The Registered Nurse providing care in the Specialty Clinic is a seasoned professional with an insight into many medical diseases and plans of care for the Veterans seeking care in the Ambulatory Care setting. The Specialty Clinics include Cardiology, Dermatology, Gastroenterology, Neurology, Urology, Endocrinology, Physical Medicine and Rehabilitation, Orthopedics, and Podiatry. 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. Preferred Experience: Minimum of two years of successful clinical practice with adult population. Experience in last two years with adult ambulatory care/primary care nursing, including care of patients with mental health and health education needs. Previous experience in the care manager role and coordinating care/care delivery. Previous experience with telephone advice nursing. Demonstrated proficiency in using the nursing process in providing care for clients with complex care needs. Demonstrated ability in the areas of interpersonal relationships, problem solving/critical thinking skills and conflict resolution. 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. Preferred Level of Education: BSN Preferred Certification(s): Ambulatory Care Case Management Telephone Nursing Practice 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. The full performance level of this vacancy is Nurse III. Physical Requirements: See VA Directive and Handbook 5019. This position requires potentially long periods of continued walking, standing, and sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands, both legs and repeated bending. Heavy lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling (up to 4 hours); Pushing (up to 4 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours); Standing (up to 8 hours); Repeated bending (up to 8 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision :20/40 in one eye; Ability to distinguish basic colors and shades of colors; Hearing (aid permitted). The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders; Emotional and Mental Stability: The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. 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 Specialty clinic is staffed by providers (attending physicians, mid-level providers), registered nurses, licensed practical nurses, and medical support assistants. This Specialty RN leads other team members to provide safe and effective care of the patient during appointments and procedures and ensures a smooth patient traffic flow throughout the Specialty clinics. The RN assists with various procedures, provides pre and post in-clinic or surgical procedure education and information about medications, oversees the safety of the patient, documents procedural assessment information, ensures correct labeling of specimens and maintain requirements for reusable medical equipment. Duties will include, but not be limited to, oversight of nursing staff, patient intake, documentation, point of care testing and health screening. The Specialty RN will assess, triage, take histories and document conditions and concerns for veterans presenting to the clinic and via the telephone. The Specialty RN is expected to manage patient care in a compassionate and astute manner, ensuring patient safety and promoting positive patient outcomes. The Registered Nurse provides guidance and education to patients and caregivers and collaborates with other professionals at all levels including but not limited to the other nurses, physicians and the Nurse Manager, Specialty Clinics.\nPay: Competitive salary, regular salary increases, potential for performance awards\nPaid 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)\nRetirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA\nInsurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)\nLicensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday through Friday, 8-hour tours between the hours of 7:30 a.m.-5:00 p.m.\nTelework: Not Available Virtual: This is not a virtual position.\nRelocation/Recruitment Incentives: A recruitment incentive of $15,000.00 has been authorized for Eligible, highly qualified applicants. This incentive has been authorized for new and previous VA employees. Please contact the HR specialist for specific requirements. ****Current VA employees are not eligible to receive this incentive****\nPermanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required This is an open continuous announcement until December 30, 2022. Qualified applicants will be considered and referred as vacancies become available. Applicants will remain active for 4 months after their initial application is received and/or updated. After that time, you must update your application through your USAJobs account if you would like to be made active again for possible consideration during the open period (if applicable)."]
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.