Full Job Description
The San Francisco VA Liver Clinic provides comprehensive and compassionate care to veterans with Advanced Liver Disease (ALD). Our multi-disciplinary ALD clinic coordinates care for our complex patients with other services such as Palliative Care, Radiology, Psychology and GI-Procedures. Case management, by phone and in-person, provides additional support and care coordination throughout the SFVAHCS catchment area.
Duties of this role include, but are not limited to:
Provides professional leadership regarding nursing standards and services
Identifies and participates with Quality Improvement projects
Conducts and documents nursing assessments of patients as related to her/his specialty
Determines nursing diagnoses based on analysis of assessment data
Provides direct and indirect patient care to our patients/significant other
Assess patient's/significant other educational needs
Provides appropriate patient teaching based on assessment to promote health
Assess patients' ability to comply with the prescribed medical regimen
Administers medications and treatments as ordered
May be responsible for nurse only clinics
Identifies current level of knowledge and skill of patient/significant other(s) in management of health care.
Documents on approved VA forms/computer programs.
Plans interventions which promote health.
Develops teaching plans based on assessment of individual needs.
Plans alternative interventions for patients with unique needs.
Initiates patient care conferences with nursing staff.
Role models the nurse as a professional who maintains a high standard of practice in giving direct care to patients with complex needs.
Assists staff as needed in providing care for identified patients and families.
Provides individualized instruction or directs nursing staff in teaching specific content/skill to patients/significant others.
Prepares professional clinical documentation of patient care and, in conjunction with the Nurse Manager, holds nursing staff accountable for same.
Evaluates services rendered and the patient's response to the plan of care.
Mutually, with professional colleagues, monitors the patient response and makes needed revisions.
Participates with interdisciplinary team and families in exploring and resolving as much as possible the ethical dilemmas that arise in the care of individuals with the complex problems associated with age.
Serves as a consultant throughout the Medical Center for clinical care problems related to the needs of medicine/surgical patients.
The nurse is expected to take responsibility for attending in-services and continuing education activities and continued progression in knowledge and skills in medicine/surgical care nursing practice.
Liver Clinic Consult Management (Receive, Comment, and Schedule as appropriate
Weekly review Liver Consult Services Grouper
Manage SCAN ECHO Liver and Liver-Pharmacy Consults and SCAN ECHO Clinic
Ongoing review of and outreach to all scheduled Liver Clinic patients prior to appointment to facilitate lab and rescheduling needs
Imaging appointment coordination for scheduling for all Liver Clinic patients
Scheduling Liver VTEL Clinics (CBOC scheduler communications, grid editing, RTC orders, calls and letters to patients)
Post-Clinic follow-up and scheduling
Follow up Community Care Consult results
HCV Clinical Case Registry Review
Responding to patient and staff questions and requests per telephone, Skype and Secure Messaging with the addition of a 1.0 FTE Liver Clinic RN, the 1.0 FTE Liver Clinic CNS would be able to
Screen ALD Dashboard
Confirm cirrhosis diagnosis for veterans who are on the ALD Dashboard
Update Problem List in CPRS
Direct outreach to veterans with ALD who are not current with ALD HCM
Liver Health Factor Notes
Screen HCV Dashboard
Confirm chronic HCV diagnosis
Outreach to veterans to engage in HCV treatment
Scheduling and staffing paracentesis and liver biopsy procedures
Create CNS performed paracentesis Clinic
Collaborative HCV treatment tracking and management
Liver transplant tracking and management (off load NP)
Responding to patient and staff questions and requests per telephone, Skype and Secure Messaging
Improve care of veterans with ALD through research, needs assessment and education of patients and staff
QI/Systems improvement projects
Collaboration and care coordination with Palliative and Hospice Care
SFVAHCS representation and participation in VISN and national level liver groups
Guiding patients through Mission Act/Community Care process
Create Liver CNS face to face clinic, care of ALD
Fibroscan veterans with ALD
Work Schedule: Monday through Friday, 0800 - 1630, with extended hours as necessary to cover patient needs. No weekends or holidays.
Job family (Series)
Conditions of Employment
You must be a U.S. Citizen to apply for this job
Designated and/or random drug testing required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
Selected applicants will be required to complete an online onboarding process
Must pass pre-employment physical examination
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.
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
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.
Fluent in reading, writing and speaking English
Minimum of 1 year of experience as a Registered Nurse in an acute care setting
Experience working in ambulatory care
Case management experience/certification
Working knowledge of transplant procedures and patient follow up
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 physical requirements of this position include lifting, prolonged standing, frequent bending and stooping, walking, reaching, and repetitive motion. Heavy Lifting (45 lbs and over); Heavy Carrying (45 lbs and over); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 3 hours); Standing (up to 3 hours); Repeated bending (up to 1 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted). The mental/sensory requirements include recall, reasoning, problem-solving, hearing, speaking clearly, writing, keyboarding, reading, and logical thinking. The environment's pace can vary from steady to a sometimes fast pace requiring handling of multiple priorities, frequent, sometimes intense customer interactions, and the ability to adapt to frequent changes in a sometimes noisy environment. There may be the need to use personal protective equipment to prevent exposure to disease, illness and hazardous materials.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.
This job opportunity announcement may be used to fill additional vacancies.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
If you are unable to apply online view the following link for information regarding an Alternate Application.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: Candidate's education and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.
Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Background checks and security clearance
Drug test required
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
To apply for this position, you must provide a complete Application Package which includes:
Resume' with a list of professional references
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search.
The following documents may be accepted if applicable to your eligibility and/or qualifications for this position.
DD-214/ Statement of Service
Disability Letter (Schedule A)
Disability Letter (VA)
Proof of Enrollment
Proof of Marriage Status
Separation Notice (RIF)
A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.
This job is open to
U.S. citizens, nationals or those who owe allegiance to the U.S.