Licensed Practical/Vocational Nurse (Float, Outpatient Primary Care)

Float LVN supporting San Antonio clinics as a multi-site resource. Provides foundational, patient-centered nursing care under RN/provider supervision. Performs health screenings, vital collection, patient rooming, and medication/immunization administration. Supports PACT team through pre-visit planning, clinic flow management, and health coaching. Requires nursing judgment proportionate to grade level. Physical demands include standing, walking, moderate lifting, and direct patient assistance.

Duties include, but are not limited to the following at each grade level: GS-03 Perform routine structured/focused health screenings and basic nursing interventions under close supervision Room patients, collect vital data, complete assigned clinical reminders, and maintain clinic flow Administer medications and immunizations following established protocols Support clinical decision-making by reviewing medications/allergies and communicating findings to RN/provider Participate in PACT team operations including pre-visit planning, daily huddles, and team meetings GS-04 Perform structured/focused health screenings and basic nursing interventions with greater judgment and less supervision than GS-03 Exercise judgment in clinical decision-making by identifying urgent needs, reviewing medications/allergies, and initiating nursing protocols Manage clinic flow by rooming patients, assisting providers with procedures, and maintaining exam room readiness Conduct pre-visit planning by reviewing records, obtaining missing documentation, and preparing clinical data Contribute to schedule management and panel review, identifying opportunities for alternate care modalities GS-05 Provide a full range of practical nursing care to patients with varied physical and/or behavioral problems Orient and train less experienced LPNs/LVNs and nursing assistants in relation to acceptable standards of practice Administer commonly prescribed medications (oral, topical, subcutaneous, intramuscular, intravenous) with appropriate observation and documentation Support clinical decision-making with broad working knowledge by identifying urgent/emergent situations and communicating key findings Manage clinic operations through pre-visit planning, patient rooming, procedure assistance, and PACT collaboration under general supervision GS-06 Demonstrate technical proficiency in initiating, performing, and completing complex diagnostic tests and specialized procedures with appropriate patient preparation and monitoring Serve as a preceptor, orienting and educating less experienced LPNs/LVNs and nursing assistants on complex, specialized procedures and support duties Use clinical judgment to select appropriate order and sequence of procedures/treatments; accurately recognize, report, and record patient information Actively seek educational opportunities to enhance nursing knowledge and skills, sharing new knowledge with staff to advance nursing practice Collaborate with PACT on access, continuity, quality, and patient-experience goals, requiring only general review of work for appropriateness and policy conformity Work Schedule: Monday-Friday, 8:00am to 4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 99267-F (GS-3), 99266-F (GS-4), 99265 (GS-5), 99264-F (GS-6) Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Pre-Employment/Post-Employment Physical Examination: May be required, depending on the needs of the organization Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.