Registered Nurse Manager- Mental Health
What you'd do
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (1 to 5 years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
Major duties
Major Duties: Clinical Operations & Patient Safety - Ensures continuous monitoring and safety checks in accordance with suicidal and homicidal risk protocols, contraband prevention procedures, elopement policies, and mental health observation standards. - Oversees implementation of trauma-informed care, de-escalation strategies, and approved behavioral management interventions (e.g., CPI/PMDB-trained approaches). - Ensures staff competency in psychiatric emergency response, including Code Green/behavioral rapid response procedures, and safe application of seclusion/restraint in strict accordance with regulatory standards. - Monitors trends in behavioral incidents and leads corrective action plans to improve unit safety. Staff Supervision & Development - Directs psychiatric nursing staff in performing mental status assessments, behavior documentation, therapeutic communication, medication administration, and withdrawal monitoring. - Ensures staff maintain competency in suicide prevention, recovery model principles, substance use disorder protocols, and management of acute psychiatric symptoms. - Provides real-time coaching during high-acuity events (e.g., escalation, aggressive behaviors, rapid clinical deterioration). Interdisciplinary Collaboration - Actively participates in and coordinates daily treatment team rounds, reviewing each Veteran's psychiatric symptoms, progress, barriers to discharge, and recovery goals. - Partners closely with psychiatry providers on medication changes, behavioral plans, and crisis interventions. - Engages social work on discharge planning, safety planning, and coordination with outpatient MH programs such as PRRC, HUD-VASH, and SUD services. Quality & Compliance - Ensures adherence to Joint Commission Behavioral Health standards, VA mental health policies, seclusion/restraint regulations, and documentation requirements for high-risk patients. - Leads performance improvement projects specific to inpatient psychiatry such as falls in MH populations, seclusion/restraint reduction, suicide risk management, and aggression mitigation. - Facilitates Root Cause Analyses and safety huddles related to psychiatric care events. Environment of Care - Maintains a ligature-resistant environment; ensures staff reporting, maintenance follow-up, and environmental rounds are completed timely. - Collaborates with engineering and MH leadership on safety enhancements and compliance with ligature-risk mitigation plans. Veteran-Centered Mental Health Care - Ensures individualized therapeutic interventions, including psychoeducation, coping skills development, crisis stabilization, and recovery planning. - Promotes Veteran engagement in group therapies, treatment planning, and self-management activities. - Monitors patient experience feedback specific to mental health care (e.g., perceptions of safety, therapeutic engagement, staff responsiveness). 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 7:30 am - 4:00 pm, Subject to change based on facility needs. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact [email protected], the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized
What you need to qualify
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/13014255. 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. Preferred Experience: At least 2 years in mental health nursing or 5 years in an area that supports acute mental health crisis (e.g. Emergency Room, Urgent Care, and Primary Care). At least one year as a nurse manager or assistant nurse manager, or demonstrated leadership potential through portfolio (e.g. led systems redesign project or care committee chairperson). Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Physical aspects associated with work required of this assignment are typical for the occupation, see Duties section for essential job duties of the position. May require standing, lifting, carrying, sitting, stooping, bending, puling, and pushing. May be required to wear personal protective equipment and undergo annual TB screening or testing as conditions of employment.
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