Garland Dermatology/Bonham Specialty Clinic Nurse Manager

01Basic 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.

02Grade 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/13101092.

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.

03Preferred Experience

1. BSN or Higher 2.At least 2 year experience in an ambulatory nursing role 3. At least 2 years of RN charge nurse, assistant nurse manager, manager or supervisory experience in the last 5 Years 4. At least 2 years RN experience in dermatology, podiatry or infusion clinic 5. Staffing/scheduling management including labor relations/union environments 6. Performance manage experience in conducting evaluations, coaching, progressive discipline Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

04Physical Requirements

Physical aspects associated with work required of this assignment are typical for the occupation and would generally not require a pre-placement examination.

The Ambulatory Care Nurse Manager is accountable for the management, supervision, and evaluation of patient care delivery and nursing personnel within assigned outpatient specialty clinics. As a nursing leader, the incumbent is responsible for contributing to the establishment, implementation, and evaluation of nursing standards of practice, patient care, access, and safety.

The Nurse Manager provides leadership for clinical operations, quality improvement, staff development, patient safety, access initiatives, and strategic priorities while ensuring the delivery of safe, effective, evidence-based care for Veterans. The incumbent collaborates with interdisciplinary experts across ambulatory care services to address clinical practice issues, optimize clinic operations, improve Veteran access, and achieve organizational goals. The position may entail other duties as assigned.

Provides first-line supervisory leadership and accountability for the day-to-day operations of assigned ambulatory care clinics. Plans, directs, coordinates, and evaluates nursing care delivery to ensure safe, high-quality, Veteran-centered outpatient care. Supervises nursing and support staff, including orientation, training, competency assessment, coaching, mentoring, and performance evaluation.

Manages staffing resources, schedules, leave, and workload distribution to support clinic operations and patient care needs. Serves as a clinical leader, role model, educator, practitioner, and resource for staff and interdisciplinary team members. Oversees nursing care delivery for Veterans receiving specialty outpatient services and treatments across the continuum of care.

Collaborates with interdisciplinary team members to remove barriers to care and implement evidence-based programs and processes that improve patient outcomes. Supports quality improvement, patient safety, and performance improvement initiatives using evidence-based practice principles. Promotes a culture of accountability, professionalism, ethical practice, and high-quality, cost-effective care.

Ensures compliance with accreditation standards, VHA directives, regulatory requirements, facility policies, and standard operating procedures. Participates in the development and implementation of care delivery models that support accessible, equitable, and Veteran-centered care. Aligns nursing and clinical operations with organizational goals and priorities. Promotes patient advocacy and exceptional customer service for Veterans, families, caregivers, and stakeholders.

Maintains responsibility for information security, privacy compliance, records management, and protection of sensitive information.

Provides coverage for other Nurse Managers and supports organizational initiatives as operational needs dictate 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: M-F 0730-1600/0800-1630 Telework: Not Available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact [email protected], the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized