Registered Nurse - Outpatient Charge Nurse Medical Specialty Clinics

Summary Full‑time Registered Nurse – Outpatient Charge Nurse for Medical Specialty Clinics – Patient Care Services – Harry S. Truman Memorial Veterans' Hospital, Columbia, Missouri. Qualifications 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 an accredited school of professional nursing approved by the appropriate accrediting agency (ACEN or 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 the 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 a temporary basis and later converted to a permanent appointment after 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 than an 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 U.S. state, territory, or Commonwealth (i.e., Puerto Rico) 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: Grade/Level Scope Education – Nurse I - Level I: Delivers fundamental, knowledge‑based care to assigned clients while developing technical competencies. Associate Degree (ADN) or Diploma in Nursing—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 needs. Scenario: An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level I; 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. Scenario 1: An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level II. Scenario 2: A BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level II. Scenario 3: A Master's degree in nursing (MSN) and no additional professional nursing experience. Scenario 4: 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. Scenario 1: A BSN with 2 years of professional nursing equivalent to Nurse I - Level III. Scenario 2: An MSN with one year of specialized nursing experience equivalent to Nurse I - Level III. Scenario 3: A Master's degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level III. Scenario 4: A Doctoral degree in nursing with no professional nursing experience. Scenario 5: A Doctoral degree in a related field with a BSN and 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. Scenario 1: MSN and 2 years of specialized nursing experience—one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III. Scenario 2: A Master's degree in a 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. Scenario 3: A Doctoral degree in nursing with one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III. Scenario 4: A Doctoral degree in a related field with 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: Outpatient clinic and procedural experience. Physical requirements: Typical for the occupation and would generally not require a pre‑placement examination. Duties Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates 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. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. Functions or scope of assigned duties: The specialty care outpatient staff registered nurse executes responsibilities that demonstrate leadership, experience, and creative approaches to management of complex specialty care. Provides patient care, care coordination, health promotion, health education, and coaching on wellness, disease prevention, and chronic care management. Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines. Demonstrates performance and leadership that is broad enough to improve the care for specialty care outpatients. Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through knowledge sharing to provide safe, quality specialty nursing care. Fosters a safe and supportive environment conducive to the professional development of health care professionals. Evaluates outcomes of evidence‑based decisions and practice changes for individuals, groups, and populations. Responsible for the documented outcomes at the specialty care program or service level. Specialty care program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility. 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 per year (26 days annual leave, 13 days sick leave, 11 paid federal holidays); retirement—traditional federal pension (5 years vesting) and federal 401(k) with up to 5% 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 U.S. state or territory; work schedule—full‑time, Monday to Friday 0730‑1600; telework—Not available; virtual—This is not a virtual position. Relocation/recruitment incentives: Not authorized; permanent change of station (PCS)—Not authorized. #J-18808-Ljbffr U.S. Department of Veterans Affairs