The Mental Health Intensive Case Management (MHICM) provides intensive services to adult veterans of any ethnicity or gender, who have a diagnosis of a severe and persistent mental illness, such as schizophrenia, bipolar disorder, or severe PTSD, who have over 30 days of hospitalization in the past year, severe functional impairment, and inadequately served by conventional clinic-based outpatient treatment. 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. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, kneeling, bending, pulling, and pushing. Transferring patients and objects maybe required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or during patient procedures and care. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Use of fingers, both hands, and near and far vision is required. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The program is delivered by an integrated, interdisciplinary team with four core treatment elements including: 1) High intensity of care (frequent biweekly contacts or more and load caseloads), 2) Flexibility and community orientation interfacing with landlords, employers, and family members; 3) Focus on Rehabilitation through practical problem-solving, crisis resolution, adaptive skill building, and transition to self-care; and 4) Identification of a team as a \"fixed point of clinical responsibility.\" The Staff Nurse II in the MHICM provides comprehensive nursing care, case management, and home visits to veterans with severe and persistent mental illness. The Staff Nurse in MHICM provides intensive case management in the community. S/he monitors the veterans physical and mental health needs, interfaces with employers, landlords, and family members as well as other caregivers. The MHICM Nurse assures psychiatric medication compliance, provides Mediset dispensed medication, and administers long-acting antipsychotic medications. The MHICM Nurse must possess knowledge of psychiatric and substance abuse disorders, treatment options, psychiatric medications including monitoring for side effects, abnormal movements, and metabolic syndrome. Extensive knowledge of community resources is also essential. In addition, he/she must recognize signs of intoxication and withdrawal, assess suicidal ideation, provide crisis interventions, and connect individuals with urgent care or primary practitioner when necessary. The MHICM Staff Nurse demonstrates (a) leadership at the unit level, including functioning as Charge Nurse and the ability to delegate appropriately; (b)attention to age-specific components when planning and providing care; (c) the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction; (d) consideration of all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences; (e) administration of medications and procedures per established policies and guidelines; (f) collaborating with members of the interdisciplinary team to positively affect patient outcomes; (g) knowledge and active participation in unit/program level quality improvement processes and initiatives and customer service programs; (h) poise and effective communication with people of varied educational levels and diverse ethnic backgrounds; (i) the ability to work as an integral part of a team and the ability to work effectively in stressful situations; (j) prioritizing care for the veteran while in the work setting and the ability to shift priorities based on patient and/or unit needs; (k) customer service principles in all aspects of work. 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 Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required"]

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