Total 104 job vacancies by Veterans Health Administration

Major duties include, but are not limited to:

• Patient Screening: Performing observation based screening and collecting patient information in collaboration with licensed personnel. This may involve completing clinical reminders, obtaining patient health history, chief complaints, medication history, and identification of health related conditions that may impact the patients health status. The incumbent will complete approved templates and tools, such as the outpatient intake form, normal result notes, and follow up treatment protocols established by the agency.
• Mental Health Services: Assisting in behavioral/psychiatric situations in an outpatient setting. This can include assisting licensed personnel with crisis intervention, management of aggressive or suicidal psychiatric patients, by providing one to one observations and applying prevention and management of disruptive behavior techniques (PMDB). Maintain a safe and therapeutic environment for the patient while promoting a sense of worth and dignity under the supervision of a licensed personnel.
• Clinical Tasks: Assisting outpatient licensed staff with the delivery of care to patients with complex, specialized, and potentially life threatening situations. Assist with preparing patients for medical evaluation, setting up equipment, passing instruments, and providing treatment during in person or virtual visits. The incumbent operates specialized medical equipment to obtain diagnostic and therapeutic outcomes. Responsible for collecting a wide range of specimens and preparing them for transfer to processing. Observes patient status and keeps licensed clinical staff informed of any changes in condition. Recognize life threatening situations and act to correct emergent situations according to established national or local protocols.
• Medication Administration: Medication administration will comply with national and local directives and policies. Administration methods may include intramuscular, oral, topical, eye drops, ear drops, intranasal, rectal suppositories, local anesthetics, nebulized medications, subcutaneous, and intradermal.
• Performs other related duties as assigned.

Duties include but not limited to the following:

• Lifecycle management of all medical systems such as life support, dialysis, and monitoring to include physical and network support.
• Coordinates and works effectively with other facility support departments including but not limited to Facilities Management Service (FMS), Office of Information Technology (OIT), Patient Safety, Sterile Processing Service (SPS), Logistics, Contracting, Informatics, and Environmental Management Service (EMS). Specific tasks include but are not limited to incoming inspections, regular and unscheduled maintenance, and planning for end of life replacement in conjunction with clinical services.
• Maintains functional knowledge of relevant safety codes and standards of regulatory bodies including, but not limited to, The Joint Commission (TJC), National Fire Protection Association (NFPA), Food and Drug Administration (FDA), Nuclear Regulatory Commission (NRC), Association for the Advancement of Medical Instrumentation (AAMI).
• Documents all work performed in the computerized maintenance management system (CMMS). This documentation is completed in accordance with regulatory body requirements, the Office of Healthcare Technology Management (HTM) Documentation of Services policies and guidelines, and other VA requirements.
• Applies basic networking principles to resolve medical system communication issues including, but not limited to, node to server failures. Adheres to VA Medical Device Cyber Security policies and procedures in pre-procurement, during system implementation, and throughout the life of the system. Loads operating system (OS) and clinical application software as needed. Executes VA policy when responding to network incident response (due to infection, loss of services due to policy changes).
• As assigned, functions as a Contracting Officer Representative (COR) and keeps appropriate certification levels. Uses knowledge of government contract procedures and documentation requirements to develop statements of work, sole source justifications, other applicable documentation (VA Form 6550, Independent Government Cost Estimate (IGCE), etc.) and to oversee vendor work. Collaborates with Logistics and Contracting to procure parts and services; functions as a purchase card holder, as required.
• Investigates, remediates and documents Repairable Medical Device (RMD) recalls and safety alerts issued
  through the VA Alerts and Recall Management System (ARMS) within established timeframes. Participates in local safety improvement processes such as Root Cause Analysis (RCA), safety work groups, and Environment of Care Rounds. Identifies hazards during routine job performance and takes action to ensure they are addressed and corrected.
• Maintains knowledge of the state of the art in medical technology, including scientific advances, network protocols, and vendor changes. Focuses on professional development in all areas of medical technology lifecycle management including technical skills. Knowledge and training is obtained from formal (conference, vendor-provided classes) or informal (magazines, articles, peer training) means.
• Provides training and education as appropriate to medical technology end users and clinical staff.
• Provides mentoring and technical training to peers and BESS at developmental levels.
• May be tasked with leading and managing installation or upgrade projects for medical devices and systems. This includes but is not limited to pre-implementation planning and coordination with end users, vendors, and other onsite support staff (OIT, Informatics, SPS, etc.)
• Additional duties are performed as assigned by supervisor related to maintenance, remediation, and tracking of medical systems (action items, special projects, etc.) to meet mission critical requirements. May be asked to assist in other administrative duties as well, including participating in hiring panels.
• Represents Biomedical/Clinical Engineering department on committees and in meetings as delegated by supervisor.

Duties include but not limited to the following:

• Lifecycle management of all medical systems such as life support, dialysis, and monitoring to include physical and network support.
• Coordinates and works effectively with other facility support departments including but not limited to Facilities Management Service (FMS), Office of Information Technology (OIT), Patient Safety, Sterile Processing Service (SPS), Logistics, Contracting, Informatics, and Environmental Management Service (EMS). Specific tasks include but are not limited to incoming inspections, regular and unscheduled maintenance, and planning for end of life replacement in conjunction with clinical services.
• Maintains functional knowledge of relevant safety codes and standards of regulatory bodies including, but not limited to, The Joint Commission (TJC), National Fire Protection Association (NFPA), Food and Drug Administration (FDA), Nuclear Regulatory Commission (NRC), Association for the Advancement of Medical Instrumentation (AAMI).
• Documents all work performed in the computerized maintenance management system (CMMS). This documentation is completed in accordance with regulatory body requirements, the Office of Healthcare Technology Management (HTM) Documentation of Services policies and guidelines, and other VA requirements.
• Applies basic networking principles to resolve medical system communication issues including, but not limited to, node to server failures. Adheres to VA Medical Device Cyber Security policies and procedures in pre-procurement, during system implementation, and throughout the life of the system. Loads operating system (OS) and clinical application software as needed. Executes VA policy when responding to network incident response (due to infection, loss of services due to policy changes).
• As assigned, functions as a Contracting Officer Representative (COR) and keeps appropriate certification levels. Uses knowledge of government contract procedures and documentation requirements to develop statements of work, sole source justifications, other applicable documentation (VA Form 6550, Independent Government Cost Estimate (IGCE), etc.) and to oversee vendor work. Collaborates with Logistics and Contracting to procure parts and services; functions as a purchase card holder, as required.
• Investigates, remediates and documents Repairable Medical Device (RMD) recalls and safety alerts issued
  through the VA Alerts and Recall Management System (ARMS) within established timeframes. Participates in local safety improvement processes such as Root Cause Analysis (RCA), safety work groups, and Environment of Care Rounds. Identifies hazards during routine job performance and takes action to ensure they are addressed and corrected.
• Maintains knowledge of the state of the art in medical technology, including scientific advances, network protocols, and vendor changes. Focuses on professional development in all areas of medical technology lifecycle management including technical skills. Knowledge and training is obtained from formal (conference, vendor-provided classes) or informal (magazines, articles, peer training) means.
• Provides training and education as appropriate to medical technology end users and clinical staff.
• Provides mentoring and technical training to peers and BESS at developmental levels.
• May be tasked with leading and managing installation or upgrade projects for medical devices and systems. This includes but is not limited to pre-implementation planning and coordination with end users, vendors, and other onsite support staff (OIT, Informatics, SPS, etc.)
• Additional duties are performed as assigned by supervisor related to maintenance, remediation, and tracking of medical systems (action items, special projects, etc.) to meet mission critical requirements. May be asked to assist in other administrative duties as well, including participating in hiring panels.
• Represents Biomedical/Clinical Engineering department on committees and in meetings as delegated by supervisor.

• Assesses, plans, implements, and evaluates care based on age specific components.
• Administers medications and procedures per established policies and guidelines.
• Influences care outcomes by collaborating with members of the interdisciplinary team.
• Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines.
• Demonstrates performance and leadership that is broad enough to improve the care for a group of patients.
• Provides peers with formal or informal constructive feedback for improvement.
• Supports colleagues and other nurses through knowledge sharing to provide safe, quality nursing care.
• Fosters a safe and supportive environment conducive to the professional development of health care professionals.
• Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.
• Responsible for the documented outcomes at the program or service level.
• Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility.

Major Duties include but not limited to:

• Troubleshoots, repairs and installs equipment used by the Kitchen, Canteen and Medical Services and for heating at locations throughout the station. Typical items of equipment include dishwashers, steam cookers, steam and electrical hot water heaters, unit heaters, convection heaters, all types of pumps, steam generators, water tanks and heaters.
• Troubleshoots, repairs and installs various components of the steam, fire sprinklers, water and drainage/sewer systems. This involves repair and/or replacement of lines, valves, pressure regulators, pumps, traps, lagging, packing, gauges and heat exchangers.
• Maintains and installs a variety of plumbing fixtures including sinks, toilets, showers and tubs, and their components.
• Performs preventative maintenance on equipment and utility systems as scheduled.
• Properly performs operator maintenance on and stores such tools and equipment used by the pipefitters. These items include hand tools, pipe· threaders, augers, drills, torches, welders, piping, valves, replacement parts, etc.
• Works with and guides the work of patients, temporary employee and occasionally apprentices.
• The incumbent will be called upon to assist in small scale asbestos abatement projects, in his trade, as necessary.

Roseburg is the heart of the scenic and recreational paradise known as the Land of Umpqua. This land of authentic outdoor adventures and experiences is bordered by picturesque rivers and lush valleys. Roseburg, centrally located in the of Douglas County, Oregon is known for its 359 miles of streams along the north and south forks of the Umpqua River. The Roseburg area reflects small-town values, has dedicated business leaders and a strong education system from K-12 to our local community college. The community possesses a hardworking, well-trained workforce. These characteristics have proved instrumental in drawing new residents and companies to the region, while keeping families here for generations.

The Inpatient Mental Health Nurse executes their position duties to improve patient and organizational outcomes by providing patient-centered and recovery-oriented care, maintaining self-awareness while caring for patients living with Mental Health conditions, and managing the milieu.

Duties include but are not limited to:

• Facilitates shift reports, warm hand-offs, and develops content as well as facilitates nurse-led psychoeducational groups.
• Utilizes therapeutic communication techniques, practice de-escalation techniques, and utilize recovery-oriented language.
• Participates in Mental Health interdisciplinary treatment team and Mental Health Environment of Care rounds.
• Directs team response to psychiatric emergencies.
• Reports safety concerns and assists in safety concern resolution.
• Documents nursing assessments, nursing plan of care, patient safety observations, and environmental safety rounds according to facility policy.
• Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient.
• Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines.
• Demonstrates performance and leadership that is broad enough to improve the care for Mental Health patients.
• Provides peers with formal or informal constructive feedback for improvement.
• Fosters a safe and supportive environment conducive to the professional development of health care professionals.
• Evaluates Mental Health outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.

Major duties include but is not limited:

• Develop and execute all business operations and administrative functions within the BHSL and its diverse programs.
• Provide support, guidance, and training to leadership as well as front-line staff on administrative issues.
• Develop, implement, maintain, apply, and continuously improve infrastructure (processes, policies, tools, etc.) for effectively managing administrative operations within the service.
• Responsible for monitoring the Service's performance on business and administrative functions regarding quality, efficiency, effectiveness, and patient satisfaction; to identify opportunities for improvement; and to design and carry out improvement initiatives when opportunities are identified.
• Develops, gathers, collates, manages, analyzes, interprets data regarding the Service's operations.
• Conducts robust business analyses of proposed courses of action (feasibility studies, business case analyses, make/buy analyses, risk assessments, etc.) and uses these to inform business decisions and to advocate for resources.
• Primary point of contact and technical subject matter expert on VA performance measures for which the Service has primary responsibility.
• Developing and interpreting guidance on Behavioral Health business operations.
• Manages quality assurance and compliance initiatives for the Service and its programs.
• Provides administrative expertise and support to program coordinators in their duty to maintain compliance with accreditation standards established by the Joint Commission, the Commission on the Accreditation of Rehabilitation Facilities (CARF), and other relevant regulating bodies.
• Directs administrative projects and develop tools or reports through delegation of subordinate administrative staff.
• Monitors quality controls and data validation on products produced from Behavioral Operations Department staff.
• Sets workload goals and timelines for completion.
• Uses technical expertise and advanced informatics experience to train and assist staff overcome administrative challenges.
• Independently develops, plans and carries out the projects through delegation to subordinate administrative staff and selects the approaches and methods to be used in solving problems according to a broad understanding of the BHSL objectives, priorities and deadlines.
• Manage the Service's multi-million-dollar budget, monitoring expenses, tracking budget execution functions, analyzing, and forecasting funding requirements, identifying cost saving opportunities, preparing budget proposals, and advocating for needed resources.
• Provides ACOSBH and program coordinators with continuous appraisal of the utilization and status of fund control points assigned to their programs.
• Serves as an Approving Official for Government Purchase Card acquisitions.
• Monitors contract performance and serves as the primary Contract Officer (COR) for the service.
• Responsible for planning and organizing the administrative work of the assigned section, estimating costs, coordinating with staff and line management personnel, conducting all phases of the work and resolving problems independently in accordance with applicable precedents and his/her independent assessments of the needs of the Service Line and sections/departments.
• Responsible for managing service-level resources and providing oversight of the management of program-level resources by program managers and coordinators.
• Manages the Service's physical resources, including equipment, vehicles, and physical space assigned to the Service.
• Studies and conveys to leaders within the Service, facility, and VISN, the administrative impact of proposed changes to policies, strategic goals, and other initiatives.

Scope of assigned duties:

• Demonstrates sound decision-making and judgment and possess excellent interpersonal skills.
• Self-directed and influence care outcomes by collaborating with members of the interdisciplinary team and leading innovative process improvement initiatives.
• Demonstrates performance and leadership that is broad enough to improve the care for employees.
• Contributes to the development of care delivery models and environmental design, ensuring evidence-based, accessible, affordable, and equitable patient care and ensures compliance with accreditation and regulatory standards, directives, policies, and standard operating procedures (SOPs).
• Responsible for the documented outcomes at the program or service level.
• EOH program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility.
• Program is defined as a substantial coordinated group of activities impacting employees.

The Nurse (Specialty Care, Outpatient) Staff Registered Nurse executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex specialty care.

Duties and Responsibilities include but are not limited to the following:

• Assess, plan, implement, and evaluate care based on age specific components.
• Assume responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
• Administer medications and procedures per established policies and guidelines.
• Influence care outcomes by collaborating with members of the interdisciplinary team.
• Execute position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
• Provide patient care, care coordination, health promotion, health education and coaching on wellness, disease prevention, and chronic care management.
• Collaborate in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines.
• Demonstrate performance and leadership that is broad enough to improve the care for specialty care outpatients.
• Provide peers with formal or informal constructive feedback for improvement.
• Support colleagues and other nurses through knowledge sharing to provide safe, quality specialty nursing care.
• Foster a safe and supportive environment conducive to the professional development of health care professionals.
• Evaluate outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.
• Responsible for the documented outcomes at the specialty care program or service level.
• Specialty care program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility.

This position involves a multi-grade career ladder. The major duties listed below represent the full performance level of GS-09, however a selection can be made at any of the following grade levels: GS-07 OR GS-09. At the GS-07 grade level, you will progressively acquire the background necessary to perform at the full performance level of GS-09.

Major duties include but are not limited to;

• Responsible for service level clinical data reporting as requested, accurate and timely data retrieval pertaining to clinic management.
• Provides technical advice and guidance as necessary to assist services with troubleshooting clinic access and clinic utilization issues.
• Review reports, records, and statistical computations for accuracy and propriety.
• Responsible for all aspects of the clinic set-up and maintenance process for the facility.
• Expected to have in-depth understanding of clinic set-up and provides technical guidance to integrate profile management, appointment length times and clinic grids reflect healthcare providers availability, and any compliance issue is resolved prior to the clinic set-up.
• Ensures the clinic/provider profiles are set up according to the clinic structure, allowing the scheduling of patients, direct workload capture and co-pay billing, direct MCA costing.
• Ensures analytics, goals, are being met using accurate and timely clinic management tools for their designated services/clinics.
• Participate in Facility projects, task forces, and committees to problem-solve, educate, and implement software, data capture and scheduling directive matters, and other workgroups related to access, wait times, and clinic profile management.
• Responsible for oversight of all clinics set up options, clinic profiles and outputs.
• Position requires knowledge and innovative skill to achieve clinic set up in the best interests of all clinic profile management for the Facility.
• Develops, implements, and monitors procedures for creation and maintenance of all clinics.
• Assumes overall responsibility for establishing and editing clinic changes, notifications, for new and established clinics and inactivating clinics in the system.
• Responsible for standardization of clinic profile management, coordinating, establishing, and maintaining all computerized clinic profiles utilized by the Facility and meeting standards, accurate wait time and outcome measures.
• Responsible for creating new clinics, adjusting existing profiles as necessary for changes, inactivating & cancelling clinic availability.
• Reports as a source of data concerning utilization, access, MCA stop code assignment, encounters, workload and other data measures.
• Performs data retrieval and analysis for reports; prepares reports to monitor accuracy and utilization regarding clinic profile management and communicates to appropriate facility groups for action.
• Reviews reports, records, and provides statistical analysis for accuracy in clinic profile management by accessing data, presenting alternatives, making recommendations, and assisting with developing problem resolutions.
• Identifies problems and applies analytical techniques, correcting negative trends and provides resolutions to system issues/malfunctions, to include encounter and transmission errors, clinic grids and other issues related to clinic profile management such as character nomenclature, length, count vs non-count, stop code validation, appointment letter, audio reminder calls, phone validation and overbook capacity is reasonably established.
• Evaluates data capture outputs that includes but not limited to clinic utilization, accurate clinic parameters, program clinic naming standards, etc. to ensure facility compliance with scheduling directives and other national guidance as it relates to Clinic Profile Management.
• Routinely reviews clinic profiles, identifying and assist staff in projecting clinic needs with grid validation and analyzing clinic utilization.

Nursing Practice/technical Competence:

• Demonstrates the independent technical knowledge and skills that are complex in nature and that contribute to the Veteran's treatment plan and support the successful completion of the Telehealth visit.
• Performs Telehealth imaging, including tele-retinal screening, tele-dermatology Tele-wound care and other Telehealth programming as technology becomes available.
• Responsible for the patient site facilitation of the clinical, business, scheduling and technical aspects for real-time Telehealth applications.
• Uses video-conferencing technologies, Telehealth technology and scheduling software to coordinate and connect staff, resources, patients, and providers.
• Responsible for any patient, staff education/ training, documentation, and assistance with workload capture that is basic for the completion of the visit and/ or training.
• Conducts quality control procedures on equipment and products and maintains proper records for quality control reports and workload reporting. The TCT is responsible for the day-to-day operation of the clinical video conferencing, training, and SFT clinics.

• Identifies subtle changes in patient condition, both physical and emotional. Demonstrates practical knowledge of human behavior, motivation, and reactions to situations. Reports these in a timely manner and initiates appropriate action.
• Participates in Health Care Team meetings.
• Instructs patients and family members on principles of health, self-care, and protocols for treatments and /or medications.
• Completes required patient care documentation and records significant observations and actions utilizing the nursing process in a clear and concise manner.

• Maintains a safe, clean, therapeutic environment and adheres to infection control guidelines.
• Participates in accomplishing unit maintenance tasks which includes checking equipment to ensure that it is functioning safely.
• Practices aseptic techniques during sterile procedures.
• Demonstrates safe work habits, identifies, and immediately reports any unsafe conditions to the registered nurse.
• Identifies any life-threatening environmental hazards immediately, takes appropriate action and reports findings to the registered nurse.
• Identifies potential risk and takes necessary precautions to ensure the safety of the patient.

• Treats customers in a courteous and helpful manner that indicates dignity and respect.
• Communicates, both oral and written, are done in a professional manner and exemplify the mission and vision of this Healthcare System.
• Interacts with visitors/staff in a courteous, thoughtful, and caring manner using tact, discretion and patience when explaining policies and procedures or assisting in finding an answer to a problem.
• Displays a helpful, proactive attitude toward customers by answering questions and resolving problems to enhance customer satisfaction.
• Ensures that all customers (internal and external) are treated with respect and dignity using professional tact and common manners.

Nursing Practice/technical Competence:

• Demonstrates the independent technical knowledge and skills that are complex in nature and that contribute to the Veteran's treatment plan and support the successful completion of the Telehealth visit.
• Performs Telehealth imaging, including tele-retinal screening, tele-dermatology Tele-wound care and other Telehealth programming as technology becomes available.
• Responsible for the patient site facilitation of the clinical, business, scheduling and technical aspects for real-time Telehealth applications.
• Uses video-conferencing technologies, Telehealth technology and scheduling software to coordinate and connect staff, resources, patients, and providers.
• Responsible for any patient, staff education/ training, documentation, and assistance with workload capture that is basic for the completion of the visit and/ or training.
• Conducts quality control procedures on equipment and products and maintains proper records for quality control reports and workload reporting. The TCT is responsible for the day-to-day operation of the clinical video conferencing, training, and SFT clinics.

• Identifies subtle changes in patient condition, both physical and emotional. Demonstrates practical knowledge of human behavior, motivation, and reactions to situations. Reports these in a timely manner and initiates appropriate action.
• Participates in Health Care Team meetings.
• Instructs patients and family members on principles of health, self-care, and protocols for treatments and /or medications.
• Completes required patient care documentation and records significant observations and actions utilizing the nursing process in a clear and concise manner.

• Maintains a safe, clean, therapeutic environment and adheres to infection control guidelines.
• Participates in accomplishing unit maintenance tasks which includes checking equipment to ensure that it is functioning safely.
• Practices aseptic techniques during sterile procedures.
• Demonstrates safe work habits, identifies, and immediately reports any unsafe conditions to the registered nurse.
• Identifies any life-threatening environmental hazards immediately, takes appropriate action and reports findings to the registered nurse.
• Identifies potential risk and takes necessary precautions to ensure the safety of the patient.

• Treats customers in a courteous and helpful manner that indicates dignity and respect.
• Communicates, both oral and written, are done in a professional manner and exemplify the mission and vision of this Healthcare System.
• Interacts with visitors/staff in a courteous, thoughtful, and caring manner using tact, discretion and patience when explaining policies and procedures or assisting in finding an answer to a problem.
• Displays a helpful, proactive attitude toward customers by answering questions and resolving problems to enhance customer satisfaction.
• Ensures that all customers (internal and external) are treated with respect and dignity using professional tact and common manners.

Responsible for independently planning, developing and directing all nutrition care activities for assigned veterans, including those with complex medical and nutritional needs. The Residential Rehabilitation and Treatment Program (RRTP) currently houses up to 150 Veterans seeking supported treatment for mental health, substance abuse, and homelessness.

Functions or Scope of Assigned Duties:

• Conducts a comprehensive nutrition assessment utilizing the Nutrition Care Process (NCP) for assigned patients.
• Develops and implements an individualized plan for Medical Nutrition Therapy (MNT) in accordance with the patient's medical program goals and objectives.
• Performs a Nutrition Focused Physical Exam (NFPE) during assessments to determine risk and/or degree of malnutrition.
• Calculates nutrient requirements (calories, protein, carbohydrates, lipids, vitamins, electrolytes and fluids) and necessary diet restrictions or food/drug interactions.
• Evaluates patterns and relationships among data obtained and possible root causes for nutrition problems.
• Tailors diet prescription to each individual patient according to physical and metabolic needs.
• Prioritizes the importance of nutrition problems for optimal health, recovery from illness, management of chronic disease or disease prevention.
• Utilizes evidenced-based nutrition practice guidelines and Whole Health Principles to develop shared goals with the patient and formulates a plan of care that is focused on the etiology of the nutrition problem.
• Actively supports veteran centric food service operations with a food forward approach through knowledge of computer software programs related to food service systems and through interfacing with the food service section to ensure patient satisfaction, as applicable.
• Works cooperatively with foodservice staff to assure conformance to diet prescriptions, as applicable.
• Identifies patients in need of nutritional support and recommends the appropriate mode of support, including suitable route, formula, and rate of administration. Provides initial and on-going nutritional assessment.
• Orders labs, diets, and consults per Scope of Practice / Clinical privileges. Evaluates and monitors the effectiveness and outcome of MNT interventions. Evaluates the patient's response to care based on identified, measurable outcomes and reviews the plan, as appropriate.
• Documents nutrition care plan in the patient's medical record, including nutrition assessment data, MNT initiated and recommendations, results of nutrition counseling, patient consents and discharge planning. Measures outcomes through selecting indicators relevant to the nutrition diagnosis. Evaluates the effectiveness and measures progress toward outcomes of nutrition interventions by comparing current findings with previous goals and/or reference standards. Documentation supports an interdisciplinary approach and continuity of care.

• Assesses educational needs and provides nutrition education/counseling for individuals and groups, incorporating a learning approach that considers the cultural, religious, educational and medical situation of the patient. Includes information regarding budgeting, menu planning, food purchasing and preparation, food storage and sanitation.
• Utilizes motivational interviewing techniques to evaluate patient and/or caregiver's readiness to learn and potential for changing behaviors.
• Evaluates achievement of learning objectives by the patient and/or family. Adapts nutrition education materials and counseling techniques to the patient's level of understanding, which frequently involves simplifying complex dietary restrictions.
• Identifies drug-nutrient interactions and counsels / communicates with the patient regarding the impact on nutrition status and/or nutrient utilization.
• Utilizes virtual care technology such as VA Video Connect (VVC) and Secure Messaging (SM) to improve access to nutrition care.
• Provides follow-up nutrition education/counseling in accordance with the patient's treatment goals and determines when a problem requires consultation or referral to another provider or service.
• Participates in planning and education of home nutrition support.
• Functions as a clinical preceptor for the dietetic internship program and in a teaching role for other health care professionals, patients and the community.
• Assists in the education and oversight of dietetic students and interns. Assists in planning learning experiences, teaching, and evaluating performance.
• Develops and prepares Healthy Teaching Kitchen presentations.
• Completes MDS/Care plans timely, as applicable.
• Participates in community projects and education.

Responsible for independently planning, developing and directing all nutrition care activities for assigned veterans, including those with complex medical and nutritional needs. The Residential Rehabilitation and Treatment Program (RRTP) currently houses up to 150 Veterans seeking supported treatment for mental health, substance abuse, and homelessness.

Functions or Scope of Assigned Duties:

• Conducts a comprehensive nutrition assessment utilizing the Nutrition Care Process (NCP) for assigned patients.
• Develops and implements an individualized plan for Medical Nutrition Therapy (MNT) in accordance with the patient's medical program goals and objectives.
• Performs a Nutrition Focused Physical Exam (NFPE) during assessments to determine risk and/or degree of malnutrition.
• Calculates nutrient requirements (calories, protein, carbohydrates, lipids, vitamins, electrolytes and fluids) and necessary diet restrictions or food/drug interactions.
• Evaluates patterns and relationships among data obtained and possible root causes for nutrition problems.
• Tailors diet prescription to each individual patient according to physical and metabolic needs.
• Prioritizes the importance of nutrition problems for optimal health, recovery from illness, management of chronic disease or disease prevention.
• Utilizes evidenced-based nutrition practice guidelines and Whole Health Principles to develop shared goals with the patient and formulates a plan of care that is focused on the etiology of the nutrition problem.
• Actively supports veteran centric food service operations with a food forward approach through knowledge of computer software programs related to food service systems and through interfacing with the food service section to ensure patient satisfaction, as applicable.
• Works cooperatively with foodservice staff to assure conformance to diet prescriptions, as applicable.
• Identifies patients in need of nutritional support and recommends the appropriate mode of support, including suitable route, formula, and rate of administration. Provides initial and on-going nutritional assessment.
• Orders labs, diets, and consults per Scope of Practice / Clinical privileges. Evaluates and monitors the effectiveness and outcome of MNT interventions. Evaluates the patient's response to care based on identified, measurable outcomes and reviews the plan, as appropriate.
• Documents nutrition care plan in the patient's medical record, including nutrition assessment data, MNT initiated and recommendations, results of nutrition counseling, patient consents and discharge planning. Measures outcomes through selecting indicators relevant to the nutrition diagnosis. Evaluates the effectiveness and measures progress toward outcomes of nutrition interventions by comparing current findings with previous goals and/or reference standards. Documentation supports an interdisciplinary approach and continuity of care.

• Assesses educational needs and provides nutrition education/counseling for individuals and groups, incorporating a learning approach that considers the cultural, religious, educational and medical situation of the patient. Includes information regarding budgeting, menu planning, food purchasing and preparation, food storage and sanitation.
• Utilizes motivational interviewing techniques to evaluate patient and/or caregiver's readiness to learn and potential for changing behaviors.
• Evaluates achievement of learning objectives by the patient and/or family. Adapts nutrition education materials and counseling techniques to the patient's level of understanding, which frequently involves simplifying complex dietary restrictions.
• Identifies drug-nutrient interactions and counsels / communicates with the patient regarding the impact on nutrition status and/or nutrient utilization.
• Utilizes virtual care technology such as VA Video Connect (VVC) and Secure Messaging (SM) to improve access to nutrition care.
• Provides follow-up nutrition education/counseling in accordance with the patient's treatment goals and determines when a problem requires consultation or referral to another provider or service.
• Participates in planning and education of home nutrition support.
• Functions as a clinical preceptor for the dietetic internship program and in a teaching role for other health care professionals, patients and the community.
• Assists in the education and oversight of dietetic students and interns. Assists in planning learning experiences, teaching, and evaluating performance.
• Develops and prepares Healthy Teaching Kitchen presentations.
• Completes MDS/Care plans timely, as applicable.
• Participates in community projects and education.

Roseburg is the heart of the scenic and recreational paradise known as the Land of Umpqua. This land of authentic outdoor adventures and experiences is bordered by picturesque rivers and lush valleys. Roseburg, centrally located in the of Douglas County, Oregon is known for its 359 miles of streams along the north and south forks of the Umpqua River. The Roseburg area reflects small-town values, has dedicated business leaders and a strong education system from K-12 to our local community college. The community possesses a hardworking, well-trained workforce. These characteristics have proved instrumental in drawing new residents and companies to the region, while keeping families here for generations.

The Assistant Nurse Manager (PACT) supports the Nurse Manager with supervisory duties and responsibility and accountability for the 24/7 operation of their designated units.

Duties and responsibilities include but are not limited to the following:

• Provide coverage for other Assistant Nurse Managers as needed.
• Have responsibility and accountability for the direction and supervision of specific orientation, training, development of staff, and evaluation of individual staff performance.
• Function as a role model, educator, practitioner, and supervisor providing leadership to the team.
• Influence care outcomes by collaborating with members of the interdisciplinary team to remove barriers and implement new evidence-based cutting-edge programs/processes.
• Engage in professional organizations to enhance leadership and career growth.
• Adhere to ethical principles in decision-making, fostering accountability at personal, organizational, and staff levels.
• Equip staff with tools for culturally competent care and promotes a culture of accountability for high-quality, cost-effective outcomes.
• Cultivate alliances across the care continuum, building trust through active listening, engagement, and emotional intelligence.
• Contribute to the development of care delivery models and environmental design, ensuring evidence-based, accessible, affordable, and equitable patient care.
• Ensure compliance with accreditation and regulatory standards.
• Align nursing/clinical objectives with organizational strategic outcomes, participating in strategy planning and execution.
• Promote an inclusive workplace valuing diversity to achieve the organizations vision and mission.
• Maintain knowledge and ensures compliance with all regulatory and accreditation standards, Directives, policies, and standard operating procedures (SOP).