Community Living Center Long-Term Care and Hospice Nurse Manager in San Francisco, CA

Summary The Community Living Center (CLC) Long-Term Care and Hospice Nurse Manager in Nursing/Geriatrics and Extended Care (GEC) at the San Francisco VA Medical Center provides leadership - oversight - and clinical management for hospice and palliative care services within a Veterans Health Administration medical facility. This role is responsible for ensuring high-quality - Veteran-centered end-of-life care that aligns with VA standards - national guidelines - and regulatory requirements. Qualifications 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/12891603 • 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: Two or more years of Community Living Center experience • Two or more years of management experience • Progressive leadership experience i.e • Assistant Nurse Manager experience • Salary for this position ranges dependent upon applicant qualifications Grade 1 - Levels 1-3: $152 -314-$202 -573 annually Grade 2: $179 -721-$228 -000 annually Grade 3: $195 -897-$228 -000 annually Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ • Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity • The position requires potentially - long periods of combined walking - standing - stooping - sitting - bending - pulling - and pushing • The incumbent must be a mature - flexible - sensible individual capable or working effectively in stressful situation - able to shift priorities based on needs of the organization • The incumbent may be required to travel occasionally • This position potentially requires flexibility in schedule and assignments • Telework is position dependent and appropriate approvals are required • telework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements - policies - and processes • If a position requires driving - incumbent is required to maintain compliance with all relevant policies and processes. Duties • The CLC Long-Term Care and Hospice Nurse Manager provides leadership and supervision for the nursing staff of the long-term care and hospice units within the SFVA CLC • The incumbent ensures delivery of compassionate - evidence-based care that supports comfort - dignity - symptom management - and psychosocial-spiritual needs for Veterans and their families • The incumbent assumes 24/7 accountability of the unit and works collaboratively with the CLC Nursing Leadership Team • The position includes administrative - clinical - and operational responsibilities such as staffing - budgeting - performance improvement - regulatory compliance - and program development • The Nurse Manager collaborates with physicians - advanced practice providers - and leadership across Geriatrics and Extended Care programs to promote seamless transitions of care and continuity across inpatient - outpatient - and community settings • Duties include but not limited to: Direct and oversee delivery of long-term care - hospice and palliative nursing care to Veterans within Community Living Center (CLC) • Ensure implementation of evidence-based end-of-life care practices focused on comfort - symptom management - and quality of life • Monitor pain and symptom management protocols - medication administration practices - and care planning • Promote Veteran-centered - culturally sensitive care that respects individual goals and preferences • Supervise registered nurses - licensed vocational/practical nurses - nursing assistants - and support staff • Conduct performance evaluations - competency assessments - and ongoing staff coaching • Develop staffing schedules and ensure appropriate skill mix and coverage • Address performance issues and implement corrective actions as needed • Support staff professional development - certification - and continuing education in hospice and palliative care • Lead and participate in interdisciplinary team (IDT) meetings with physicians - nurse practitioners - social workers - chaplains - dietitians - and therapists • Coordinate care transitions between acute care - extended care - outpatient clinics - and community hospice providers • Collaborate with internal and external stakeholders to ensure continuity of care • Manage day-to-day operations of the long-term care and hospice program within Geriatrics and Extended Care • Develop - implement - and evaluate program goals and strategic initiatives • Monitor workload - productivity - and quality metrics • Participate in budget planning - resource allocation - and equipment oversight • Ensure compliance with VA policies - hospice Conditions of Participation - and accreditation standards (e.g. - The Joint Commission) • Lead quality improvement initiatives focused on patient safety - infection prevention - and clinical outcomes • Monitor incident reports - conduct root cause analyses - and implement corrective actions • Maintain readiness for surveys and audits • Promote holistic care addressing physical - emotional - psychosocial - and spiritual needs • Support advance care planning discussions - goals-of-care conversations - and ethical decision-making • Provide education and emotional support to Veterans and their families regarding disease progression and end-of-life care • Prepare reports - analyze data - and present findings to executive leadership • Develop and update policies and procedures related to hospice services • Participate in committees related to Geriatrics and Extended Care - patient safety - and nursing practice • 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: 7:30-16:00 • shifts may vary based on operational needs • Rotating weekends • Telework: Not Available Virtual: This is not a virtual position • Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Not Authorized Permanent Change of Station (PCS): Not Authorized