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Registered Nurse (Assistant Nurse Manager) Emergency Department

U.S. Department of Veterans Affairs
Salem, VA Full Time
POSTED ON 5/28/2026
AVAILABLE BEFORE 6/26/2026
Summary

The scope includes adult and geriatric Veterans and encompasses the Veteran - their family - and the environment of the acute care. The goal is to provide optimal patient outcomes while providing holistic care by recognizing the physical - emotional - spiritual - and cultural needs and providing individualized care to meet the unique needs of the Veteran - family - and situation.

Qualifications

Basic Requirements:

  • 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 and spoken English
  • Graduate 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 program
  • Upon 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 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 - 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 Columbia
  • Graduate 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/certification
  • Grade 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 grade
  • The 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/12969255
  • Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
  • An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
  • Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
  • An 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 required
  • Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
  • Self-directed in goal setting for managing complex client situations
  • An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
  • OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
  • OR a Master's degree in nursing (MSN) and no additional professional nursing experience
  • OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
  • Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
  • A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
  • OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
  • OR a Master's degree in a *related field with a BSN and one year of 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 and creative approaches to management of complex client care beyond the immediate practice setting
  • MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
  • OR 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 III
  • OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
  • OR 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 degrees
  • Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
  • Physical Requirements: In accordance with VA Handbook 5019 - Part II - Paragraph 3 - II-1 - 1(a) - A pre-placement physical examination to determine the physical - cognitive and emotional fitness of candidates for appointment in VA is required - and shall be completed prior to appointment - for all full-time individuals appointed under 38 U.S.C. - Chapter 73 - for Title 38.

Duties

  • Duties listed below but not limited to: The Assistant Nurse Manager (ANM) Acute Care registered nurse demonstrates leadership in delivering and improving holistic care through collaborative strategies with others (VA Handbook 5005 - Part II - Appendix G6)
  • The scope includes adult and geriatric Veterans and encompasses the Veteran - their family - and the environment of the acute care
  • The goal is to provide optimal patient outcomes while providing holistic care by recognizing the physical - emotional - spiritual - and cultural needs and providing individualized care to meet the unique needs of the Veteran - family - and situation
  • The ANM Acute Care knowledge - will be proficient in performing required competencies - best practice/evidence-base The Registered Nurse ANM is a proficient nurse who demonstrates proficiency in decision-making and using the nursing process for complex situations that effect performance outcomes at unit and facility level
  • Practice is enhanced through development of collegial relationships
  • This nurse demonstrates collaboration by using the group process to solve problems
  • The focus is on leadership in strategically planning long-term goals for the microsystem (unit - team - or workgroup) that impacts operations or resources
  • The proficient nurse demonstrates critical thinking with efficiency and accuracy in assessing and managing situations
  • The Registered Nurse ANM demonstrates (a) Leading and organizing delivery of care to assure continuity of care and peer accountability for practice - including access to care and discharge planning
  • (b) Using advanced clinical knowledge/judgment to promote staff involvement in planning - decision-making - and evaluating outcomes - (c) Functioning as an expert in clinical practice and/or areas related to the assigned roles and responsibilities - (d) Systematically evaluating current practice - and formulating outcomes for groups of patients and/or organizational processes within an area of expertise - (e) Guiding - developing - and supporting staff from a leadership perspective - and (f) Using professional standards of care - scientific evidence - and practice to evaluate programs and/or service activities
  • (VA Handbook 5005 - Part II - Appendix G6)
  • The Nurse III ANM is an expert nurse who demonstrates expertise in leadership at the systems level that is sustainable - experience - and creative approaches to management of complex situations
  • Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a program - service - facility level - VISN - or VACO
  • The focus must be broad and complex and must be demonstrated at the macrosystem level
  • The expert nurse incorporates professional standards and implements broad-reaching evidence-based change
  • Leads and organizes delivery of services at the to assure continuity and peer accountability for practice
  • 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 7:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position
  • Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Salary : $72,398 - $147,115

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