Registered Nurse-Outpatient Specialty (Oakland CBOC)

Full Job Description

The Registered Nurse will primarily provide nursing services to Veterans at the Oakland Community Based Outpatient Clinic (CBOC).

The CBOC RN uses the nursing process and evidence-based practice to collaborate with other health care team members in developing the patient-driven care plan for life.

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/12900779.

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/Qualifications: - Minimum 2 years of PACT or Specialty RN clinical experience preferred.

Salary for this position ranges dependent upon applicant qualifications. 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.

The position requires potentially, long periods of combined walking, standing, stooping, sitting, bending, pulling, and pushing.

The incumbent must be a mature, flexible, sensible individual capable or working effectively in stressful situation, able to shift priorities based on needs of the organization.

The incumbent may be required to travel occasionally. This position potentially requires flexibility in schedule and assignments.

Telework is position dependent and appropriate approvals are required; telework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements, policies, and processes.

If a position requires driving, incumbent is required to maintain compliance with all relevant policies and processes. Major Duties:

The Specialty Care RN at the Oakland CBOC provides comprehensive nursing care within specialty clinic settings, ensuring high-quality patient-centered services.

This role involves patient care responsibilities, acting as a clinical lead for specialty care and collaboration with interdisciplinary teams to optimize patient outcomes.

Key Responsibilities Direct Patient Care Room patients for scheduled appointments and maintain recurring appointments. Support clinical documentation and complete clinical reminders.

Obtain vital signs, perform EKGs, and apply Zio Patch monitors. Assist with all specialty procedures, including Urology, wound, and serve as Women's Health Lead.

Administer medications and immunizations per protocol. Collect specimens and set up/assist with procedures. Conduct Quality Improvement (QI) monitoring and participate in specialty-specific tasks.

Respond promptly to significant or adverse changes in patient condition and manage emergency situations appropriately.

Evaluate and document patient responses to interventions and progress toward goals. Other duties as assigned based on clinical needs Serve as a resource for LVNs and Health Technicians (HTs).

Function as charge nurse, preceptor, and mentor to specialty clinic staff. Support PACT LVNs floating to specialty clinic areas.

Assist in developing, updating, and presenting educational materials on specialty topics.

Care Coordination & Administrative Duties Triage patients, perform chart scrubbing, and manage department phone calls and secure messaging. Provide surrogacy coverage for PACT RN teams.

Participate in team huddles and meetings; provide patient education. Obtain and upload outside medical records, including Community Care documentation, and communicate with providers.

Place and coordinate consults and Beneficiary Travel Requests. Communicate with patients regarding lab requests, medication refills, and direct inquiries to licensed providers as appropriate.

Coordinate care pre- and post-appointment, connecting patients to available resources.

Technology & Documentation Utilize CPRS, Integrated Scheduling Solutions, Patient Check-In, My Workweek, and future documentation systems to manage patient flow and records.

Communicate with patients via secure messaging, jabber, and VA Video Connect.

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: 8:00am-4:30pm Telework: Not available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized PCS Appraised Value Offer (AVO):Not authorized