The incumbent is assigned to the OQPI service and leads accreditation readiness processes for Boise VAMC Medical Center programs including The Joint Commission (TJC )(Hospital, Behavioral Health, and Home Care), Commission on the Accreditation of Rehabilitation Facilities (CARF), the Office of the Inspector General (OIG), and other internal and external reviews.Learn more about this agency
The duties are but not limited to:
- Performs duties that directly contribute to both the continual accreditation of BVAMC programs and the quality and safety of patient care they provide.
- Facilitates the development, implementation, and sustainment of proactive and corrective improvements in order to meet accreditation standards and other regulatory and Veterans Affairs (VA) and Veterans Health Administration (VHA) requirements.
- Facilitates, supports, and assures completion of ongoing assessments and quality monitoring actions by service/subject matter experts to evaluate compliance with regulatory and accreditation standards
- Maintains current documentation and data as required for continual readiness
- Completes survey-related administrative processes and applications
- Provides consultation and support to all levels of facility leadership, the OQPI Chief and others responsible for BVAMC accreditation activities, including accreditation related requirements, BVAMC policy initiation/revision, readiness preparation, intra-survey facilitation, and development, implementation, and monitoring of post-survey corrective action plans
- Ensures that senior leaders are fully informed about the accreditation program and engaged in final compliance decisions and approval processes for program related products and activities, as appropriate.
- Plans, facilitates, conducts and documents BVAMC tracers, walkabouts, and quality monitoring audits, as scheduled and as needed, focusing on continual survey readiness and evaluation of specific corrective action plans
- Evaluates patient medical records for compliance with inpatient and outpatient services' policies and accreditation requirements. Interviews staff and to assess and improve compliance with regulations and guidance. Initiates, conducts, evaluates, and documents risk assessments, reporting findings and recommendations to leadership. Participates in or facilitates process improvement teams as required. Participates on BVAMC committees as an accreditation and quality content expert.
- Educates staff about accreditation-related regulations, standards, and VA/VHA/VISN 20/BVAMC guidance and processes and OIG initiatives
- Provides consultation to ensure that BVAMC Medical Center Memoranda correctly and completely address accreditation-related requirements.
- Evaluates accreditation and quality monitoring data and recommends improvement actions, through informative reporting as required, to facility committees, boards, councils and leadership staff.
- Competently executes position responsibilities in a manner that demonstrates substantial and continuous leadership, responsibility, and accountability for oversight of population groups and integrated multidisciplinary programs, and support for safe, high quality patient care and organizational initiatives
- Utilizes critical thinking, clinical reasoning, and evaluation skills, integrated with accreditation and clinical knowledge, evidence based practice, best practice recommendations, and Pl strategies/processes to examine BVAMC programs, processes, and staffs' practice performance; and initiate plans to effectively develop, improve, and sustain patient care quality and safety.
- Builds effective, flexible, results-oriented teams to identify and solve problems and meet accreditation requirements.
- Advocates for, leads, and manages organizational change to improve patient care safety and quality
- Creates effective lines of communication and collegial, collaborative functional partnerships with senior leadership, internal and external customers, and accreditation stakeholders.Uses adult learning principles to educate staff about accreditation-related requirements and promote organizational continual readiness.
- Meets goals through efficient, effective utilization and management of organizational and personal resources.
Financial Disclosure Report: Not required
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
Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
- 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.
- 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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience.
Preference: 3-5 years experience in inpatient/outpatient nursing. Accreditation experience with Joint Commission (TJC), Office of Inspector General (OIG), Commission on the Accreditation of Rehabilitation Facilities(CARF) and other accrediting bodies. MSN or Masters Degree in related field.
The work is primarily sedentary, working on computers and phones for prolonged periods. Work includes walking to local meetings, lifting light items up to 5 pounds, standing, squatting, bending, sitting, changing positions frequently throughout the day, and carrying briefcases and luggage when in travel status. May be required to climb stairs, don personal protective equipment, and enter small rooms with obstructions such as equipment. Work is performed primarily in an office environment that is adequately lighted, heated, and ventilated. Occasional travel may be required.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
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
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.
To apply for this position, you must provide a complete Application Package which includes:
- VA Application 10-2850
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 are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.
- Cover Letter
- DD-214/ Statement of Service
- Disability Letter (Schedule A)
- Disability Letter (VA)
- VA Application 10-2850
- Other (2)
- Other (3)
- PCS Orders
- Performance Appraisal
- Separation Notice (RIF)
- SF-50/ Notification of Personnel Action
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
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.
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.
How to Apply
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 03/12/2020 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/10729054.
- To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
- Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). HCP are individuals who, during the influenza season, work in VHA locations where patients receive care or who come into contact with VA patients as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased facilities. HCP include all VA licensed and unlicensed, clinical and administrative, paid and unpaid, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, students, researchers, volunteers, and trainees who work at these facilities. HCPs that are unable to receive or otherwise decline a flu shot will be expected to wear a face mask throughout the influenza season.
Agency contact information
AddressBoise VA Medical Center
500 West Fort Street
Boise, ID 83702
OUR MISSION: To fulfill President Lincoln's promise - "To care for him who shall have borne the battle and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?
This position is located in Office of Quality and Performance Improvement (OQPI) Service, Boise VA Medical Center (BVAMC), Boise, ID.
Visit our careers page
Learn more about what it's like to work at Veterans Affairs, Veterans Health Administration, what the agency does, and about the types of careers this agency offers.
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
Fair & Transparent
The Federal hiring process is setup to be fair and transparent. Please read the following guidance.
Equal Employment Opportunity Policy
The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy And gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
Reasonable Accommodation Policy
Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application process should follow the instructions in the job opportunity announcement. For any part of the remaining hiring process, applicants should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.
Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when:
- An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
- An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
- An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.
You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.
Legal and regulatory guidance
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/560583700. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.