Registered Nurse (Specialty Care)

U.S. Department of Veterans Affairs; Salisbury (NC); On-site; USD 70,000 - 100,000; Full time

Job summary

U.S. Department of Veterans Affairs in Salisbury, NC, is seeking a Registered Nurse (Specialty Care) to provide and supervise direct patient care in Ambulatory and Specialty Care Clinics, specifically the Surgery Clinic assignment.

The role requires RN licensure in good standing, ACEN/CCNE-accredited nursing education, and proficiency in English. The position emphasizes nursing process leadership, patient education, and care coordination within a fast-paced outpatient environment.

Qualifications

• English language proficiency required.
• Graduate of a nursing program accredited by ACEN or CCNE.
• Current, full, active RN license in the United States.

Responsibilities

• Provides competent, evidence-based specialty care in Ambulatory/Specialty Surgery Clinic.
• Administers medications and procedures per policies and guidelines.
• Coordinates patient care, health education, and chronic care management.
• Collaborates with the interdisciplinary team to improve quality and outcomes.

Skills

English proficiency

Education

State nursing license

Nursing degree (ACEN/CCNE accredited)

Job description

Summary The Registered Nurse (Specialty Care) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care within Ambulatory Care and Specialty Care Clinics. Specialty Care/Ambulatory Assignment: Surgery Clinic NOTE: The 2-page Resume requirement does not apply to this position.

Summary The Registered Nurse (Specialty Care) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care within Ambulatory Care and Specialty Care Clinics. Specialty Care/Ambulatory Assignment: Surgery Clinic 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 Medical/Surgical Specialty area
• Demonstrated experience in changing dressings and assisting with minor surgical procedures
• 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/13101210
• 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

• NOTE: Position is located in Ambulatory Care/Specialty Care Surgery Clinic The Registered Nurse (Specialty Care) is responsible for providing competent - evidence-based specialty care to assigned patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the Specialty Care/Ambulatory Care clinic setting
• Administers medications and procedures per established policies and guidelines
• Other duties/responsibilities include - but are not limited to the following: Provides patient care - care coordination - health promotion - health education and coaching on wellness - disease prevention - and chronic care management
• Assists in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization
• Integrates specialty care knowledge - skills - abilities - and judgment and is self-directed in goal setting for managing complex outpatient situations
• Validates understanding of the rationale for specialty care processes and decisions
• Provides care and/or services appropriate to the age of patients being served and which is appropriate to the cognitive
• emotional - and chronological maturation of the patient
• Assesses data reflective of patient's status and interprets information needed to identify each patient's requirements relative to age specific needs to provide care as described in the services - policies and procedures
• Influences care outcomes by collaborating with members of the 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
• Demonstrates the ability to cope with and manage competing priorities
• Demonstrates competence in specialty care practices and decision-making - deliberate planning - and critical thinking skills
• 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 - 7:45am-4:15pm Monday-Friday Telework: No Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized