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Registered Nurse-Utilization Review

Company: Veterans Affairs, Veterans Health Administration
Location: Reno
Posted on: June 4, 2020

Job Description:

The VA Sierra Nevada Health Care System (VASNHCS) Utilization Review RN is a professional nurse who provides leadership and assumes responsibility for conducting the administrative and scientific review of inpatient utilization activities including, but not limited to, preadmission assessment, concurrent and retrospective care review, medical record screening, documentation of admission and continued stay necessity. This review includes all inpatient diagnoses and areas of care.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.

**If you are a foreign graduate, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. Please use the following credits evaluation websites: CGFNS, http://www.cgfns.org/ or the International Consultants of Delaware (ICD) for the US Department of Veterans Affairs, RN Credentials Evaluation, http://www.icdeval.com/evaluations/va-r/ to receive a Certificate of Foreign Equivalency.Major duties are include but are not limited to:


  • Applies the nursing process to systems or processes at the unit/team/work group level to improve care.
  • Identifies and assesses resource utilization and safety issues, taking appropriate action.
  • Evaluates practice of self and others using professional standards, relevant statutes, and regulations.
  • Demonstrates leadership by involving others in improving care. Provides leadership in identifying and addressing ethical issues that impact clients and staff, including initiating and participating in ethics consultations.
  • Collaborates with others in research activities to improve care.
  • Maintains knowledge of current techniques, trends, and professional issues.
  • Uses the group process to identify, analyze, and resolve care problems.


    Work Schedule: Full-time, 40 hours per week. May include evenings and weekends.

    Financial Disclosure Report: Not required

    Recruitment/Relocation Incentive: Not authorized

    This position is not covered under the bargaining unit.To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 06/04/2020.

    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.
    • 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.


      Preferred Experience: Inpatient nursing experience preferred

      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 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.


        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: The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, and able to shift priorities based on patient flow needs. Shifts are rotating/multiple and the incumbent may either work closely with individuals or work alone. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. The incumbent will potentially have long periods of continued walking, standing (4-8 hours), stooping, sitting and use standard office equipment. Transferring patients and/or objects may be required.

Keywords: Veterans Affairs, Veterans Health Administration, Reno , Registered Nurse-Utilization Review, Healthcare , Reno, Nevada

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