Summary

The LTC Charles S. Kettles VA Medical Center is seeking a Registered Nurse (RN) - Assistant Nurse Manager - aligned under Ambulatory Care service - at the Adrian Community Based Outpatient Clinic (CBOC) in Adrian - MI. This position supports the Electronic Health Records Management (EHRM) system.

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/13090836
• 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/
• Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
• Transferring patients and objects may be required
• Mechanical inpatient lifts are provided
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures - or home settings
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The incumbent must be a 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 or testing - as a condition of employment.

Duties

• The Registered Nurse (RN) Assistant Nurse Manager (ANM) supports the Nurse Manager (NM) with supervisory duties and responsibility and accountability for the 24/7 operation of their designated units
• They provide 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 provides input into the evaluation of individual staff performance
• Duties include - but are not limited to: Functions as a clinical expert and is responsible and accountable for all elements of the nursing process when providing or supervising 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
• Influences care outcomes by collaborating with members of the interdisciplinary team and creating innovative process improvement initiatives
• Functions as a role model - educator - practitioner - and supervisor providing leadership to the team
• Engages in professional organizations to enhance leadership and career growth
• Adheres to ethical principles in decision-making - fostering accountability at personal - organizational - and staff levels
• Equips staff with tools for culturally competent care and promotes a culture of accountability for high-quality - cost-effective outcomes
• Cultivates alliances across the care continuum - building trust through active listening - engagement - and emotional intelligence
• Contributes to the development of care delivery models and environmental design - ensuring evidence-based - accessible - affordable - and equitable patient care
• Ensures compliance with accreditation and regulatory standards
• Aligns nursing/clinical objectives with organizational strategic outcomes - participating in strategy planning and execution
• Maintains knowledge and ensures compliance with all regulatory and accreditation standards - Directives - policies - and standard operating procedures (SOP)
• Leads professional practice using the nursing process (assessment - diagnosis - outcome identification - planning - implementation - and evaluation) to improve evidence-based and/or data-driven outcomes for an identified patient population and/or specialized areas within immediate practice setting
• Applies clinical knowledge/judgment to lead staff involvement in planning - decision making - and evaluating outcomes
• Improves Veteran/patient driven care by optimizing the patient experience - satisfaction and/or safety
• Applies patient - family - and caregiver knowledge - values - and beliefs into care delivery without judgement or discrimination
• Serves as an advocate for patients - families - and caregivers - improving outcomes
• Serves as a resource for patients - caregivers - and staff to address and resolve ethical issues
• Communicates and collaborates as an effective leader of the interprofessional team - at the expert level - with improved evidence-based and/or data-driven outcomes
• Demonstrates the ability to improve the effectiveness of communications and interactions with others - to inspire their cooperation and confidence to ensure safe and effective outcomes
• Expands knowledge base and practice evaluation through mentoring - precepting - and/or teaching to improve outcomes
• Takes responsibility for personal and professional career goals
• Participates in the advancement of the profession through mentoring - precepting - and/or teaching
• Leads the integration of evidence-based practice/research with clinical expertise to improve quality of care and resource utilization with improved outcomes
• Assesses the immediate practice setting to identify efficient - cost-effective care delivery
• Leads patient care improvement through monitoring - analyzing - and evaluating care outcomes
• Leads initiatives for expanding best techniques to identify and apply patient preferences to shared care delivery decisions
• 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: Day Shift - Monday - Friday - 7:30AM - 4:00PM Compressed/Flexible: Authorized - at management discretion
• Telework: Not Authorized Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized