Registered Nurse HematologyOncology

• Maintains current knowledge of practice standards and guidelines related to Cancer Care.
• Recommends changes in practice to meet changing standards.
• Collaborates with primary care and subspecialty clinic providers other members of the health care team other disciplines to coordinate care for patients followed in Hematology/Oncology.
• Assists in the development of criteria for those patients who would benefit from case management intervention.
• Develops plan of care for patients identified as needing case management intervention.
• Assesses patients ability to meet goals establishes mutual goals with the patient/family monitoring and evaluating patients goal attainment.
• Facilitates patient involvement in care by communicating ongoing patient status identifying barriers to care exploring motivational and adherence issues evaluating support system and examining patterns of over and underutilization of services.
• Follow up on laboratory tests radiology exams or other studies as requested. Is knowledgeable of normal and abnormal results and takes appropriate actions based on protocols developed by Clinic Team and physician leaders.
• Utilizes telephone TeleHealth MyHealtheVet and individual clinic visits for case management intervention during and between clinic hours of operation.
• Initiates referrals for appropriate interdisciplinary care including radiology radiation/oncology dietary social work and occupational therapy.
• Utilizes the computer to access medical information and document assessment interventions and outcomes.
• Maintains data base of patients who are individually case managed including patients with abnormal labs who require follow-up admissions and discharge follow-up.
• Reports clinical outcomes of patients receiving case management intervention.
• Communicates with internal and external providers to ensure continuity of care.
• Performs telephone triage for patients assigned to Hematology/Oncology Clinic.
• The incumbent facilitates provision of quality health care to the Veteran population by improving patient access reducing unnecessary outpatient visits and promoting self-care activities by performing patient assessment clinical triage and patient education activities utilizing the telephone.
• Assists in coordinating the admission of Hematology/Oncology patients.
• Facilitates transition from inpatient to outpatient care including transition to other VAs or CBOCs.
• Assesses patient and family learning needs instruct patient and family on self-care disease prevention health promotion exit interview activities taking into account issues related to patients age and cultural diversity concerns related to religion ethnic background or other issues.
• Develops or obtains evidence-based patient education materials and provides patient and family education for specific cancer disease.
• Collaborates with other team members on patient education activities.
• Accesses patients presenting for care to determine if potentially life threatening conditions are present which require emergent interventions. Chief complaint is assessed vital signs and other objective findings are utilized to triage patient according to their level of activity.
• Able to perform effectively in an emergency.
• Initiates/participates in quality improvement activities that result in improved outcomes.
• Participates in ambulatory care performance improvement activities that may include data collection analysis of data evaluating outcomes reporting outcomes and implementing changes in practice based on performance measurement criteria. Some of the performance measures include Advanced Clinic Access of performance measures Customer Service Standards External Peer Review Program and Clinic Guidelines Compliance.
• Assists in the identification development and monitoring of specific clinic indicators.

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 8:00am-4: may be subject to change based on the needs of the Agency.
Compressed/Flexible: Not available
Telework: Not available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not available
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized

• 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.
• 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 ( Effective May 7 2025 drivers licenses or state-issued identification 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).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the Required Documents section of this announcement.

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 masters level bridge program in nursing who have completed coursework equivalent to a bachelors 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: I Level IDelivers 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 IIDemonstrates 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 IIIDemonstrates 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 Masters degree in nursing (MSN) and no additional professional nursing experience; OR a Masters degree in a *related field with a BSN and no additional professional nursing experience.Nurse IIDemonstrates 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 Masters 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 IIIExecutes 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 Masters 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 Requirements: his clinical position includes a level of physicality normally associated with direct patient care duties performed by nurses for potentially long periods of time. This may include walking standing stooping bending sitting reaching pushing and pulling. It may include moderate lifting/carrying not greater than 35 pounds following Safe Patient Handling and Mobility (SPHM) guidelines. Employees are expected to employ proper body mechanics during lifting and seek assistance or use mechanical lifts for weights greater than 35 pounds following Safe Patient Handling Guidelines. Requires adequate vision to accurately perform the assigned duties distinguish basic colors and assess patients and the environment safely. The position requires the ability to hear at a level toperform the assigned duties and the use of hearing aids is permitted.

Education

A transcript either official or unofficial must be submitted with your application for ALL degrees. A copy of your certificate/degree or screenshot of your current classes are not a replacement of your transcript and they will not be used in the qualifying process.

Your transcript must include the following information:

• Your Name
• Name of the college or university
• Full address of the college or university
• Degree Received
• Date Conferred

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges universities schools or institutions may be used to qualify for Federal employment. You can verify your education here: 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.