Veterans Affairs, Veterans Health Administration RN, QM Nurse - Utilization Management Coordinator in Philadelphia, Pennsylvania

Veterans Affairs, Veterans Health Administration
1 vacancy in the following location:
  • Philadelphia, PA
Work Schedule is Full Time - Permanent

Opened Friday 10/7/2016 (15 day(s) ago)

** Closes Monday 10/24/2016 (2 day(s) away)

Job Overview

Vacancy Identification Number: 1820186

OUR MISSION: To fulfill President Lincoln’s promise – “To care for him who shall have borne the battle, and for his widow, and his orphan” – by serving and honoring the men and women who are America’s Veterans.

How would you like to become a part of a team providing compassionate care to Veterans? The Department of Veterans Affairs(VA) needs employees who possess the energy, compassion, and commitment to serve those who served our Country. Whatever the job title, every position in VA will give you a chance to make a meaningful and personal contribution to the lives of truly special and deserving people - our Veterans. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. Working for VA is one of the most emotionally satisfying and professionally rewarding ways to dedicate the best within you to your Country's service.

If you are transitioning from the military or a Veteran already, we invite you to explore the benefits of continuing your career at the VA. The VA is committed to hiring Veterans. The VA is much more than just another employer. It is an honorable, open and welcoming community of those who care. Gratitude is our motivation and service is our mission.

The VA has adopted Core Values and Characteristics that apply universally across the Department. The five Core Values define “who we are,” our culture, and how we care for Veterans, their families and other beneficiaries. The Values are Integrity, Commitment, Advocacy, Respect and Excellence (“I CARE”).

America's Veterans need you! To find out more, go to

VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.


The RN, Utilization Management Coordinator reviews inpatient acute and behavioral health patient care and applies evidence-based criteria to identify appropriateness of the level of care and services provided. She/he provide information to assist with decision-making related to patient care management and care coordination.

The Quality Management (QM) Department at the Corporal Michael J. Crescenz VA Medical Center is located at 3900 Woodland Avenue, Philadelphia, PA and is open during regular business hours Monday through Friday.

QM promotes and supports all functions of an integrated Quality and Patient Safety Program. The QM staff is fully devoted to the organization's Mission "to honor America's Veterans by providing exceptional health care..." The Department advocates for quality health care through the management of an organized and systematic approach to planning, delivering, measuring and improving processes and outcomes. This approach includes effective communication, gathering and critically analyzing data, comparing data with goals or benchmarks, and ensuring data is reliable and valid.

Tour of Duty: Eight (8) hour shifts Monday through Friday 7:30 AM to 4:00 PM


Functional Statement Title/#: Utilization Management Coordinator

Travel Required
  • Not Required
Relocation Authorized
  • No
Job Requirements
Key Requirements
  • Must pass pre-employment examination.
  • Designated and/or Random Drug Testing required.
  • Background and/or Security Investigation required.
  • Must be proficient in written and spoken English.
  • Selective Service Registration is required for males born after 12/31/1959.
  • You must be a U.S. citizen to apply for this job
  • U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Full unrestricted Licensure, Certification, or Registration required.
  • 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 National League for Nursing Accrediting Commission (NLNAC) 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. 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).
  • 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.
  • Current Basic Life Support (BLS) from the American Heart Association.

Preferred Experience:

  • Three (3) to Five (5) years of current Utilization Management experience in a tertiary care facility.
  • Three (3) to Five (5) years experience with InterQual criteria in a tertiary care facility.
  • Three (3) to Five (5) years of Quality Management/ Performance Improvement experience.
  • Demonstrated ability to evaluate provided care and utilization review criteria for standards of care
  • Demonstrated ability to effect improvement outcomes in group leadership role assignments.
  • Demonstrated progressively complex Utilization Management and Quality Management assignments.

*Grade Determinations: *Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel. The criteria are as follows:

  • Practice: practice, ethics and resource utilization;
  • Professional Development: performance, education/career development;
  • Collaboration; collaboration, collegiality;
  • Scientific Inquiry: quality of care, research.

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:

Must possess mental and emotional stability. Functional requirements include the following abilities: Heavy lifting of 45 pounds and over, light carrying under 15 pound, use of fingers/ both hands are required, walking for four (4) hours, standing for four (4) hours, both legs are required, ability for rapid mental and muscular coordination simultaneously, near vision correctable in one eye to 20/20 and to 20/40 in the other eye, ability to distinguish shades of color, hear the whispered voice (aid permitted). Environmental Factors required: Working with hands in water, working closely with others and protracted or irregular hours of work.

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; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

PLEASE NOTE: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: 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.

DESIGNATED DRUG-TESTING POSITION: Applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Applicants will not be appointed to the position if a verified positive drug test result is received.

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist or visit

Security Clearance

Public Trust - Background Investigation

Additional Information
What To Expect Next

After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USAJOBS account and clicking on “Application Status.” For a more detailed update of your status, click on “more information.” Information regarding

applicant notification points can be found in the USAJobs Resource Center.


VA offers a comprehensive benefits package. This link provides is an overview of the benefits currently offered:

Receiving Service Credit for Earning Annual (Vacation) Leave: VA may offer newly-appointed Federal employees credit for their job-related 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.

Annual leave shall accrue for full-time Nurses, and Nurse Anesthetists at the rate of 8 hours for each full biweekly pay period.

Other Information

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

This position is in the Excepted Service and does not confer competitive status.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This job opportunity announcement may be used to fill additional vacancies.

Salary Range: $61,340.00 to $117,410.00 / Per Year

Series & Grade: VN-0610-00/00

Supervisory Status: No

Who May Apply: United States Citizens

Control Number: 452759300

Job Announcement Number: PHL-17-JHo-1820186-BU