Summary

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.

Qualifications

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.

Duties

• 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