Nurse Manager - Procedural Clinics

Full Job Description

The Miami VA Medical Center is seeking an experienced Nurse Manager to lead our Procedural Clinics within Nursing Ambulatory Care Service.

This role oversees specialty areas including Gastroenterology (GI), Cardiac Catheterization Lab, Heart Station and Echocardiogram services in Miami and Broward CBOC.

The Nurse Manager is accountable for all elements of the nursing process, manages daily operations, ensures compliance with standards, and provides coverage for other Nurse Managers as needed.

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/12885234.

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: 3-5 years of Nurse Manager experience specializing in Specialty Clinics, including Gastroenterology (GI), Cardiac Catheterization Lab, and Echocardiogram services Master of Science in Nursing (MSN) required.

Demonstrated leadership in managing complex clinical operations and interdisciplinary teams.

Experience with regulatory compliance, performance improvement, and strategic planning in procedural care settings.

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.

The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures.

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. Major Duties:

VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Nurse Manager - Procedural Clinics at the Miami VA Medical Center provides leadership and oversight for specialty areas including the Cardiac Catheterization Lab, Echocardiogram/Heart Station, Endoscopy Suite, and Bronchoscopy.

The Nurse Manager is responsible for coordinating care focused on patient education, self-management, and customer satisfaction across the continuum of care.

They demonstrate sound judgment, strong interpersonal skills, and influence care outcomes through collaboration with interdisciplinary teams and process improvement initiatives.

The Nurse Manager evaluates the quality of nursing care provided, including interdisciplinary rounds, reviewing documentation, and analyzing data related to patient care delivery.

Provides leadership in addressing ethical issues with patients and staff, including initiating and participating in ethical consultations.

Ensures compliance with regulatory agencies, standards of practice, and implements actions to meet performance measures.

Contributes to strategic planning, daily operations, budget management, staffing, and HR actions, including hiring and performance management.

Pursues professional growth and supports staff development, assisting personnel in evaluating practice and creating strategies for improvement.

The Nurse Manager maintains knowledge of accreditation standards, directives, policies, and SOPs. Fosters a safe and supportive environment conducive to professional development.

Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.

Responsible for documented outcomes at the program or service level, which are broad and complex and demonstrated at any organizational level within the facility, VISN, or VACO.

Functions as an expert in clinical practice and areas related to assigned responsibilities. This position may require flexibility in schedule and assignments.

Other duties include but are not limited to: Responsible for the daily operations of the Cardiac Cath Lab, Endoscopy Suite, Echocardiograph Lab in Miami and Broward and the Heart Station and ensure departmental goals and objectives are met.

Provide leadership and support to procedural clinic Nurses and Technicians working within the department. Coordinating and integrating interdepartmental and intradepartmental services.

Working with the service lines Chief's on process improvement and patient outcomes.

Determines and ensures the competence of all staff members is assessed, maintained, demonstrated, and improved on an ongoing basis. Completes yearly performance evaluations for all staff.

Continuously assess and improves the performance of care and services provided. Responsible for orienting and providing in-service training and continuing education for all persons in the department.

Supports the mission, goals, and objectives of the facility. Maintains and improves own nursing knowledge.

Maintains Joint Commission standards and up to date on guidelines for other regulatory agencies. Completes other activities as assigned.

Work Schedule: Monday - Friday; 7:30am-4:00pm; flexibility required to ensure coverage for the 24/7 operations of the facility Telework: Not Available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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