Registered Nurse - Close to Me Infusion

U.S. Department of Veterans Affairs; Washington (District of Columbia); On-site; USD 81,000 - 156,000; Full time

Job summary

The U.S. Department of Veterans Affairs is seeking a Registered Nurse for the Close to Me Infusion role to provide vital anti-cancer therapy services across various locations. This position emphasizes continuity of care for Veterans, demanding extensive nursing knowledge and collaboration with multiple health teams to improve health outcomes.

Benefits

Competitive salary

50 days of paid time off per year

Traditional federal pension

Federal health/vision/dental insurance

Qualifications

• Current, full, active, and unrestricted registration as a professional nurse.
• Graduate of an accredited nursing school.
• English language proficiency required.

Responsibilities

• Deliver direct and indirect nursing care to oncology patients.
• Collaborate with interdisciplinary teams.
• Complete physiological assessments and document in EHR.

Skills

Communication

Decision-making

Patient assessment

Team collaboration

Education

Bachelor of Science in Nursing (BSN)

Job description

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U.S. Department of Veterans Affairs provided pay range

This range is provided by U.S. Department of Veterans Affairs. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$81,494.00/yr - $155,459.00/yr

Summary

The Close to Me Infusion care delivery nurse will provide anti-cancer therapy services at three unique locations: Community Based Outpatient Clinics, mobile infusion units, and patient homes. This service will reduce travel time for Veterans, improve VA care continuity, and increase access points to Veteran-Centric care.

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Duties

The health and well-being of the Nation's men and women who have served in uniform is the highest priority for the U.S. Department of Veterans Affairs (VA). Registered Nurses hired as Close To Me (CTM) Infusion will execute the National Oncology Program's Close to Me initiative. The role requires comprehensive knowledge of the VA Health Care System, travel to various CBOCs outside of VA Medical Center's metro area, and familiarity with personnel in multiple departments.

The Close to Me (CTM) Infusion Registered Nurse (RN) Nurse commitment is to the patient, whether an individual, family, group, or community (ANA Code of Ethics for Nurses). The registered nurse, as a licensed professional, will be responsible and accountable for their practice.

Major duties include, but are not limited to:

• Possess foundational expertise, demonstrating introductory proficiency in delivering both direct and indirect nursing care to oncology patients and their families.
• Must collaborate with the interdisciplinary team to achieve desired patient outcomes.
• Completes physiological assessments and completes documentation in the electronic health record (EHR) in accordance to established policies and procedures.
• Monitors, tracks/tends, and reports ongoing care needs and outcomes to the interdisciplinary team.
• Provide a safe working environment while administering, handling, and disposing of antineoplastic drugs and medical waste.
• Oversee the administration and management of various medical procedures primarily in the Community Based Outpatient Clinic (CBOCs) setting, including vascular access devices and infusion treatments.
• Demonstrates sound judgement, flexibility, and strong decision-making skills in the delivery of patient care and readily identifies patient complications.
• Ability to work effectively with patients with a variety of medical and psychiatric condition; demonstrates physical and psychosocial assessment skills.
• Completes comprehensive nursing documentation according to standards.
• If the incumbent is a purchase card holder, performs the duties of a Government-wide Purchase Care Program cardholder in support of his/her service/department/service line. The cardholder is required to complete all required training courses as directed by the agency/organization program coordinator.
• Uses a team approach to identify, analyze, and resolve patient care problems with measurable outcomes.
• Triages patient problems and assists in the evaluation of symptoms and initiate interventions in collaboration with the interdisciplinary team.
• Conducts in-service education based on insights gained from oncology professional development activities and acquiring specialized skills in oncology-specific areas, including chemotherapy administration, oncology electronic ordering systems, and calculating drug dosages.
• Manages monitoring requirements for specific drugs, handling immediate infusion reactions, and preventing and managing oncology-related symptoms and adverse events, such as chemo-related symptoms and immune-related adverse events.
• Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.
• Uses specialized knowledge and judgement for delivery of high quality and evidence-based care to hematology/oncology patients and their families.
  
  

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: 7:30am-4:00pm; Monday - Friday. Tour of duty and/or work schedule may change depending on the needs of the Patients.

Telework: Not Available

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

PCS Appraised Value Offer (AVO): Not Authorized

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Requirements

Conditions of Employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  
  

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.)
  
  

Preferred Experience:

• BSN with 3-5 years experience preferred.
• OCN Certification preferred.
• Infusion/Oncology experience highly desirable.
  
  

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/12744918. 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: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. The CTM Nurse will be handling hazardous medications and must don personal protective equipment as required by VHA and Medical Center Policy. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Must complete annual Employee Health requirements as a condition of employment. The incumbent will be providing care in the Community Based Outpatient Clinics and will be required to operate a government vehicle. The incumbent may experience potentially long commuting times to and from the Medical Center and the CBOC. The incumbent will be self-directed in ensuring that all education and physical exam requirements are maintained in accordance with VA Directive 0637 "VA Vehicle Fleet Management Program".

Additional information

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

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