Summary This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. This position is located at Kayenta Service Unit (KSU), Inpatient Care Branch, Kayenta, AZ. The primary responsibility of this position is to provide case management and discharge planning services. Incumbent works under the Inpatient Supervisory Nurse. Responsibilities This position is the Nurse (Clinical Accountability & Metrics), Discharge Planner position. Discharge planning is a multidisciplinary approach to ensure the continuity of care for patients. It begins at admission, continues through hospitalization and discharge, and on through post hospitalization care as needed. Responsible for coordinating the available resources by identifying, mobilizing, and utilizing those resources to meet the patient's needs. Makes daily rounds on all units to meet newly admitted patients. Coordinates and conducts frequent discharge-planning meetings on the inpatient unit. Functions as a liaison between patients in the Kayenta Service Unit and/or other health care facilities. Manages all post hospital care and follow-up through coordination of patient's discharge planning with multi-disciplinary teams of physicians, nursing personnel, social workers, physical therapists, etc. Using approved KSU formats, documents discharge planning meeting, activities, plans, policies, and procedures. Maintains a system of tracking referred patients for admission in the other health care facilities and performs chart reviews to detailed timeliness of request services to facilitate the return of patients, or other health care facilities or discharge to home. Participates in case conferences between various disciplines, families and agencies involved in the patient care plans. Works closely with the Utilization Review Coordinator and Contract Health staff for necessary follow-up on claims and identifying long-erm disability patients. Collects relevant data for program evaluation including service utilization, identified problems and status of resolutions, patient satisfaction, etc. Participates in hospital Contract Health review with Peer Review Organization (PRO) when contract renewal comes up or as addendum is necessary. Serves as the team leader of the interdisciplinary healthcare team promoting the coordination, collaboration, and continuity of care from preadmission to post-discharge from a variety of Health care providers. Functions as a relief Tour Coordinator and oversees employees in all clinical area. Functions as Patient Advocate to ensure good Guest Relations throughout the facility. Conducts exit interviews with patients and distributes questionnaires to assess our guest's perception of the quality and appropriateness of the care they received in our facilities. Requirements Conditions of Employment Selectee may be subject to a probationary/trial period ESEP appointees typically serve a two year trial period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Confidential Financial Disclosure Form required. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. COVID-19 vaccination is required for all selectees prior to entrance on duty. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. Work is regularly assigned, telework, rotational or call back basis to provide continuity of nursing care during evening, nights, weekends, and holidays. Subject to shift rotation to areas as needed to provide adequate staffing. Must possess a current, valid active State license as a professional registered nurse and basic Cardio-Pulmonary Resuscitation (CPR) certification. Housing is available upon availability. You will need to set up direct deposit so we can pay you. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. Qualifications To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. NOTE: Employees currently assigned to positions in this occupational series as of September 2017 will be considered to have met the basic requirements for the position occupied. BASIC REQUIREMENT(S): Education: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, The District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. GS-11: In addition to the above requirements, applicants must meet one of the following requirements: Successful completion of a PHD or equivalent doctoral degree from a professional nursing educational program or related medical science field; OR, At least one full year of professional nursing experience (equivalent to the GS-9 grade level) and possession of a diploma, associate degree, bachelor's degree, or master's degree from a professional nursing educational program. Experience: The work experience must have equipped the applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. At the GS-9 and above grade level, many positions may require experience in a specialty area of nursing. GS:11 specialized experience include: Case Management and Discharge Planning functions, coordination, and implementation of a multidisciplinary process to plan for the continuing care needs of a patient following discharge from the hospital; collaborates with nursing, medical staff, social services, physical therapy, mental health, public health nursing, contract health service, patient education and others to provide a comprehensive discharge program for patients; develops and implements comprehensive plans for safe discharge of patients from any alternate health care facility; responsibilities related to clinical case management activities necessary to purchase patient care in the community; experience as a specialty care management manager to ensure the continuity of care for patients through all forms of care including but not limited to the Emergency Department, Patient care Units, and outside facilities. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement. Education This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.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. Additional Information Per IHS policy (SGM 21-04) IHS selectees to positions located in Federally operated hospitals, health centers, and clinics must be fully vaccinated for COVID-19 before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved then wearing a face mask and regular testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and instructions on how to submit your vaccination documentation or how to request a medical or religious exemption, if needed. Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Recruitment or relocation incentives may be authorized. At least a 1-year service agreement will be required. This position meets the criteria specified in pillar number one of the five pillars of the PHS Commissioned Corps. PHS Commissioned Officers interested in performing the duties of this position within the Commissioned Corps MUST apply online under the merit promotion announcement indicated above in order to receive consideration. For more information on PHS Commissioned Corps, visit the website at: https://www.usphs.gov/. The Indian Health Service (IHS), National Health Service Corps (NHSC), and the Health Resources and Services Administration (HRSA) have student loan repayment programs for qualifying health disciplines. This is a competitive process separate from the hiring process. Opportunities for LRP are based on agency hiring priorities and availability of funds. For additional information please visit: For IHS - http://www.ihs.gov/loanrepayment/ For NHSC - https://nhsc.hrsa.gov/loanrepayment/ For HRSA Nurse Corps - https://bhw.hrsa.gov/loansscholarships/nursecorps