Registered Nurse (Nephrology)

Veterans Health Administration, Department of Veterans Affairs; Mather AFB Munitions Storage (formerly) (CA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Paid Time Off: 50 days per year

Federal health/vision/dental insurance

Education Debt Reduction Program (EDRP

Retirement pension and 401(k)

Job summary

Veterans Health Administration, Department of Veterans Affairs is seeking a Nephrology RN to lead and provide evidence-based nursing care for patients with complex nephrology needs. The role emphasizes clinical leadership, interprofessional collaboration, and adherence to ANA standards within a veteran-focused care setting.

The position requires a US RN license, graduation from an ACEN/CCNE-accredited program, and English proficiency; bridge options are described for licensure pathways, with

Qualifications

• Active RN license in the United States
• Proficient in English (written and spoken) per VA standards
• Graduate of an ACEN/CCNE-accredited nursing program
• Bridge program option for master's pathway with state licensure
• Possession of current, full, active nursing license in a U.S. state or territory
• Foreign-educated nurses require degree equivalency validation

Responsibilities

• Provide and oversee nursing care using the nursing process for nephrology patients
• Lead interprofessional care planning and outcomes in the nephrology unit
• Mentor licensed practical nurses and nursing assistants as appropriate
• Ensure high reliability and I CARE values in care delivery
• Maintain safe clinical environment and proper inventory in exam and procedure rooms

Skills

English proficiency

Leadership

Nursing assessment

Education

BSN or higher

RN license (US)

ACEN/CCNE-accredited program

Foreign nursing education degree equivalency

Job description

Summary

The Nephrology RN is responsible and accountable for all elements of nursing process when providing and or supervising direct patient care. This nurse provides leadership to the clinical team for interprofessional care of patients with complex Nephrology needs.

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/13102585
• 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
• Preferred criteria RN Outpatient dialysis clinic - Inpatient dialysis experience 2+ years RN experience
• 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
• Will be exposed to different alarms and it is critical that incumbent is able to discern different alarms
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling and pushing
• Transferring patients and objects may be required
• May be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures
• My occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• Must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs.

Duties

• The Nephrology RN is responsible for providing providing competent - evidence-based care to assigned patients and oversight of licensed vocational nurse/nursing assistants - as appropriate to the setting
• Major Duties: 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/judgement to lead staff involvement in planning - decision making - and evaluation 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 into care delivery without judgement or discrimination
• Serves as a resource for patients - caregivers - and staff to address and resolve ethical issues in the i8mmediate practice setting
• Leads the implementation of high reliability principles and I CARE vales to increase consistency of care delivered and improve patient outcomes
• Ensure appropriate delegation/completion of clinic task assignments to optimize safe clinical environment for staff - patients and visitors
• Ensure clean and orderly exam rooms - procedural suites and supply rooms are fully stocked by end of each day Maintaining inventory/supply list - ensuring supply and sterile instrument sufficiency
• Ensure supply and sterile instrumentation are appropriately stored and rotated in accordance with expiration dates and compliance standards
• Ensure compliance and documentation of environmental temperature/humidity monitoring compliance of all refrigerators - consumables supply - re-usable - &/or loaned supply items &/or devices
• 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 - 0800-1630 Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact [e-mail] - the EDRP Coordinator for questions/assistance
• Learn more Permanent Change of Station (PCS): Not authorized This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program
• You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment
• Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application
• Former EDRP participants ineligible to apply.