Assistant Registered Nurse Manager

U.S. Department of Veterans Affairs; Durham (NC); On-site; USD 90,000 - 130,000; Full time

Job summary

Durham VA Healthcare System is seeking an Assistant Nurse Manager for the Surgery Specialty Clinic to provide leadership and guidance across multiple surgical subspecialties. You will be responsible for managing daily clinical operations, staffing, and the environment to ensure the highest quality of patient care in a safe setting.

The role emphasizes clinical expertise, supervision of nursing staff, coordination of resources, and collaboration with the interdisciplinary team to achieve VA

Qualifications

• English Language Proficiency
• Current - full - active - and unrestricted nursing license in the United States
• Graduate of an approved nursing program (ADN, Diploma, or BSN) with eligibility for RN licensure
• Leadership experience in nursing management preferred
• Strong knowledge of patient care management, staffing, budgeting, and quality improvement
• Ability to meet VA health requirements and pass background checks

Responsibilities

• Assist Nurse Manager in overseeing daily clinical operations across multiple surgical subspecialties
• Coordinate staffing, scheduling, and time-off requests to meet unit needs
• Provide coaching, mentorship, and supervisory support to RN/LPN/NA staff
• Ensure compliance with regulatory standards and VA policies
• Monitor patient care quality and safety, participate in performance improvement initiatives
• Collaborate with interdisciplinary team to maintain efficient, patient-centered care

Job description

Summary

The Durham VA Healthcare System is seeking (1) highly skilled/experienced Assistant Registered Nurse Manager to serve within Specialty Surgery. Demonstrates leadership - experience/ingenious approaches to management of complex patient care. Accountable for the management of patient care - human - fiscal/material resources - & the total environment of the unit. Responsible to ensure that the highest possible quality of care is achieved & a safe therapeutic environment.

Summary

The Durham VA Healthcare System is seeking (1) highly skilled/experienced Assistant Registered Nurse Manager to serve within Specialty Surgery. Demonstrates leadership - experience/ingenious approaches to management of complex patient care. Accountable for the management of patient care - human - fiscal/material resources - & the total environment of the unit. Responsible to ensure that the highest possible quality of care is achieved & a safe therapeutic environment.

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/13073953
• 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 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 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
• Preferred Experience: Minimum of 5 years successful nursing practice
• A minimum of 2 years in leadership roles of charge nurse - committee chair or other counsel leader support staff
• Preferred Level of Education: BSN MSN - or BSN with a Masters degree in a health related field Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: See VA Directive and Handbook 5019
• This position requires potentially long periods of continued walking - standing - sitting - lifting - carrying - pushing - reaching above shoulder - use of fingers - both hands - both legs & repeated bending
• Heavy lifting (45 lbs
• & over) Heavy Carrying (45 lbs
• & over) Straight Pulling (up to 4 hours) Pushing (up to 4 hours) Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (up to 8 hours) Standing (up to 8 hours)
• Repeated bending (up to 8 hours) Both legs required
• Ability for rapid mental & muscular coordination simultaneously
• Specific visual requirement: Read typed Chapters
• Correctable vision 20/40 in one eye
• Ability to distinguish basic colors & shades of colors
• Hearing (aid permitted)
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• Emotional & Mental Stability: The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• Must complete annual Employee Health requirements - such as annual TB screening/testing - as a condition of employment.

Duties

• The Assistant Nurse Manager (ANM) for the Surgery Specialty Clinic supports the Nurse Manager in overseeing daily clinical operations across multiple surgical subspecialties such as Urology - Pain - ENT - Neurosurgery - Orthopedics / General Surgery / Cardiac / Thoracic
• Responsibility includes management - evaluation - and implementation of evidenced-based nursing practice
• The ANM is responsible for executing his/her duties in a manner that demonstrates leadership - clinical expertise - and creative approaches to the management of patient care for adult and geriatric patients - in accordance with the North Carolina Nurse Practice Act - Medical Center - and VAHQ standards of Practice
• The ANM and the Nurse Manager are a high functioning team - working cohesively to create a positive work environment which enhances care delivered by nursing and other allied health care staff within the VA Durham Healthcare system
• The ANM will make sound fiscal decisions when requesting supplies and managing time and leave of employees with the guidance of the Nurse Manager
• approving time off - and authorizing overtime in compliance with unit and hospital financial goals
• The Assistant Nurse Manager is also responsible for coaching - mentoring - and supervising subordinate staff
• The ANM will work collaboratively with the Team to ensure that all administrative functions are adequately covered
• The assistant Nurse Manager reports to the Nurse Manager of the designated unit assigned
• Duties include - but not limited to: Planning work to be accomplished by subordinates - setting priorities and preparing schedules for completion of work
• Assigning work to subordinates (RNs - LPNs - NAs) based on priorities - selective consideration of difficulty and the requirements of the assignments - and the capabilities of subordinates
• Evaluating the performance of team
• Giving advice - counsel - or instruction to subordinate personnel on work and administrative matters
• Mediating and resolving complaints of subordinates and referring more serious complaints not resolved to higher level supervisors
• Recommending disciplinary action where appropriate
• Identifying developmental and training needs of subordinates and providing or making provision for such development and training (VA Handbook 5007 - Part III - Chapter 8)
• Maintain competency/proficiency in practice on their assigned unit and remain current with required certification for their unit - i.e. - basic life support (BLS) and/or advanced cardiac life support (ACLS)
• Monitor attendance of team with the guidance of nurse manager
• Assumes role in coverage/ staffing a minimum of 50% of the time
• Demonstrated ability to work effectively with patients - families and other members of an interdisciplinary team
• Prior recent experience in ambulatory care/primary care nursing - including care of patients with mental health - female Veterans - and health education needs
• Prior recent experience in ambulatory care/primary care nursing - including care of patients with mental health - female Veterans - and health education needs
• Demonstrated history of collaborative relationships with inter-professional staff and other support services and organizational leadership
• Documented evidence of knowledge and skill including (but not limited to): Change management - problem solving - customer relations - decision making - priority setting - organization - critical thinking
• Ability to work independently of Nurse Manager oversight
• Knowledge of JCAHO standards and Patient Safety Goals
• 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 hour - compressed - with occasional Saturdays Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized