Registered Nurse (Community Living Center)

Veterans Health Administration, Department of Veterans Affairs; Salisbury (NC); On-site; USD 75,000 - 90,000; Full time

Job summary

The Veterans Health Administration, Department of Veterans Affairs invites applications for a Registered Nurse in the Community Living Center (CLC). The RN is responsible for providing and supervising comprehensive nursing care, including medications and care coordination for residents with complex needs.

Responsibilities include leading patient education, collaborating with interdisciplinary teams, and ensuring high-quality outcomes while adhering to nursing standards and VA policies.

Qualifications

• Graduate in nursing with eligibility for RN licensure.
• Experience in long-term care or skilled nursing is preferred.
• Ability to apply the nursing process and patient-centered care.
• Strong communication and teamwork skills.

Responsibilities

• Provide and supervise direct patient care in the Community Living Center.
• Administer medications and monitor treatment plans per guidelines.
• Lead care coordination and patient education to improve outcomes.
• Collaborate with interdisciplinary team to support aging and complex needs.
• Ensure accurate documentation and quality improvement participation.

Skills

Nursing

Patient Care

Assessment

Communication

Education

Associate Degree in Nursing (ADN)

Tools

EHR systems

Job description

Summary

The Registered Nurse (Community Living Center) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care assigned specialty area within the Community Living Center (CLC) Unit. NOTE: The 2-page Resume requirement does not apply to this position.

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
• Preferred Experience: 2-3 years nursing experience in Long-term Care/Community Living Center specialty areas
• 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/13102363
• 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: See VA Directive and Handbook 5019
• This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care - and potentially long periods of walking - standing - sitting - moderate lifting - repeated bending - or kneeling
• Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients Utilization of safe patient handling and mobility protocols Position specific duties/expectations are detailed in the associated competency and should be performed once the competency has been validated.This position potentially requires flexibility in schedule and assignments.

Duties

• The Registered Nurse (CLC) is responsible for providing competent - evidence-based care to assigned residents and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting
• Administers medications and procedures per established policies and guidelines
• 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
• Other duties/responsibilities include - but are not limited to the following: Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care
• Assists in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization consultation Influences care outcomes by collaborating with members of the CLC interdisciplinary team
• Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs
• Collaborates with the Minimum Data Set (MDS) coordinator to ensure documentation is accurate and reflective of the Resource Utilization Group (RUG) score
• Participates in activities and strategies to sustain evidence-based-practice
• Provides care and/or services appropriate to the age of the patients being served - and which is appropriate to the cognitive
• emotional - and chronological maturation of the patient
• Assesses data reflective of the patient's status and interpret the information needed to identify each patient's requirements relative to their age specific needs and to provide care needed as described in the services' policies and procedures
• Demonstrates knowledge of the changes associated with aging and possess the ability to provide care/support based upon age related factors
• Leads professional practice using the nursing process (assessment - diagnosis - outcome identification - planning - implementation - and evaluation) to improve evidence-based and/or data-driven outcomes for an identified patient population and/or specialized areas within immediate practice setting
• Performs patient care improvement through monitoring - analyzing - and evaluating care outcomes in the immediate practice setting
• Performs other related duties as listed in functional statement
• 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: Full time - Various shifts/tours of duty to include rotating weekends and holidays
• Telework: No Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized