The Quality Management Consultant (QMC) is a Registered Nurse that is responsible for the formulation of policies in conjunction with clinical services in influencing, prescribing general principles, planning, coordinating, and developing Performance Improvement Activities and courses of action in accordance with all established Statues and VA/VISN Medical Center policies. The incumbent reports to the Assistant Chief of Quality Management. 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 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: Detail orientated with data analytics, reporting data, expertise with TJC, LTC, CARF, OIG, and other regulatory standards and survey processes, ability to support any and all programs involved with accreditation. 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: Heavy lifting, 45 pounds and over, moderate carrying, 15-44 pounds, straight pulling (2 hours), pushing (1 hour), reaching above shoulder, use of fingers, both hands required, walking (8 hours), kneeling (1/4 hours), repeated bending (1 hour), both legs required, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, specific visual requirements (read medication labels), both eyes required, depth perception, ability to distinguish basic colors, ability to distinguish shades of colors, hearing (aid may be permitted), mental and emotional stability. Environmental Factors: Excessive humidity, excessive dampness or chilling, excessive noise (intermittent), radiant energy, electrical energy, slippery or uneven walking surfaces, unusual fatigue factors (working), working with hands in water, working closely with others, working alone, protracted, or irregular hours of work, irregular hours of work, and wearing aseptic mask. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. 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. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards ***This is an open continuous announcement until September 29, 2023. Qualified Applicants will be considered and referred as vacancies become available. All applicants may receive consideration for 3 months from the date of application. If you wish to be considered after that period, and the announcement is still open to receive applications, you must re-apply to indicate your continued interest.*** The Quality Management Consultant (QMC) is a Registered Nurse that is an expert on The Joint Commission (TJC) standards and survey processes, responsibilities include but are not limited to: Ensures staff in the services are apprised of current TJC standards; utilizes TJC perspectives to keep abreast of changes and clarifications of standards. Facilitates development and maintenance of policies and procedures are updated. Utilizes TJC Accreditation Manager Plus (AMP) and Joint Commission Resources (JCR) tools to assess readiness for survey. Collaborates with leadership to plan corrective actions to address weakness and to improve performance on surveys. Plans and coordinates preparation for all types of external reviews and maintenance of standards with various regulatory and accrediting bodies such as Environmental Protection Agency (EPA), Government Accountability Office (GAO), Long Term Care (LTC), Office of Inspector General (OIG), Occupational Safety and Health Administration (OSHA), TJC, etc. as needed. Reviews reports from external review bodies to identify important issues and maintains a compilation of recommendations and tracking to completion. Collaborates with the Performance Measures Coordinator and the External Peer Review Program (EPRP) reviewer to determine facility performance on national performance measures. Works with the EPRP Coordinator to identify opportunities for improvement and develop improvement plans with managers and leaders. Collaborates with the Program Manager for Risk Management and Medical Legal Affairs to identify trends in tort claims and peer reviews. Collaborates with the Patient Safety Manager regarding patient safety issues and implementation of corrective actions. Works with the Patient Safety Manager and Infection Control Nurses to plan corrective actions and measures sustained improvement. Stays abreast of current performance measures and metrics and understands, accreditation and regulatory standards, VHA Directives and local leadership defined initiatives. Provides collaborative leadership in the formulation of policies in conjunction with clinical services. Designs systems for collecting quality data and conducts the full spectrum of planning, coordinating, and developing Performance Improvement Activities and courses of action in accordance with all established Statues and VA/VISN Medical Center policies. Initiates and/or contributes to interdisciplinary projects with Infection Control, Patient Safety, Service Chiefs, Associate Nurse Executives and Nurse Managers, Program Managers, and other leaders to address improvement needs and promote continuous readiness activities throughout the health care system. Consistently visible and engaged throughout the organization. Works in concert with the planning and development of intra-cycle accreditation monitoring and associated activities developed with the Accreditation Coordinator. Consistently performs weekly rounds through assigned areas assessing the environment of care for accreditation standards compliance, observing, and assessing direct patient care activities for quality and safety, assessing continuous readiness in assigned units and clinic areas and engaging with front line staff on a routine basis. Performs various duties as needed to successfully fulfill the function of the position; safety, effectiveness, timeliness, efficiency, and quality; critical evaluation and mitigation of risk; and patterns of need and tailoring of interventions. 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, 0730-1600 Telework: Available as determined by the agency policy. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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