Registered Nurse Primary Care (Garner)

The Garner VA Outpatient Clinic- PACT maintains the health and manages the care for patients with a variety of medical problems including hypertension diabetes arthritis cancer congestive heart failure and other chronic diseases. The clinic is designed to provide comprehensive primary care services including gender specific care to male and female Veterans. The clinic is staffed by providers (physicians advanced practice providers) registered nurses licensed practical nurses pharmacists social workers and medical support assistants. The Registered Nurse will serve as a primary care nurse in support of the physician or advanced practice provider.

Duties will include but not be limited to:

• Oversight of nursing staff patient intake documentation point of care testing and health screening.
• Assess triage take histories and document conditions and concerns for Veterans presenting to the clinic and via the telephone.
• Responsible for promoting an environment that supports caring and courteous service safe patient care and positive working relationships.
• Coordinate care through the health continuum using health education health coaching and health promotion.

Preferred Experience:

• Minimum of three years of successful clinical practice.
• Prior recent experience in ambulatory care/primary care nursing including intake for medical appointments and care of patients with mental health and health education needs.
• Previous experience in the care manager role and coordinating care/care delivery.
• Previous experience with telephone advice nursing and triage assessments.
• Demonstrated proficiency in using the nursing process in providing care for clients with complex care needs.
• Previous knowledge/experience with the patient centered medical home practice model.
• Demonstrated ability in the areas of interpersonal relationships problem solving/critical thinking skills and conflict resolution.
• Demonstrated outcomes in working effectively with interdisciplinary team in the outpatient setting.
• Demonstrated ability to function independently use good communication skills and to be flexible.
• Computer skills and typing proficiency sufficient to permit real-time documentation of patient encounters enter and retrieve data.
• Prior experience with determining patient assignments unit management and charge nurse responsibilities.
• Minimum of 1 year experience in Primary Care clinic.

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 hour tour between 7:30am - 5:30pm
Compressed/Flexible: Not available
Telework: Not available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): 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.

Preferred Level of Education:

• BSN

Preferred Certification(s):

• Ambulatory Care Nursing Case Management
• Medical-Surgical Telephone Nursing Practice

Reference: For more information on this qualification standard please visit Requirements: See VA Directive and Handbook 5019. This position requires potentially long periods continued walking standing sitting lifting carrying pushing reaching above shoulder use of fingers both hands both legs & repeated bending. Heavy lifting (45 lbs. & over) Heavy Carrying (45 lbs. & over) Straight Pulling (up to 4 hours) Pushing (up to 4 hours) Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours) Standing (up to 8 hours); Repeated bending (up to 8 hours) Both legs required; Ability for rapid mental & muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision 20/40 in one eye; Ability to distinguish basic colors & shades of colors; Hearing (aid permitted). The incumbent may occasionally be exposed to patients who are combative secondary to delirium dementia or psychiatric disorders; Emotional & Mental Stability: Incumbent must be mature flexible sensible individual capable of working effectively in stressful situations able to shift priorities based on patient needs. Must complete annual Employee Health requirements such as annual TB screening/testing as condition of employment.