This is an Assistant Nurse Manager, Supervisory position and is located at the Main VAMC hospital-Specialty Medicine Nursing Service-Specialty Care Clinic.
Basic Requirements: 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 and spoken English. Graduate of a school of professional nursing approved by the appropriate 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); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (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 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, 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. Graduate Nurse Technician (GNT) Exception: NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: . Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies. An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing AND 1 year of 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 and deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of 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 and creative approaches to management of complex client care beyond the immediate practice setting. MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping. sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.
Duties include but are not limited to: Providing leadership and oversight to nursing and support staff in outpatient specialty clinics, ensuring high-quality, evidence-based care delivery across multiple disciplines. Directly supervising various medical personnel, including registered nurses, licensed practical nurses, health technicians, medical instrument technicians, and intermediate care technicians. Assisting in the supervision of operations across 10 specialty clinics (e.g., GI, endocrine, neurology, rheumatology, renal, dermatology, cardiology, wound care, infectious disease, and nephrology). Coordinating patient care services, including triage, care planning, health promotion, disease prevention, and chronic condition management tailored to outpatient settings. Overseeing staff scheduling, orientation, training, competency evaluations, and professional development to maintain clinical excellence and compliance with VA policies. Contributing to quality improvement initiatives, tracking outcomes, and implementing evidence-based practices to enhance patient safety and clinic efficiency. Fostering interdisciplinary collaboration with physicians, technicians, and other healthcare professionals to optimize patient outcomes and holistic care. Evaluating and updating clinical protocols based on best practices, while providing constructive feedback to staff for performance improvement and growth. Managing daily clinic operations, including resource allocation, supply management, and promoting a supportive environment for team members. Handling administrative duties such as timekeeping using VATAS (VA Time and Attendance System), processing leave requests, conducting counseling sessions, addressing grievances and complaints, and assisting with investigations into managerial inquiries. Multitasking in high-pressure situations, resolving patient/family concerns promptly, and ensuring compliance with regulatory standards, including patient confidentiality and risk management. Participating in budget planning, cost-effective resource utilization, and program development for outpatient services. Educating subordinates on clinical guidelines, VA-specific procedures, and veteran-centered care, while mentoring staff to build skills in handling complex cases. Assuming responsibilities of the Nurse Manager as needed, including shift oversight, crisis intervention, and covering when the manager is not in the office. Coordinating with other hospital elements, such as the interdisciplinary care team, quality safety and value team, patient safety, housekeeping, police, EMS, environmental management services, supply logistics, and VA approved vendors. Assisting in addressing the needs of special care units, doctors, and providers to support seamless clinic operations. Coordinating with the service chief to address specific needs for each clinic, ensuring alignment with departmental goals. Performing additional duties as assigned, such as direct patient care when required, documentation audits, and supporting telehealth or virtual appointment modalities. Work Schedule: TBD By Supervisor Telework: Not Available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS):Not Authorized. Financial Disclosure Report: Not required Preferred Experience: Educational Background: Bachelor of Science in Nursing (BSN) required; Master's in Nursing (MSN) or higher preferred from an accredited program. Clinical Experience: At least 5 years of nursing experience in outpatient or ambulatory settings, with involvement in specialty clinics; experience in GI, endocrine, neurology, rheumatology, renal, dermatology, cardiology, wound care, ostomy, or nephrology is a plus. Leadership and Management Experience: Minimum of 3 years in supervisory roles (e.g., charge nurse, team lead, or assistant nurse manager), including staff oversight, performance evaluations, team engagement, retention strategies, and process improvements. Specialized Skills: Proficiency in multitasking during difficult situations, providing constructive feedback, and educating subordinates; strong communication for interdisciplinary teams and patient interactions. Familiarity with VA systems like VATAS for timekeeping, handling grievances/complaints, and conducting investigations; expertise in evidence-based practice, quality improvement, and veteran/patient-driven care. Certifications and Additional Preferences: Certification in ambulatory care nursing, nurse executive, or equivalent; prior VA experience, knowledge of veteran-specific needs, and involvement in mentoring or preceptorship.