A Community Living Center (CLC) is a home-like environment designed to meet the needs of Veterans. It is a place where Veterans can receive nursing home level of care, which includes help with activities of daily living and skilled nursing and medical care. We provide long-term care to help Veterans and their families when dealing with a disability, chronic illness, terminal illness, or serious health issues related to aging. 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. 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. 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, sitting, kneeling, 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 during patient procedures and care. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Use of fingers, both hands, and near and far vision is required. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards The incumbent is assigned to the Office of Patient Care Service. The section, care line, or department description and patient/resident population served is as defined in applicable Scope of Service. The Community Living Center (CLC), in Marion, Indiana, services Veterans requiring long term care, dementia care, palliative care, hospice care, rehabilitation, skilled nursing, respite, and geriatric evaluation and management. The comprehensive care provided to Veterans encompasses those who have: Dementia and whose disease has progressed to the stage where they lack the cognitive ability to make relevant decisions, who are at risk of harm to self or others, who is a high fall risk, and who are at risk for wandering. These Veterans require close monitoring and/or specialized care not available on other care units such as behavior modification, redirection, distraction, reframing, and cueing in an environment that does not offer easy egress. Long term care provided includes supportive nursing care and other ancillary services designed to maintain well-being and manage changes in Veteran's status as disease processes progress and aging occurs. Hospice care provides care and support for Veterans with terminal illness (life expectancy of < 6 months) and their families. Palliative care provides care to Veterans who may have a variety of diagnoses such as cancer, end-stage chronic obstructive pulmonary disease, congestive heart failure, liver failure, etc. Interventions can include administration of oral chemotherapy medication and monitoring the impact of daily radiation therapy. Rehabilitation provides care for Veterans with rehabilitative potential post-surgical procedures or medical deficits that need skilled nursing care and/or ancillary services. Skilled nursing provides Veteran's needs of care or treatment that can only be done by licensed nurses. Examples of skilled nursing needs include complex wound dressings, wound healing with negative pressure adjunct equipment, rehabilitation, tube feedings, or intravenous medication administration (peripheral and central access). Adult Day Health Care provides community-dwelling Veterans the support to maintain or improve the health and functional status by providing supervision, care, and the opportunity to participate in meaningful activities in a home-like environment. ADHC is offered in recurring periods of ten hours or less per 24-hour period, thereby enabling caregivers to continue home care in the face of their own daily obligations. Respite care provides Veteran's nursing care for a short-term period to allow for resident's normal caretakers can take a break (respite) from the 24/7 routine of caring for a patient with a long-term illness or disability. 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: Schedules may vary or have set days depending on the unit. Work schedules may include: 8-hour shifts, which include direct patient care on weekends and holidays Days with rotation which is 7:30am to 4:00pm with rotation to include weekends, holidays, evenings and night shifts PM shift: 3:30pm to Midnight, or Midnight to 8:00am 12-hour shifts; 7:00am - 7:00pm, [(6) 12-hour shifts with (1) 8-hour shift to equal 80 hours], or 7:00pm - 7:00am [(6) 12 hour shifts with (1) 8-hour shift to equal 80 hours] Compressed/Flexible: No Telework: No Virtual: This is not a virtual position. Relocation/Recruitment Incentives: May Be Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not Required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.