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The Services for Outpatient Addiction and Recovery (SOAR) RN case manager demonstrates leadership in delivering efficient, comprehensive, and continuous patient-driven holistic care through active collaboration, communication, and coordination of resources. The RN case manager works in partnership with the addiction psychiatry team and additional SOAR team members to manage care for a panel of patients with a primary diagnosis of substance use disorder (SUD). 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 Salary may be based on a recommendation from the local Nurses Professional Standards Board. 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: Bachelor of Science in Nursing, Outpatient Mental Health Case Management experience, Substance Use Disorder experience. 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, silting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. 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. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles. ["The registered nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being; and executing medical regimens including administering medications and treatments prescribed by a licensed or otherwise legally authorized provider. The nurse's primary commitment is to the patient, whether an individual, family, group, or community. (ANA Code of Ethics for Nurses). The registered nurse, as a licensed professional, will be responsible and accountable for his/her practice. Responsibilities include, but are not limited to: Demonstrates advanced clinical knowledge in assessing, planning, implementing, documenting, and evaluating care. Exhibits leadership in promoting proactive and evidence-based care by bringing up to date research. Coordinates the urine collection process per SOAR clinic guidelines. Administers long-acting injectable medications, including antipsychotics and opiate antagonists . Exhibits pharmacological knowledge of indications, actions, and effects of buprenorphine/naloxone formulations, methadone, naltrexone formulations, and naloxone. Monitors ongoing treatments for adherence, medication side effects, and clinical outcomes, including symptoms, therapeutic response, side effects, and provides and/or coordinates appropriate follow up. Provides education and demonstration of naloxone rescue kits . Administers screening tools, e.g., PHQ9, GAD, PCL, MOGA, Suicide Risk Assessment, Audit C, COWS Provides care coordination and case management for patients receiving care in community partner programs Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. Assists in determining appropriate scheduling based on patient's clinical need. Right person, right place, right time. Collaborates with ancillary team members and resources within the clinic to manage clinic access issues. Promotes patient, family, and team problem solving interactions by actively participating in interdisciplinary meetings to facilitate coordination. Retains current knowledge of multidisciplinary resources, programs, and services. Demonstrates ability to collaborate and coordinate with all levels of services and disciplines. Collaborates with patients to assess and identify needs, issues, care goals, and resources for achieving desired outcomes by effectively using Motivational Interviewing and TEACH techniques. Provides patient centered care while respecting patient's personal values, cultural, and belief system. Utilizes approved Protocols and Guidelines to facilitate autonomy in providing care. Works at the top of licensure. Accurately documents coordination and care provided in CPRS. Serves as a resource for patient and family rights, responsibilities, and decision-making. Actively participates in reviewing and updating policies, procedures, and standards. Maintains professional knowledge and skills based on current evidence-based practice. Maintains expertise in the nursing care of individuals with substance use disorders. Maintains effective working relationships with professionals and support personnel. Applies critical thinking and analytical skills to identify barriers for optimal patient care delivery. Utilizes processes improvement strategies to correct or improve current state. Utilizes creativity and innovation. Participates in interdisciplinary opportunities to improve patient care or clinical efficiency. Assists with education and acts as preceptor for others who provide nursing care. Provides coverage as needed for other nursing staff in Outpatient Mental Health and SOAR. 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: Variable 40 hour tours Telework: Available Virtual: This is not a virtual position. Financial Disclosure Report: Not required"]

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