Registered Nurse - Supervisory Assistant Nurse Manager

Veterans Health Administration, Department of Veterans Affairs; Columbia Township (MO); On-site; USD 90,000 - 120,000; Full time

Job summary

The Supervisory Assistant Nurse Manager (ANM) supports the Nurse Manager in overseeing the operations of a nursing unit at Harry S. Truman Memorial Veterans Hospital in Columbia, Missouri.

The role balances administrative and clinical duties (50/50) and provides leadership to staff, coordinates orientation and staffing, and drives performance improvement while ensuring regulatory compliance and high-quality patient care.

Qualifications

• Current, full, active, and unrestricted RN license in a U.S. state.
• Graduate of an approved nursing program (ACEN/CCNE accreditation).
• English proficiency in written and spoken language.

Responsibilities

• Assist the Nurse Manager with unit operations, scheduling, and leave coordination.
• Provide and oversee direct patient care and clinical leadership on the unit.
• Lead staff development, orientation, performance evaluation, and compliance with standards.

Job description

Summary

This position is a Full-Time Registered Nurse - Supervisory Assistant Nurse Manager position for Float Pool - Patient Care Services within Harry S. Truman Memorial Veterans Hospital - Columbia - Missouri

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/13095183
• 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 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 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 Experience: Masters Degree Manager/Supervisor experience 1-3 years Critical Care Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.

Duties

• General Description of Assigned Duties: The Supervisory Assistant Nurse Manager (ANM) supports the Nurse Manager (NM) in overseeing operations of a nursing unit/patient care area
• Fosters team development - ensures compliance with standards of clinical practice - and serves as a key liaison between staff and leadership
• This role combines clinical expertise with leadership responsibilities and is often considered part of the succession plan for future NM positions - providing opportunities to develop management skills and prepare for higher-level leadership
• Functions as a clinical expert and is responsible and accountable for all elements of the nursing process when providing or overseeing direct patient care
• Assesses - plans - implements - and evaluates delivery of care based on age specific components
• Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care
• Demonstrates sound decision-making and judgment and possess excellent interpersonal skills
• Self-directed and influences care outcomes by collaborating with members of the interdisciplinary team and leading innovative process improvement initiatives
• The Supervisory ANM position encompasses responsibilities that are divided equally between administrative and clinical duties - with 50% administrative time and 50% clinical time
• This structure ensures balanced engagement in leadership functions and direct patient care
• Administrative responsibilities include assisting the NM with unit operations
• drafting and adjusting staff schedules
• coordinating leave
• supervising assigned personnel
• participating in recruitment and selection processes
• supporting performance evaluations
• ensuring compliance with accreditation and regulatory standards
• guiding performance improvement initiatives
• and applying clinical knowledge/judgment to lead staff involvement in planning - decision-making - and evaluating outcomes
• Clinical responsibilities include providing and overseeing direct patient care
• serving as a clinical resource and role model
• participating in interdisciplinary collaboration
• responding to changes in patient condition
• supporting staff in high-acuity situations
• and monitoring the quality and effectiveness of nursing care delivered
• The Supervisory ANM also provides off-tour coverage as needed to support unit operations and ensure continuity of leadership - staffing oversight - and clinical support across all shifts
• Functions or Scope of Assigned Duties: The Supervisory ANM supports the NM with the operation of their designated unit(s)
• Provides coverage for other ANMs as needed
• Responsible and accountable for the direction and oversight of specific orientation - training - development of staff - and evaluation of individual staff performance
• Functions as a role model - educator - practitioner - and leader
• Influences care outcomes by collaborating with members of the interdisciplinary team to remove barriers and implement new evidence-based cutting-edge programs/processes
• The Supervisory ANM is typically responsible for assisting the NM but is not responsible for independently carrying out the expectations of a NM on a routine basis
• Exercises the authority to direct work - assign duties - evaluate employee performance - recommend employee awards - approve or deny leave - recall employees to duty - propose discipline - and to adjust their grievances - or to effectively recommend such proposed discipline or grievance adjustments for employees under their direct supervision
• 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 - Tour varies based on unit's needs Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized