Summary

The Quality Management (QM) Consultant-Regulatory Compliance Registered Nurse (RN) demonstrates leadership - experience - and creative approaches to improvement in quality of-care outcomes. The QM Consultant-Regulatory Compliance demonstrates performance and leadership that is broad enough to improve the care for a group of patients. The QM Consultant-Regulatory Compliance is responsible for the documented outcomes at the program or service level.

Qualifications

Basic Requirements:

• 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 and spoken English
• Graduate of a school of professional nursing approved by the appropriate 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)
• 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 and later converted to a permanent appointment upon successful completion and 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 - and 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 - 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
• 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 and 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 two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and 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 and licensure/certification
• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12839008
• 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 and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of 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 and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of 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 and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Required: Must posses or be able to obtain a current valid driver's for rounding in a government vehicle Preferred Experience: Prior regulatory compliance experience
• Prior performance improvement experience
• Physical Requirements: The incumbent must be able to perform all activities of the position without restriction
• This position involves considerable standing - walking - stooping - bending - reaching - lifting and turning
• It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers
• Mechanical devices when available are required to be used for heavy or difficult to lift patients
• The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs
• The position requires visual and auditory acuity at a level to provide safe and effective nursing care
• The positions requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients.

Duties

• Start - continue - or finish your career here | VA Eastern Colorado Health Care System(youtube.com) Major Duties: Functions as a clinical expert and executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex patient care
• Assesses - plans - implements - and evaluates delivery of care based on age specific components
• Demonstrates performance and leadership that is broad enough to improve the care for a group of patients
• Demonstrates sound decision-making and judgment and possess excellent interpersonal skills
• Self-directs and influences care outcomes by collaborating with members of the interdisciplinary team and leading innovative process improvement initiatives
• Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex client care
• Serves as a coordinator and point of contact for policy management and external accreditation/review procedures and activities
• Accrediting bodies and review groups include but are not limited to the Joint Commission (TJC) - Office of Inspector General (OIG) - VISN 19 Inspection Teams - Commission on Accreditation of Rehabilitation Facilities (CARF) - and Ascellon
• Responsible for the documented outcomes at the program or service level
• Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility
• Responsible for their assigned quality management program area activities for the Medical Center and all off-site locations
• Collects data - monitors staff compliance with relevant policies - directives - and standards - provides reports detailing trends - and provides direct staff support to all services in planning - designing - integrating - implementing - modifying - and administering - a comprehensive quality management program area
• Participates in several facility councils - committees - and workgroups
• Executes the position responsibilities that demonstrate effective leadership - detailed planning - professional communication - creative and innovative approaches to the improvement of safety/healthcare program development and possess an ability to organize priorities
• Works in concert with leaders and others to sustain a culture of safety - modeling High Reliability Organization (HRO) practices
• Performs duties directly contributing to high quality and safe patient care within the Veterans Health Administration (VHA)
• Duties require the ability to apply specialized principles and practices to ensure a systems approach to healthcare delivery
• Supports facility leadership in areas of planning - organization - development - direction - and evaluation of the quality program within the facility
• Serves on organizational governance structure groups as a confidential consultant to ensure processes support the internal security of the organization
• Collects data - monitors staff compliance with relevant policies - directives - and standards - provides reports detailing trends - and provides direct staff support to all services in planning - designing - integrating - implementing - modifying - and administering - a comprehensive quality management program area
• 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 7:30am-4:00 [m Telework: This position is authorized for telework-situational (ad-hoc) AND has not been authorized as remote
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized