Registered Nurse - Assistant Nurse Manager, Nursing Specialty

Incumbent functions as a clinical expert and is responsible and accountable for all elements of the nursing process when providing or supervising direct patient care. Assesses, plans, implements, and evaluates delivery of care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.

Major Duties: Uses the nursing process and evidence-based practice to collaborate with the Team to meet patient care needs. Provides patient and family health education with a focus on self-management, prevention, wellness, and Whole Health based on the patient's goals. Demonstrates advanced clinical knowledge in assessing, planning, implementing, documenting, and evaluating care for a designated group of patients. Educates patients regarding clinic procedures and what to expect during the procedure. Assists with clinic procedures, monitors patient for any adverse effect. Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. Collaborates with the interdisciplinary team, patients, and caregivers. Monitors progress using clinical guidelines and/or pathways, analyzes variations and initiates appropriate actions. Documents own interventions, including observations, treatments, care provided, education and patient/caregiver understanding. Maintains current knowledge of multidisciplinary resources, programs and services. Refers patients for community resources as appropriate. Performs daily review of charts in preparation for scheduled patient appointments. Ensures results are available for the provider and obtains medical records, when applicable. Confirms appointment modality is suitable for the patient, including performing VA Video Connect testing if needed. Documents accordingly. Reviews options with patients and families, including costs, alternatives, risks/benefits and services. Educates the patient and family on disease process, resources, plan of care, treatments and procedures. Advocates fiscal responsibility in the management of patient care through effective utilization of resources. Screens patients for social service, home care, and other community care needs. Ensures the provider is aware of the patient's progress, as well as any issues or concerns. Evaluates needs and facilitates the patient's ability to learn the principles of self­care; utilizes appropriate resources if the patient is unable to grasp the knowledge/skills needed for self-care. Participates in care delivery with priority attention to patient preference. Facilitates nursing autonomy by utilizing approved standing orders and guidelines. Promotes cost effective use of resources including non-face-to-face approaches such as telehealth; CVT, VA Video Connect, and telephone appointments. Applies skills, such as motivational interviewing, to promote patient self-­management. Fosters health promotion and risk reduction strategies utilizing a Whole Health approach. Actively participates in policies, procedures, and quality standards to promote evidence-based patient-driven care. Completes and documents secure messages within 72 hours, as applicable. Escalation of secure messaging does not exceed the VHA standard (10% or less) and a surrogate is identified at all times. Performs duties, within scope of practice, as requested by providers or supervising nursing personnel as appropriate. Demonstrates flexibility and adapts to work demands or adjustment of assignments. Provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. Performs as a role model in the provision of excellent customer service. Reviews Message Manager timely. Assists the team to complete pending alerts communicated throughout tour of duty within 48 hours. Completes and documents Nursing Notes in the electronic health record, as applicable, in a timely manner and closes the Encounter Notes for patients not seen by a provider. Notes will be closed by the end of tour of duty daily. Areas to be addressed include Encounters: reasons for visit- Service Connection; Primary Assignment-Service connected conditions under the "Diagnosis" tab; Procedures, ACSC conditions, Immunization tab, etc. Duties Continued in Qualification Section 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: Monday - Friday, 8:00am - 4:30pm Telework: Not Available for Telework Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. 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. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.