Registered Nurse - Primary Care Nurse Manager

Summary

The Primary Care Nurse Manager (NM) is responsible and accountable for the direction and supervision of specific orientation - training - development of staff - and evaluation of individual staff performance. They function as a role model - educator - practitioner - and supervisor providing leadership to the team. They enhance care outcomes by collaborating with members of the interdisciplinary team to remove barriers and implement new evidence-based cutting-edge programs/processes.

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/12925327
• 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/
• Preferred Experience: Ambulatory Care - Management experience and BSN preferred
• Physical Requirements: This position potentially requires flexibility in schedule and assignments
• This position requires visual acuity - keen hearing - clear - distinctive speech - and manual dexterity
• This position requires long periods of continued walking - standing - stooping - sitting - kneeling - bending - pulling - and pushing
• Transferring patients and objects may be required
• The incumbent may be exposed to infected patients and contaminated materials and must don protective clothing in isolation or during patient procedures and care
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• Use of fingers - both hands and near and far vision is required
• Must complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment.
  
  

Duties

• The NM contributes to 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
• They promote an inclusive workplace valuing diversity to achieve the organizations vision and mission
• The NM maintains knowledge and ensures compliance with all regulatory and accreditation standards - Directives - policies - and standard operating procedures (SOP)
• Major Duties Include But Are Not Limited To: Leads the provision of nursing care to patients with complex care needs utilizing the nursing process in alignment with the ANA Standards of Nursing Practice
• Applies clinical knowledge/judgment to lead staff involvement in planning - decision-making - and evaluating outcomes within the immediate practice setting
• Effectively functions as a leader - with demonstrated outcomes - for the immediate practice setting
• Improves Veteran/patient-driven care by resolving experience issues such as coordination of care - timeliness or process issues - common themes of dissatisfaction - or environment of care concerns for the immediate practice setting
• Applies patient - family - and caregiver knowledge - values - and beliefs to care delivery without judgment or discrimination
• Serves as an advocate for patients - families - and caregivers - improving outcomes for the immediate practice setting
• Serves as a resource for patients - caregivers - and staff to address and resolve ethical issues in the immediate practice setting
• Lead the implementation of high-reliability principles and I CARE values to increase the consistency of care delivered and improve patient outcomes
• Demonstrates the ability to improve the effectiveness of communications and interactions with others to inspire their cooperation and confidence to ensure safe and effective outcomes in the current practice setting
• Leads teams - contribute to team conferences - and actively collaborates in all phases of patient care planning
• Successfully integrates objectives - opportunities - and resources
• Considers alternative courses of action
• Respect the opinions - abilities - and contributions of others
• Encourages individual growth and development
• Effectively sets group goals and keeps self and team informed of the latest trends and developments
• Inspires the cooperation and confidence of others
• Demonstrates a high level of expertise
• Expands knowledge base and practice evaluation through mentoring - precepting - and/or teaching to improve outcomes in the immediate practice setting
• Lead education initiatives to expand knowledge with improved outcomes in the immediate practice setting
• Participates in the profession's advancement through mentoring - precepting - and/or teaching
• Applies evidence-based practice/research - resulting in improved outcomes in the immediate practice setting
• Leads patient care improvement through monitoring - analyzing - and evaluating care outcomes in the immediate practice setting
• 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 - 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position
• Permanent Change of Station (PCS): Not Authorized