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Registered Nurse (Clinical Nurse Leader) - Outpatient Care
Registered Nurse (Clinical Nurse Leader) - Outpatient CareVETERANS HEALTH ADMINISTRATION • Big Spring, TX, United States
Registered Nurse (Clinical Nurse Leader) - Outpatient Care

Registered Nurse (Clinical Nurse Leader) - Outpatient Care

VETERANS HEALTH ADMINISTRATION • Big Spring, TX, United States
19 hours ago
Job type
  • Full-time
  • Part-time
  • Permanent
  • Temporary
Job description

Summary

The certified Registered Nurse, Clinical Nurse Leader (CNL) utilizes a comprehensive approach to nursing practice, emphasizing evidence-based care delivery and the integration of innovative strategies. The embeddedness of the CNL within a microsystem facilitates the use of the principles of complexity science within dynamic contexts. This includes synthesizing evidence to devise health promotion strategies and implementing them within populations.

Duties

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The Outpatient Care, Registered Nurse, Clinical Nurse Leader duties and responsibilities include, but are not limited to the following :

  • Utilizes principles of complexity science to analyze and address the dynamic nature of healthcare systems.
  • Implements evidence-based interventions at the microsystems level to optimize care delivery and patient outcomes.
  • Synthesizes evidence to develop strategies for promoting health and wellness in populations.
  • Implements innovative care strategies in the absence of evidence.
  • Applies public health concepts to advance preventive services.
  • Assess care outcomes using improvement science and systems theory within complex healthcare environments.
  • Evaluates social drivers of health and integrate them into tailored programs.
  • Communicate the importance of the CNL role in healthcare delivery.
  • Applies improvement science to enhance performance measurement and quality improvement.
  • Utilizes data sources to evaluate care outcomes and benchmark against standards.
  • Advocates for appropriate healthcare policies.
  • Facilitates difficult conversations within healthcare teams and with patients.
  • Conducts holistic assessments and implement risk aversion strategies.
  • Evaluates outcomes of evidence-based care delivery and adapt strategies as needed.
  • Leads interprofessional teams to develop plans for improving patient-care outcomes.

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 : 30pm

Telework : Ad-Hoc (Occasional or Irregular basis)

Virtual : This is not a virtual position.

Relocation / Recruitment Incentives : Not Authorized

Permanent Change of Station (PCS) : Not Authorized

Requirements

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Conditions of employment

  • 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, driver's 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.
  • 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.)
  • Additional Education : Nurse (Clinical Nurse Leader (CNL)) must possess a bachelor's level degree in nursing and a master's degree from an accredited CNL education program..
  • Certification : Nurse (Clinical Nurse Leader (CNL)) must possess certification as a CNL from the Commission on Nurse Certification (CNC), American Association of Colleges of Nursing (AACN).
  • 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 :

    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.
  • Preferred Experience :

  • A minimum of four (4) years of nursing practice, two (2) years of which should be in leadership positions, an emphasis on specialized Outpatient : Primary and Specialty care.
  • Experience with policy development, shared governance, and HRO principles.
  • Ability to mentor and develop nursing staff at all levels.
  • Strong skills in care coordination and interdisciplinary collaboration.
  • Regulatory & Compliance Knowledge : OIG, VISN, VHA, and Joint Commission.
  • Reference : For more information on this qualification standard, please visit

    Physical Requirements :

    The position requires may require potentially long periods of continued Moderate lifting of 15-44 pounds, Light lifting under 15 pounds, Moderate carrying of 15-44 pounds, Light carrying under 15 pounds, Straight pulling for 1 hour, Pushing for 1-3 hours. Reaching above shoulder, Use of fingers, Both hands required, Walking 4 hours, Standing for 2-7 hours, Kneeling for 2 hours, Repeated bending for 2 hours, Climbing, use of legs and arms, Both legs required, Ability for rapid mental and muscular coordination simultaneously, Near vision at 13 to 16" Jaeger 1 to 4, Specific visual requirement of 20 / 40 DVA; corrected, Ability to distinguish basic colors, Hearing (aid may be permitted), Mental and emotional stability, Sitting for 8 hours, Simple grasping for 2-4 hours, Fine Manipulation (including keyboarding for 4-6 hours), Twisting for 2 hours.

    Education

    The Bachelor of Science degree in Nursing (BSN), or Master of Science degree in Nursing (MSN) must be fully accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission On Collegiate Nursing Education (CCNE). Verification of accreditation may be obtained from or

  • If your school has changed names, or is no longer in existence, you must provide this information in your application.
  • If your school was accredited by ACEN or CCNE at the time of graduation, but is no longer listed on the websites, you must provide documentation of accreditation with your application packet.
  • 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 :

    If 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. For further information, visit :

    Additional information

    This job opportunity announcement may be used to fill additional vacancies.

    This position is in the Excepted Service and does not confer competitive status.

    VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

    If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

    Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration / Operations, Security, and Preparedness (HRA / OSP) at The Fair Chance Act.

    Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

    Help

    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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    Registered Nurse Outpatient • Big Spring, TX, United States

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