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Registered Nurse - Nurse Manager - Ambulatory Surgical Services

U.S. Department of Veterans Affairs
Tacoma, WA Full Time
POSTED ON 5/11/2026 CLOSED ON 6/7/2026

What are the responsibilities and job description for the Registered Nurse - Nurse Manager - Ambulatory Surgical Services position at U.S. Department of Veterans Affairs?

Summary

Ambulatory Surgery Services provides care for patients undergoing surgical - diagnostic - or therapeutic procedures in the outpatient setting. This includes the peri anesthesia continuum to include pre anesthesia - interoperative - post anesthesia phases I and II - and extended care from sedation/analgesia and or anesthesia. The nurse manager will ensure current American Society of Peri Anesthesia Nurses and Association of Peri-Operative Nurses standards are maintained.

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/12958238
  • 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/.

Duties

  • Duties include but are not limited to: Brings principles and theory with limited application of critical thinking skills First-line supervisory authority - responsible and accountable for the operation of their assigned units and provides coverage for other Nurse Managers as needed
  • Responsible and accountable for the direction and supervision of specific orientation - training - development of staff - and evaluation of individual staff performance
  • Function as a role model - educator - practitioner - and supervisor providing leadership to the team
  • Enhance care outcomes by collaborating with members of the interdisciplinary team to remove barriers and implement new evidence-based cutting-edge programs/processes
  • Responsible for making recommendations for appointments - advancements/promotions - or reassignments of staff reporting to them
  • Give advice - counsel - or provide instruction on work-related or administrative matters
  • Hear and resolve complaints and refer more serious concerns to higher level supervisors or subject matter experts as appropriate
  • Recommend and/or take disciplinary action where appropriate
  • Adheres to Equal Employment Opportunity (EEO) principles
  • Seeks knowledge from professional organizations to enhance leadership and career growth
  • Adhere to ethical principles in decision-making - fostering accountability at personal - organizational - and staff levels
  • Equip staff with tools for culturally competent care and promotes a culture of accountability for high-quality - cost-effective outcomes
  • Cultivate alliances across the care continuum - building trust through active listening - engagement - and emotional intelligence
  • Designate and ensure coverage is in place during their absence for administrative and clinical needs
  • Participate in the development of care delivery models and environmental design - ensuring evidence-based - accessible - affordable - and equitable patient care
  • Ensures compliance with accreditation and regulatory standards
  • Aligns nursing/clinical objectives with organizational strategic outcomes - participating in strategy planning and execution
  • Preferred Specialized Experience: Minimum 4 years' experience leading Peri Operative and Peri Anesthesia Nursing Practice in alignment with regulatory compliance and The Joint Commission - infection control - AORN and ASPAN Standards
  • Experience managing staff schedules - hiring/training - performance evaluations - and conflict resolution
  • Supervisory experience includes staff orientation - training - coaching - performance evaluation - conflict resolution - and disciplinary actions
  • Demonstrated leadership of interdisciplinary teams - fostering collaboration - communication - and high-reliability practices
  • Ability to coordinate with surgeons - anesthesia providers - sterile processing staff and other stakeholders to ensure smooth Ambulatory Surgery operations Expertise applying evidence-based practice and research to resource utilization - quality improvement - and patient-centered care
  • Strong communication and customer service skills in interactions with patients - families - staff - and stakeholders
  • 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 7:00a.m
  • - 3:30p.m
  • Telework: Not Available Virtual: This is not a virtual position
  • Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Salary : $87,285 - $161,201

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