The Durham VA Healthcare System is seeking (1) highly skilled/experienced Registered Nurse Manager to serve within our Surgical Specialty Clinics. Demonstrates leadership, experience/ingenious approaches to management of complex patient care. Accountable for the management of patient care, human, fiscal/material resources, & the total environment of the unit. Responsible to ensure that the highest possible quality of care is achieved & a safe therapeutic environment.
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. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written & spoken English. Graduate of school of professional nursing approved by appropriate accrediting agency & accredited by one of the following accrediting bodies at time the program was completed by 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 bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of bridge program. Upon achievement of a State license, individual may be appointed on temporary basis & later converted to permanent appointment upon successful completion & graduation from bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of current, full, active, & 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, & unrestricted registration 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 basic education requirements, but do not possess required licensure, may be appointed at entry step of the grade & 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 2 years on case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series & performing duties as described in the qualification standard on effective date of the standard (1/29/2024) are considered to have met all qualification requirements for grade held including positive education & licensure/certification. Grade Determinations: The following Scope, Education & Dimension criteria must be met in determining grade assignment of candidates, & if appropriate, level within a grade. The Dimension requirements are detailed for each grade & level within online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12733931 Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills & technically competent practice in providing care to clients with basic or complex. ADN or Diploma in Nursing & 1 year 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 & deliberate planning. Self-directed in goal setting for managing complex client situations. ADN or Diploma in Nursing & 2 years professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN & 1 year professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) & no additional professional nursing experience; OR a Master's degree in a *related field with a BSN & no additional professional nursing experience. Nurse II Demonstrates leadership in delivering & improving holistic care through collaborative strategies with others. BSN with 2 years professional nursing equivalent to Nurse I, Level 3; OR an MSN with 1 year specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN & 1 year 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 & creative approaches to management of complex client care beyond immediate practice setting. MSN & 2 years specialized nursing experience, one of which is equivalent to Nurse II & meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN & 2 years specialized nursing experience, one of which is equivalent to Nurse II & meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with & 1 year specialized nursing experience equivalent to Nurse II & meets all dimension requirements for Nurse III; OR Doctoral degree in a *related field with a BSN & 1 year specialized nursing experience equivalent to Nurse II & meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Preferred Level of Education: MSN or BSN with Master's Degree in a Health-Related Field Preferred Certification(s) ANCC for Ambulatory Care Nursing ANCC for Nurse Executive Full performance level of this vacancy is Nurse III. The actual grade applicant may be selected to is Nurse I - Nurse III. Reference: VA Regulations, VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: See VA Directive and Handbook 5019. This position requires potentially long periods continued walking, standing, sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands & legs & repeated bending. Heavy lifting (45 lbs & over) Heavy Carrying (45 lbs & 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 & muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision 20/40 in one eye; Ability to distinguish basic colors & 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 & 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/testing, as condition of employment.
The Durham Specialty Clinics maintains the health and manages the care for patients with a variety of medical problems including hypertension, diabetes, arthritis, cancer, congestive heart failure and other chronic diseases. The Registered Nurse within these clinics which includes Cardiology, Dermatology, Gastroenterology, Neurology, Urology, ENT, General surgery, Orthopedics, and Plastics will function as an ambulatory care nurse in support of the physician or advanced practice provider. The clinic is designed to provide comprehensive primary/specialty care services, including gender specific care to male and female Veterans. The RN Nurse Manager is accountable for the delivery of patient care in the Durham Surgical Clinics. Duties include but not are not limited to: Daily Operations to include but not limited to coordination of care delivery, facilitating patient flow and assuring quality patient care. Management, leadership and coaching of nursing and clinical support staff. Quality improvement activities to monitor, assess performance targets, development and implementation of action plans to improve performance. Staff development, evaluation and maintaining constant state of survey readiness. Ensuring compliance with standards regarding reusable medical equipment. Facilitating teamwork to accomplish positive patient care outcomes, and patient and staff satisfaction. 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: 8 hours, Monday-Friday; 7:00a.m. - 6:00 p.m. Occasional Saturday Telework: No Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required Preferred Experience: Minimum (5) years successful nursing practice and (2) to (3) years of successful ambulatory care nursing experience. A minimum of two (2) years of successful management experience. Knowledge of principles of Patient Aligned Care Team (or patient centered medical home) model of care and surgical specialties. Demonstrated ability to work effectively with patients, families and other members of an interdisciplinary team. Demonstrated history of collaborative relationships with physicians and other support services. Documented evidence of knowledge and skill including (but not limited to): managing change, problem-solving, customer service, decision-making, priority setting. Knowledge of Joint Commission standards and Patient Safety Goals. Documented evidence of knowledge and skill regarding personnel issues, including recruitment and ongoing performance. Ability to work independently. Preferred Certifications: ANCC for Ambulatory Care Nursing ANCC for Nurse Executive