Registered Nurse (Ambulatory Care)

About the Role

This position supports the Ambulatory Care service with the Patient Aligned Care Team (PACT) at the Virginia Beach VA clinic. The Registered Nurse provides direct Veteran care and care coordination within the Primary Care Department.

Qualifications

• English language proficiency in basic written and spoken English (38 U.S.C. 7403(f)).
• Graduate of a professional nursing program accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) at the time of completion.
• Individuals in a master’s‑level bridge program who have completed coursework equivalent to a bachelor’s degree in nursing may be appointed temporarily while pursuing licensure.
• Foreign‑educated nurses must hold a current, full, active, unrestricted registration and provide formal degree‑equivalency validation (e.g., International Consultants of Delaware).
• Current, full, active, unrestricted registration as a graduate professional nurse in any U.S. state, territory, Commonwealth, or the District of Columbia.
• Graduate Nurse Technician (GNT) exception: candidates meeting education requirements but lacking licensure may receive a 120‑day temporary appointment (extendable up to two years) while actively pursuing licensure.

Grade Determinations

• Nurse I – Level I: Associate Degree (ADN) or Diploma in Nursing; no additional experience required.
• Nurse I – Level II: ADN/Diploma + 1 year specialized nursing experience, or BSN with no additional experience.
• Nurse I – Level III: ADN/Diploma + 2 years experience (1 year equivalent to Level II), or BSN + 1 year experience, or MSN with no additional experience, or related master’s degree with BSN.
• Nurse II: BSN + 2 years experience (equivalent to Level III), or MSN + 1 year specialized experience, or related master’s with BSN + 1 year, or Doctorate in Nursing (no experience), or Doctorate in related field with BSN.
• Nurse III: MSN + 2 years specialized experience (including 1 year equivalent to Nurse II), or related master’s with BSN + 2 years specialized experience, or Doctorate in Nursing + 1 year specialized experience, or Doctorate in related field with BSN + 1 year specialized experience.

• Preferred experience: Minimum of two years experience in primary care, emergency, or specialty care.
• Physical requirements: visual acuity, keen hearing, clear speech, manual dexterity; ability to walk, stand, stoop, sit, bend, pull, push for extended periods; ability to transfer patients and objects.

Responsibilities

• Provide competent, evidence‑based care to primary‑care patients and oversee LPNs/ nursing assistants as appropriate.
• Manage assigned patient panels, utilize registries, and ensure appropriate evaluation and access.
• Deliver health promotion, education, and coaching on wellness, disease prevention, and chronic‑care management.
• Assist in nursing education, orientation, competency development, quality‑improvement initiatives, and outcome enhancement.
• Assume the role of Charge or Co‑Charge Nurse.
• Maintain timely and effective communication; promote seamless care coordination.
• Manage CPRS alerts, Call Center Relay Messaging Queue (CMRQ), and Secure Messaging, acknowledging patient requests within 72 hours.
• Comply with Standard of Work for ED and inpatient 2‑day post‑discharge calls.
• Collaborate with patients and interdisciplinary teams; oversee a robust chronic‑disease management program.
• Monitor PACT metrics, emphasizing HEDIS measures; demonstrate proficiency with PACT reports (eQM, VSSC, SAIL, Primary Care Almanac, PACT Compass).
• Develop meaningful patient goals with care teams; contribute to accreditation readiness (Quick Sweeps, Environment of Care rounds, daily logs).
• Lead or participate in daily huddles; conduct patient schedule scrubbing and outreach reminders.
• Triaged walk‑in patients, determine care plans with providers, conduct nurse visits, provide patient education, perform treatments, administer medications, and complete other patient‑care duties.
• Follow up on Community Care Consults.

Veteran/Patient‑Driven Care

Provide and direct care that optimizes the patient experience, satisfaction, and safety for a team of Veterans. Maintain professional boundaries, model ethical behavior, and apply the ANA Code of Ethics.

Evidence‑Based Practice & Research

Apply evidence‑based practice and research, considering patient preferences, to improve quality of care and resource utilization. Model evidence‑based practice for peers, promote cost‑effective care delivery, and recruit participation in unit‑level performance‑improvement activities.

Pay

Competitive salary with regular salary increases and potential performance awards.

Benefits

• Paid Time Off: 50 days per year (26 days annual leave, 13 days sick leave, 11 Federal holidays).
• Retirement: Traditional federal pension (5‑year vesting) and federal 401(k) with up to 5 % VA contributions.
• Insurance: Federal health, vision, dental, term life, and long‑term care coverage (many programs portable into retirement).

Licensure

Must hold one full, unrestricted nursing license from any U.S. state or territory.

Work Schedule

Monday – Friday, 8:00 am – 4:30 pm.

Telework: Not available.

Virtual position: No.

Relocation & PCS

Relocation/recruitment incentives: Not authorized.

Permanent Change of Station (PCS): Not authorized.