Registered Nurse - Specialty Care Outpatient

Summary The John J. Pershing VA Medical Center, a Level 3 complexity facility, is seeking a Registered Nurse to serve as an Outpatient Staff Nurse in Specialty Care Services. Duties The Specialty Care Outpatient Staff Registered Nurse (RN) provides comprehensive, evidence-based nursing care to Veterans in an outpatient specialty setting. The RN serves as a clinical leader, care coordinator, advocate, and integral member of the interprofessional team, ensuring safe, timely, and Veteran-centered care. Duties and Responsibilities Clinical Practice Provides and oversees direct patient care utilizing the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation). Administers medications and performs clinical procedures following VA policy, ANA Standards of Nursing Practice, and local protocols. Delivers expert nursing care to Veterans with complex health needs and adjusts care plans based on clinical judgment and patient response. Applies sound clinical judgment to guide staff in clinical decision-making and evaluating care outcomes. Care Coordination & Veteran Experience Coordinates care across the continuum with emphasis on patient education, self-management support, and improved Veteran satisfaction. Identifies and resolves issues related to care access, timeliness, navigation, workflow, and environment of care. Incorporates patient, family, and caregiver values into care delivery with cultural sensitivity and respect. Serves as a patient advocate to enhance safety, satisfaction, and overall care experience. Interprofessional Collaboration & Leadership Communicates and collaborates effectively with members of the interprofessional team to achieve evidence-based, data-driven outcomes. Participates in team conferences, care planning, and case discussions to ensure coordinated, holistic care. Supports a positive team culture by encouraging professional development, integrating diverse perspectives, and modeling respectful communication. Quality, Safety & Professional Standards Actively participates in unit and program quality improvement initiatives and customer service efforts. Serves as a resource for addressing ethical issues and concerns raised by patients, caregivers, or staff. Promotes High Reliability Organization principles and demonstrates

I Care

values in all interactions. Ensures compliance with regulatory and accreditation standards related to outpatient specialty care. Customer Service Provides courteous, respectful, and professional communication with Veterans, visitors, volunteers, and staff. Furnishes accurate, consistent information according to established VA policies and procedures. Manages conflict constructively to maintain a safe and supportive care environment. Preferred Experience: Minimum three years of successful clinical nursing practice in surgical ambulatory care or outpatient wound care. Experience in patient care management is preferred. 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 Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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: 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 profession