The RN, Risk Manager provides direct staff support to front line staff, Service Chiefs and others in the development, implementation and coordination of a Risk Management Program. The incumbent is clinically and administratively responsible to the Assistant Director of Quality and Safety. 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: BLS Provider Card 3-5 years of Registered Nurse experience in a complex hospital setting. Independent leadership role (formal or informal) in a complex hospital setting. Experience utilizing systems redesign principles to improve healthcare systems. Experience with statistical methods, data analysis, and project management. 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 heavy lifting, 45 pounds heavy carrying, 45 pounds straight pulling (2 hours); reaching above shoulder; use of fingers; both hands required; walking & standing 8 hours - intermittently; repeated bending; both legs required; ability for rapid mental& muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). Transferring patients and objects may be required. 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. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. ["This is an open and continuous announcement. The first group of names will be cut off for review on January 27,2023. After the initial review names will be reviewed every two weeks until the closing date or until position is filled. Work Schedule: Monday to Friday 8:00am to 4:30pm to meet the patient and program needs Telework: May be Available Virtual: No Relocation/Recruitment Incentives: May be Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required The major duties and responsibilities include, but are not limited to: Assists Quality and Safety Unit in forecasting requirements necessary to improve effective Performance Improvement Program functions, which include the management of risk. Develops, implements, and maintains a Risk Management program that evaluates and mitigates the medical center's risk. Works with the medical center's Office of QSV to promote quality in clinical practice in the development of guidelines, criteria, and models for the management of risk. Analyzes data and reports to identify the need for change, minimize risk, and ensure effectiveness of clinical improvements. Assists Office of Quality and Safety and key leaders as required, in policy review, formulation and communication, implementation, and evaluation, and in setting of organizational priorities related to Risk Management. Monitors the overall Risk Management Program for compliance with policy, patterns and/or trends. Monitors the follow-up of recommendations specific to risk resulting from the Joint Commission and other accreditation and external review visits. Ensures that findings of risk activities, including an annual assessment of the effectiveness of the program, are used to modify and improve the program and facilitate the accomplishment of QSV goals and objectives. Assists in medical center activities and preparation for the Joint Commission and other accreditation and external reviews. Develops baseline references and profiles and identified statistical deviations or variances which might affect risk management efforts and/or might merit additional study. Researches, interprets, identifies, develops and presents educational programs for health care professionals and support services regarding risk management. Maintains current membership and establishes effective collegial relationships with other professional organizations and the larger health care community on a local, state, and national level. Acquires and maintains current knowledge relevant to the principles, practices and techniques associated with nursing and other clinical professions through literature and periodical review, workshop attendance, and/or the use of sound bench marking practices Serves as consultant on clinical issues and/or performance improvement initiatives pertaining to risk management. Plans, organizes, and directs risk management activities; coordinates and serves as technical support for tort claims and administrative investigation boards. Screens and analyzes medical records against quality, safety and service measures that comply with state, federal and regulatory quality initiatives, using professional critical thinking skills and knowledge of clinical care guidelines and experience to determine if there is cause to send to a physician reviewer based on the clinical indicators. Cross train and provide coverage in the absence of Peer Review Coordinator. Assists designated peer reviewer in case review performance and documentation including providing education regarding the peer review process. Completes/contributes quarterly reports for organization, VISN, and VHA related to interdisciplinary Peer Review Activities at VAPAHCS. Assists Office of Quality and Safety and key leaders as required, in policy review, formulation and communication, implementation, and evaluation, and in setting of organizational priorities. Assists in medical center activities and preparation for the Joint Commission and other accreditation and external reviews. Coordinates Interdisciplinary Peer Review Committee activities. This includes examining cases that meet occurrence screens or other triggers for peer review, preparing summary document for peer review and tracking review through the process, coordinating meetings, agendas, and minutes. Creates peer review summaries that are relevant, accurate, focused, and written for intended audience. Makes clinical judgments and draws conclusions from chart review to identify patient care issues/trends that require intervention to improve patient care and/or obviate risk situations."]

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