a condition 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. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation/examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.