The Nurse Manager (NM) is the designated first-line supervisory authority and is responsible and accountable for the operation of their assigned units and provides coverage for other NMs as needed. The NM is responsible and accountable for the direction and supervision of specific orientation, training, development of staff, and evaluation of individual staff performance. They function as a role model, educator, practitioner, and supervisor providing leadership to the team.
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/12742087. 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 ED/Critical Care experience Must have knowledge of the Emergency Severity Index Rating Scale (ESI) Knowledge of the Triage process 1-5 years Management experience Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: 1-3 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. Mechanical inpatient lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. 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. The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles.
The Emergency Department (ED) Nurse Manager: Designated first-line supervisory authority, responsibility, and accountability for the 24/7 operations of the ED. He/she ensures subordinate personnel provide timely, high quality nursing care meeting or exceeding clinical practice standards. He/she has all authority to accept, amend, or reject the work of subordinates. The ED Nurse Manager has continuing responsibility for the following functions; 1. The Nurse Manager holds responsibility for implementation of the Vision, Mission, and Values of the Fayetteville NC VA Coastal Health Care System within his/her defined areas of responsibility. 2. He/she is fully engaged in the administrative and clinical nursing practice characterized by both increased complexity of clinical decision making and enhanced skills in nursing management/leadership. 3. He/she has provides leadership in metrics to facilitate flow and throughput of patients from the ED to the inpatient units in a timely manner and within established national metrics. 4. He/she is knowledgeable of the Emergency Department Integration Software (EDIS) board and the integration process with Computerized Patient Record System (CPRS) to assist with tracking and managing the flow of patient care throughout the ED. 5. He/she provides leadership in the day-to-day operations and input as an influencer in the strategic planning process for the attainment of organizational goals.6. The Nurse Manager keeps staff informed of Clinical/Administrative goals through facilitating both vertical and horizontal communications in a timely manner. 7. Works in collaboration with the ED Director for ED metrics and flow. 8. The incumbent provides timely information regarding emergencies, unusual occurrences or issues impacting nursing practice or operations to the Chief Nurse, Deputy Associate Director Patient Care Services and/or the Associate Director of Patient Care Services. 9. He/she provides direct supervision of nursing personnel in their defined area of responsibility and evaluates their performance and competency. 10. The incumbent is knowledgeable concerning the counseling/disciplinary process; works closely with the Human Resources representative and seeks assistance as needed keeping their supervisory abreast of actions. 11. He/she is knowledgeable of medical policies, procedures, and guidelines related to care of patients in the ED. 12. The Nurse Manager is responsible for all issues affecting nursing including, but not limited to: standards of practice, credentialing, training, functional statements, position descriptions, proficiency reports (timely and complete), performance appraisals (timely and complete), ensuring staff follow policies, procedures, and protocols. May be called upon to edit, format, update the same as required. 13. He/she ensures/supervises appropriate orientations, educations, and continuing professional development of nursing personnel. 14. The Nurse Manager assumes responsibility for staffing and scheduling of permanent and supplemental nursing staff, ensuring all assignments reflect appropriate utilization, compliance with staffing guidelines, and the Joint Commission Standards. 15. The Nurse Manager is fiscally responsible and participates with the Chief Nurse for Acute Care in planning and monitoring the budget including overtime expenditures/trends He/she allocates available resources to promote efficient, effective, safe, and customer focused care. 16. The incumbent serves as a role model coaching and supporting staff in critical thinking in professional nursing practice. He/she fosters an environment conducive to learning and provides educational experiences for nurses. 17. The Nurse Manager facilitates an environment of interdisciplinary collaboration and collegial relationships; promotes peer review. 18. The Nurse Manager has a responsibility to ensure an environment conducive to retention /recruitment of highly competent nursing staff of diverse backgrounds. He/she directs practice according to established policies, standards of care, and standards of practice. 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) Work Schedule: Monday through Friday 0730-1600 Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required