Registered Nurse - Transition of Care 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/13114123.

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

Emergency department or acute nursing experience and management experience Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

04Physical Requirements

See VA Handbook 5019

The Registered Nurse (RN) - Transition of Care Nurse Manager is responsible and accountable for the operation of assigned unit(s) and for influencing care outcomes through effective leadership, collaboration, and the application of professional nursing practice. The incumbent serves as a role model, educator, practitioner, and supervisor, promoting a culture of accountability, safety, quality, and continuous improvement.

The Nurse Manager collaborates with interdisciplinary team members to deliver evidence-based, Veteran-centered care; supports the development of staff and care delivery systems; and contributes to the achievement of organizational, programmatic, and strategic goals through sound clinical judgment, effective resource management, and a commitment to excellence in patient care.

Duties of the position include, but are not limited to: Functions as a professional nurse 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 and continuity of care focused on patient education, self-management, customer satisfaction, patient experience, and patient safety throughout the continuum of care.

Provides Veteran/patient-driven care through the application of clinical knowledge, critical thinking, sound judgment, and evidence-based practice. Incorporates patient, family, and caregiver knowledge, values, beliefs, preferences, and goals into care delivery; serves as a patient advocate; addresses ethical issues; and applies high reliability principles and I CARE values to improve patient outcomes and the consistency of care delivery.

Serves as the designated first-line supervisory authority for assigned unit(s) and is responsible and accountable for unit operations. Provides leadership through the direction and supervision of staff, including orientation, training, development, performance management, mentoring, and professional growth. Functions as a role model, educator, practitioner, and supervisor while fostering a safe, supportive, and inclusive work environment.

Communicates and collaborates effectively with members of the interdisciplinary team to plan, coordinate, implement, and evaluate patient care. Builds productive relationships across the continuum of care, removes barriers to safe and effective care delivery, resolves conflicts constructively, and promotes teamwork to achieve optimal patient and organizational outcomes. Leads or participates in performance improvement, quality management, and evidence-based practice initiatives.

Monitors, analyzes, and evaluates outcomes; identifies opportunities for improvement; supports efficient and cost-effective resource utilization; and implements innovative programs, processes, and best practices that improve care delivery and organizational performance. Participates in the development and implementation of care delivery models, strategic initiatives, and organizational goals.

Ensures compliance with accreditation standards, regulatory requirements, VA and VHA policies, directives, and standard operating procedures while promoting equitable, accessible, and high-quality patient care. Maintains professional competence through ongoing learning, participation in professional organizations, and knowledge sharing with colleagues. Protects sensitive information in accordance with privacy and information security requirements and performs other related duties as assigned.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday - Friday, 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position.

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