Registered Nurse-Specialty Clinics

U.S. Department of Veterans Affairs; Harlingen (TX); Remote; USD 77,000 - 158,000; Full time

Job summary

The VA Texas Valley Coastal Bend Health Care System is seeking a Specialty Clinics Registered Nurse to join its clinical team. You will deliver patient-centered care using the nursing process, collaborate with the Teamlet, educate patients and families, and support self-management and Whole Health goals.

Responsibilities include triage, procedures support, documentation in CPRS, care coordination with multidisciplinary teams, and adherence to privacy and evidence-based care.

Qualifications

• ADN, BSN, or MSN must be ACEN/CCNE-accredited to qualify.
• Transcript documentation may be required with application.
• Federal employment experience and licensure compliance may apply.

Responsibilities

• Uses nursing process and evidence-based practice to collaborate with Teamlet and Team to meet patient care needs.
• Provides patient and family health education focusing on self-management, prevention, wellness, and Whole Health.
• Demonstrates advanced clinical knowledge in assessment, planning, implementation, documentation, and evaluation of care for a patient group.
• Educates patients on clinic procedures and expectations.
• Assists with clinic procedures, monitors for adverse effects, and triages care.
• Maintains privacy and confidentiality of patient information and documents securely.
• Promotes telehealth and non-face-to-face care once appropriate.
• Completes Nursing Notes in CPRS and closes encounters timely.
• Performs care management for Ambulatory Care Sensitive Conditions and coordinates with high-risk care teams.

Skills

Patient education

Team collaboration

Clinical assessment

Nursing process

Education

ADN (Associate Degree in Nursing)

BSN (Bachelor of Science in Nursing)

MSN (Master of Science in Nursing)

Tools

CPRS

Job description

• Department: Department of Veterans Affairs

The VA Texas Valley Coastal Bend Health Care System is currently recruiting for a Specialty Clinics Registered Nurse position.

Key Responsibilities

• Uses the nursing process and evidence-based practice to collaborate with the Teamlet and larger Team to meet patient care needs.
• Provides patient and family health education with a focus on self-management, prevention, wellness, and Whole Health, based on the patient's goals.
• Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients.

• Educates patients regarding clinic procedures and what to expect during the procedure.
• Assists with clinic procedures and monitors patient for any adverse effect.
• Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems; documents own interventions.
• Monitors progress using clinical standing orders, analyzes variations, and initiates appropriate actions.

• Maintains current knowledge of multidisciplinary resources, programs, and services. Refers patients for community resources as deemed necessary.
• Reviews options with patients and families, alternatives, risks/benefits, and services.
• Educates the patient and family on disease processes, resources, plan of care, treatments, and /or procedures.

• Screens patients for social service, home care, and other community care needs; and coordinates or makes referrals as appropriate; and seeks consultation when indicated.
• Ensures the patient's provider is aware of patient progress, issues, and/or problems.

• Evaluates needs and facilitates the patient's ability to learn the principles of self-care; utilizes appropriate resources if the patient is unable to grasp the knowledge/skills needed for self-care through the use of motivational interviewing.
• Utilizes approved Standing Orders and Guidelines to facilitate autonomy in providing care.
• Promotes cost effective use of resources and effective strategies including non-face-to-face approaches (including telehealth).

• Maintains privacy and confidentiality of all patient information, including electronic, print, and conversations.
• Applies skills, such as motivational interviewing to promote patient self-management.
• Adheres to policies, procedures, and standards to promote evidence-based patient-driven care.
• Timely compliance of required web-based educational modules (Talent Management System TMS).
• Completes and documents secure messaging within 72 hours.

Surrogate is always identified. Escalation of secure messaging must be maintained at 10% or less. Routes messages to appropriate care lines as needed.

• Performs other tasks as requested by providers or supervising nursing personnel within the scope of training and abilities.
• Demonstrates flexibility and adapts to work demands or adjustment of assignments.

• Performs as a role model in the provision of excellent customer service
• Reviews Message Manager and assists Team to address/complete pending alerts communicated throughout tour of duty to facilitate care and address needs of the caller within 48 hours or before being cognizant of the Veteran awaiting response.
• Completes and documents Nursing Notes in CPRS, as applicable, in a timely manner and closes the Encounter Notes for patients not seen by a provider.

Notes will be closed by the end of tour of duty daily. Areas to be addressed include: Encounters: reasons for visit- Service Connection; Primary Assignment-Service connected conditions under the Diagnosis tab; Procedures, ACSC conditions, etc.

• Provides Care Management to patients with Ambulatory Care Sensitive Conditions (ACSCs) including review of the patient record, deciding if the patient needs more in-depth education (formal and/or informal), nursing visits, and/or telephone calls between provider visits to assist in care management.
• Collaborates with the High-Risk Care Coordinators, Home Telehealth, social work, and/or dieticians for referrals and care management.
• Other duties as assigned.

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
• 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; 08:00am-04:30pm
• Telework: Available ad hoc only
• Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements & Education

The Associate Degree Nursing (ADN), Bachelor of Science degree in Nursing (BSN), or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE).

Verification of accreditation may be obtained from http://www.acenursing.us/accreditedprograms/programsearch.htm or https://directory.ccnecommunity.org/reports/accprog.asp If your school has changed names, or is no longer in existence, you must provide this information in your application.

If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $77349 – $158093/yr.

Is this position remote or telework eligible?

This position is eligible for telework.

What is the application deadline?

Applications close on 2026-11-02.

Who is eligible to apply?

This position is open under the 'Fed Internal Search' hiring path.