Nurse

Summary The LTC Charles S. Kettles VA Medical Center is seeking a Registered Nurse (RN) - Assistant Nurse Manager - aligned under Ambulatory Care service - at the Adrian Community Based Outpatient Clinic (CBOC) in Adrian - MI. This position supports the Electronic Health Records Management (EHRM) system. Qualifications Basic Requirements: English Language ProficiencyIn 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 EnglishGraduate 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 programUpon 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 programCredit 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 ColumbiaGraduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and 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 two years on a case-by-case-basis.) 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/certificationGrade 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 gradeThe 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: https://apply.usastaffing.gov/ViewQuestionnaire/13090836Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competenciesAn Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing requiredNurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complexAn 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 requiredNurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planningSelf-directed in goal setting for managing complex client situationsAn ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2OR a Master's degree in nursing (MSN) and no additional professional nursing experienceOR a Master's degree in a *related field with a BSN and no additional professional nursing experienceNurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with othersA BSN with 2 years of professional nursing equivalent to Nurse I - Level 3OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3OR a Doctoral degree in Nursing with no professional nursing experienceOR a Doctoral degree in a *related field with a BSN with no additional professional nursing experienceNurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice settingMSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 IIIOR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse IIIOR 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 degreesReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterityThis position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushingTransferring patients and objects may be requiredMechanical inpatient lifts are providedThe incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures - or home settingsThe incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disordersThe incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needsMust complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment. Duties The Registered Nurse (RN) Assistant Nurse Manager (ANM) supports the Nurse Manager (NM) with supervisory duties and responsibility and accountability for the 24/7 operation of their designated unitsThey provide coverage for other ANMs as neededThe ANM has responsibility and accountability for the direction and supervision of specific orientation - training - development of staff - and provides input into the evaluation of individual staff performanceDuties include - but are not limited to: Functions as a clinical expert and is responsible and accountable for all elements of the nursing process when providing or supervising direct patient careAssesses - plans - implements - and evaluates delivery of care based on age specific componentsAssumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of careInfluences care outcomes by collaborating with members of the interdisciplinary team and creating innovative process improvement initiativesFunctions as a role model - educator - practitioner - and supervisor providing leadership to the teamEngages in professional organizations to enhance leadership and career growthAdheres to ethical principles in decision-making - fostering accountability at personal - organizational - and staff levelsEquips staff with tools for culturally competent care and promotes a culture of accountability for high-quality - cost-effective outcomesCultivates alliances across the care continuum - building trust through active listening - engagement - and emotional intelligenceContributes to the development of care delivery models and environmental design - ensuring evidence-based - accessible - affordable - and equitable patient careEnsures compliance with accreditation and regulatory standardsAligns nursing/clinical objectives with organizational strategic outcomes - participating in strategy planning and executionMaintains knowledge and ensures compliance with all regulatory and accreditation standards - Directives - policies - and standard operating procedures (SOP)Leads professional practice using the nursing process (assessment - diagnosis - outcome identification - planning - implementation - and evaluation) to improve evidence-based and/or data-driven outcomes for an identified patient population and/or specialized areas within immediate practice settingApplies clinical knowledge/judgment to lead staff involvement in planning - decision making - and evaluating outcomesImproves Veteran/patient driven care by optimizing the patient experience - satisfaction and/or safetyApplies patient - family - and caregiver knowledge - values - and beliefs into care delivery without judgement or discriminationServes as an advocate for patients - families - and caregivers - improving outcomesServes as a resource for patients - caregivers - and staff to address and resolve ethical issuesCommunicates and collaborates as an effective leader of the interprofessional team - at the expert level - with improved evidence-based and/or data-driven outcomesDemonstrates the ability to improve the effectiveness of communications and interactions with others - to inspire their cooperation and confidence to ensure safe and effective outcomesExpands knowledge base and practice evaluation through mentoring - precepting - and/or teaching to improve outcomesTakes responsibility for personal and professional career goalsParticipates in the advancement of the profession through mentoring - precepting - and/or teachingLeads the integration of evidence-based practice/research with clinical expertise to improve quality of care and resource utilization with improved outcomesAssesses the immediate practice setting to identify efficient - cost-effective care deliveryLeads patient care improvement through monitoring - analyzing - and evaluating care outcomesLeads initiatives for expanding best techniques to identify and apply patient preferences to shared care delivery decisionsVA 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: Day Shift - Monday - Friday - 7:30AM - 4:00PM Compressed/Flexible: Authorized - at management discretionTelework: Not Authorized Virtual: This is not a virtual positionRelocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized