The VA Roseburg Healthcare System includes a full service hospital in Roseburg, OR, with acute in-patient care for medical, surgical, and psychiatric patients, Community Living Centers for rehabilitation, skilled nursing, long term, hospice/palliative, and Alzheimers care, mental health residential treatment for substance abuse and post-traumatic stress disorder, and ambulatory care for specialty and primary care. The Healthcare System includes three Oregon Community Based Outpatient Clinics (CBOC), in Eugene, North Bend, and Brookings, and a satellite clinic in Crescent City, California.
DUTIES: The incumbent assigned to Ambulatory Care Nursing and Patient Care Service. The section, care line, or department description and patient population served is as defined in applicable Scope of Service. The Home Based Primary Care (HBPC) Manager is responsible for designated first-line supervisory authority, responsibility, and accountability for the operations of his/her units, ensuring that subordinate personnel provide timely care that complies with generally accepted standards of clinical practice.
This includes the authority to accept, amend, or reject the work of subordinates. The manager has continuing responsibility for all the following functions:
1. Functioning as a licensed independent provider and overseeing care provided to patients in assigned program areas. May carry a small panel and provide back-up to program NP.
2. Planning work to be accomplished by subordinates, setting priorities and preparing schedules for completion of work;
3. Assigning work to subordinates based on priorities, selective consideration of the difficulty and the requirements of the assignments, and the capabilities of subordinates;
4. Evaluating the performance of subordinates;
5. Making recommendations for appointments, advancements or reassignments of subordinates;
6. Giving advice, counsel, or instruction to subordinate personnel on work and administrative matters;
7. Hearing and resolving complaints of subordinates and referring more serious complaints not resolved to higher level supervisors;
8. Recommending and/or taking disciplinary action where appropriate; and
9. Identifying developmental and training needs of subordinates and providing or making provision for such development and training (VA Handbook 5007, Part III, Chapter 8).
Additionally responsible for performance improvement, customer service/patient satisfaction, patient and employee safety, interviewing applicants, employee relations, standards of care and practice, the work environment, and accreditation and regulatory standards. Actively develops and manages collaborative partnerships with physicians and other clinicians. Responsible for staffing the service on a continual basis (primarily day tour with possible extended hours), providing multidisciplinary care, and working with other Managers to identify and share resources. Responsible for time scheduling of the program, coaches staff, deals with employee conduct and performance issues, completes recurring reports and performance evaluations in a timely manner. Participates on service and medical center committees and task forces to improve nursing practice and patient care. Identifies educational needs of staff and ensures that these needs are addressed.
Has an integral role in supporting and facilitating student nurse clinical experiences, and orienting new clinical Managers. Works in partnership with the union and adheres to EEO principles. The HBPC Manager is responsible for the day-to-day operation of the HBPC program. This includes planning, directing, budgeting, monitoring, and evaluating the program. The HBPC Manager directs the clinical services offered by the program so as to ensure that the program is in compliance with the The Joint Commission (TJC) Standards for the Accreditation of Home Care and VA Medical Center and Central Office policy. The Program Director is responsible for the development and continued effective functioning of the interdisciplinary health care team. The Program Director serves as the immediate supervisor for the HBPC program personnel (NP, RNs, Dietitian, Clinical Psychologist, Clinical Pharmacist, Social Worker, Physical Therapist, and Program Support Assistant).
The incumbent must demonstrate managerial practices that include effective Labor-Management Partnership and leadership skills. The provision of administrative direction and team leadership includes:
1. Interpreting national HBPC and local VA policy to the HBPC team and the Medical Center.
2. Assisting the team in developing local HBPC policies and procedures and coordinating the HBPC performance improvement, utilization review, and risk management programs.
3. Evaluating the effectiveness of the HBPC program.
4. Selecting qualified personnel to fill HBPC clinical and program support vacancies.
5. Coordinating the orientation and ongoing HBPC staff and student educational programs.
6. Monitoring and controlling program operation expenditures and monitoring and reporting HBPC workload.
In addition, the HBPC Manager is accountable and responsible for possessing the knowledge and skill to:
1. Communicate and interact appropriately with all internal and external customers.
2. Maintain confidentiality of electronic, written, and/or verbal patient/employee information.
3. Demonstrate working practices that include adherence to Infection Control standards and the safe use and operation of equipment. Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age-specific components. Assumes responsibility for 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.
Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. The Supervisor develops, implements, and maintains a systematic process for unit-specific/departmental competency review and continually evaluates the currency and applicability of the reusable medical equipment (RME) process within service area. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Implements elements of the Patient Aligned Care Team (PACT) model and progressive models of care to include virtual modes of care (Secure Messaging and Telehealth).
Incumbent duty located will be in the Eugene area and will be required to do daily home visit that will require a fair amount of travel to veterans home. A reliable means of transportation will be needed to complete these site visits.
Duty Schedule: 8:00 am - 4:30 pm (Monday - Friday). Some traveling will be necessary.
Incentive: Relocation & Recruitment incentive may be authorized.