The Durham VA Healthcare System is seeking (1) highly skilled/experienced Registered Nurses to serve for the Behavioral Health Interdisciplinary Program (BHIP) in Greenville. 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 the highest possible quality of care is achieved & a safe therapeutic environment.
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. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written & spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency & 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 & later converted to a permanent appointment upon successful completion & 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, & 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, & 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 & 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 2 years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series & 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 & licensure/certification. Preferred Experience: Minimum of (5) years successful Mental Health Nursing practice prior case management experience. Demonstrated ability to work effectively with patients, families and other members of the interdisciplinary team in an outpatient setting & skills in decision-making, sound clinical judgment and critical-thinking abilities. Ability to use computer systems in support of patient care deliver Grade Determinations: The following Scope, Education & Dimension criteria must be met in determining the grade assignment of candidates, & if appropriate, the level within a grade. The Dimension requirements are detailed for each grade & level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12747526 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 & technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing & 1 year 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 & deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing & 2 years professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN & 1 year professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) & no additional professional nursing experience; OR a Master's degree in a *related field with a BSN & no additional professional nursing experience. Nurse II Demonstrates leadership in delivering & improving holistic care through collaborative strategies with others. A BSN with 2 years professional nursing equivalent to Nurse I, Level 3; OR an MSN with 1 year specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN & 1 year 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 & creative approaches to management of complex client care beyond the immediate practice setting. MSN & 2 years specialized nursing experience, one of which is equivalent to Nurse II & meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN & 2 years specialized nursing experience, one of which is equivalent to Nurse II & meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with & 1 year specialized nursing experience equivalent to Nurse II & meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN & 1 year specialized nursing experience equivalent to Nurse II & meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Preferred Level of Education: BSN Preferred Certification(s): ANCC for Mental Health Certification Full performance level of this vacancy is Nurse III. The actual grade an applicant may be selected to is Nurse I - Nurse III. Reference: VA Regulations, VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: See VA Directive and Handbook 5019. This position requires potentially long periods continued walking, standing, sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands & 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 condition of employment.
The Registered Nurse for the Behavioral Health Interdisciplinary Program (BHIP) in the Greenville Outpatient Mental Health Clinics will work with the Mental Health Team and collaborate with licensed independent providers (LIPs) to assure high quality care to the Veteran with psychiatric diagnoses/mental health needs. The BHIP Nurse works closely within an interdisciplinary team framework to help foster independent living through appropriate management of the client's mental illness by providing assessments, planning, interventions and evaluation of treatment. Mental health treatment provided is documented within prescribed guidelines in CPRS. Duties include but are not limited to: Assist Veterans in the following ways: Provide Veterans and their family members with education regarding their illness, medications and treatment plan. Provide outreach to clients who are having problems with treatment adherence and who may be relapsing. Coordinate with other agencies and make referrals to provide patients with necessary community services. Refer to, consult with and coordinate care with other VA health care providers. Assess patients and provide additional support between visits with LIPs. Facilitate psycho-educational and support groups. Act as liaison to Inpatient Psychiatric Unit to facilitate continuity of care. Provide coverage as needed for other staff in the Outpatient Mental Health Clinic. BHIP Program responsibilities: Serves as the primary contact for Veterans. Assists in scheduling, re-scheduling appointments, and appointment cancellations. Works closely with Program Support Assistant with appointments & scheduling. Performs suicide risk assessments and/or mental status exams & Provides crisis assessment/intervention. Provides follow-up care, medication evaluation assessment, and administration of medications as needed. Enters order for medication refills, laboratory, and consults per policy. Provides case management for high risk Veterans & engages in end-of-life care for Veterans with serious mental illnesses. Ensures BHIP team and PCMM are assigned correctly. Assists in treatment planning, care coordination, and daily team meetings. Reviews and completes Clinical Reminders per policy. Monitors Performance Measures, wait times, incomplete encounters, and outcome measures for BHIP team. Follow-up phone calls, secure messaging. Facilitates appointments with Primary Care Provider for medical evaluation. Takes vital signs, completes medication reconciliation, documents care and treatment planning in CPRS. 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; 8-hour tour between 7:30am -5pm, no weekends Telework: No Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required