Registered Nurse (Assistant Nurse Manager)
Veterans Affairs, Veterans Health Administration
Summary The Assistant Nurse Manager (ANM) supports the Nurse Manager with supervisory duties and responsibility and accountability for the operation of their designated units. Provides coverage for other ANMs as needed. The ANM has responsibility and accountability for the direction and supervision of specific orientation, training, development of staff, and evaluation of individual staff performance. Functions as a role model, educator, practitioner, & supervisor providing leadership to the team. Responsibilities A Career At VA Salt Lake City Health Care System Can Take You Places (youtube.com) Major Duties: - Represent the unit/clinic in the absence of the Nurse Manager (NM)and ensure efficient clinic operations - Able to provide patient care as outlined by the Nursing staff job descriptions for the unit/clinic. - Acts as direct supervisor for designated staff and is responsible for mid-year and end of-year evaluations in collaboration with NM - Assists with payroll duties - Assists in the hiring/selection process for Nursing staff - Supports NM in collecting and preparing evidence for disciplinary actions for Nursing staff - Identifies potential crisis situations and responds effectively in emergency/code situations in the clinic. - Functions as a resource person to nursing and other personnel for clinic practices and patient care issues. - Collaborates with the Unit Education Coordinator in preparation and delivery of education/information to staff - Works with NM in mentoring new staff and students in clinical and professional skill development acting as a role model. - Monitors clinic staffing needs and maintains adequate levels to ensure safe patient care - Maintains a safe clinic environment by routinely inspecting the area and requesting supportive services assistance as needed; in accordance with the Environment of Care (EOC) standards - Communicates and/or mediates effectively with staff and support personnel to solve patient care and staff issues. - Assists in monitoring clinic for compliance with applicable performance measures and Joint Commission standards - Responsible for charge nurse training and mentoring - Acts as Charge Nurse on the shifts/days worked in staffing when needed. - Assists in departmental projects and initiatives - Assists in oversight of clinically assigned performance measures - Provides interpretation and rationale for hospital policies and procedures to personnel, physicians, and others - Audits charts for complete documentation as required for specific clinical Outpatient setting - Proficient using VA EMR and nursing specific documentation - Monitors the completion of annual and intermittent competencies are completed, such as RQI, PMDB, and clinic specific requirements - Assists monitoring status of Nursing licenses (LPN, RN) - Demonstrates proactive approach and demonstrates Servant Leadership style toward teambuilding and fostering a positive work environment - Promotes effective collaboration among all PACT team members - Demonstrates ability to surrogate coverage and perform other PACT staff members as needed - Provides knowledge and assistance to pull data specific to PACT and panel management - Provides and documents patient education specific to disease states - Assists in developing and implementing plans to meet learning needs and skill development of Nursing staff. - Maintains professional boundaries with patients, families, and employees. - Ensures application of institutional policy to protect information from unauthorized release, loss, alteration, or deletion. - Maintains competency on PEE use/ donning and doffing. - Contributes to an environment of a High Reliability Organization with a culture of safety founded on a systems approach to developing health care solutions based on prevention, not punishment, with collective mindfulness. - Demonstrates professional and cooperative behavior in all aspects of practice - Demonstrates effective written and verbal communication skills. - Demonstrates professional and cooperative behavior in all aspects of practice - Collaborates with peers in completing clinic workload efficiently. - Participates in clinic-based performance improvement activities to improve patient care. - Makes changes in own practice in response to performance improvement findings - Reviews and shares current literature in relation to practice with co-workers - Participates in meeting VA Performance Measures to include All Employees Surveys. - Maintains daily review and completion of encounters, unsigned notes, alerts, and secure messages. - Monitors and assists with completion of JPSR's and PATsR's timely, and without delay - 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 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: Ad-Hoc Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS) : Not Authorized Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). 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/12795867. 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/. Preferred Experience: Experience as a PACT Care Manager, Leadership experience in Outpatient setting, Primary Care experience. Physical Requirements: The incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers. Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The positions requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients. Education Additional Information This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
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