Specialty Clinic Outpatient Staff RN

Summary

Responsible and accountable for all elements of the nursing process when providing and/or supervising the delivery of care to employees. Assumes responsibility for the coordination of care focused on education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team.

Duties

The Specialty Clinic Outpatient Staff Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex specialty care. This nurse provides patient care, care coordination, health promotion, health education and coaching on wellness, disease prevention, and chronic care management. Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines. Demonstrates performance and leadership that is broad enough to improve the care for specialty care outpatients. Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through knowledge sharing to provide safe, quality specialty nursing care. Fosters a safe and supportive environment conducive to the professional development of health care professionals. Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations. Responsible for the documented outcomes at the specialty care program or service level. Specialty care program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility. The RN operates within a dynamic clinical environment that requires consistent physical presence to facilitate timely care coordination, direct patient assessment, and real-time collaboration with the interdisciplinary team, and must demonstrate adaptability and professional flexibility in meeting fluctuating patient volumes, staffing needs, and organizational priorities. The RN routinely communicates with Licensed Independent Providers (LIPs), RNs, and allied health professionals using sound interpersonal skills, maintains awareness of sensitive information at all times, and works independently based on established guidelines, precedents, and regulations with minimal supervision required. Performance is evaluated on the overall effectiveness of operations, accuracy and adequacy of work, timeliness, and conformance to established policies and procedures. The RN maintains a strong, current knowledge base relevant to the assigned specialty area and demonstrates competency in specialty-specific clinical skills as documented in the applicable competency check-off for the clinic. Key Responsibilities - Participate in the patient check-in process and provide direct patient care to all patients in the Specialty Clinics - Serve as a clinical resource for Licensed Practical Nurse (LPN), Certified Nursing Assistant (CNA), and Health Technician staff, and assist with clinic flow - Assess patients presenting with clinical changes and apply the nursing process in an ongoing, systematic manner from initial contact through the entire clinic encounter - Perform minor procedure setup and conduct pre-procedure and triage telephone assessments - Assist with ordering necessary clinic supplies - Perform focused case management of designated patient populations as appropriate to the specialty area - Communicate and collaborate with the interdisciplinary team - including LIPs, Pharmacy, and allied health professionals - to develop and coordinate individualized Veteran treatment plans - Review and manage incoming consults, including routine scheduling, completion of econsults, or discontinuation as appropriate. For RNs not independently managing a casemanagement panel, this is done in coordination with the Nurse Case Manager; for RNs who independently perform case management for an assigned patient panel, this is done as part of their responsibilities - Either perform ongoing case management; including consult review, care-coordination follow-up, and related monitoring - independently for an assigned patient panel, consistent with individual competency, training, and scope of practice, or provide basic case-management coverage - including consult review and routine care-coordination follow-up - during short-term absence of the Nurse Case Manager, consistent with competency and scope of practice ***Continued in the Education Section. 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, 0730-1700 Varied Telework: Not Authorized. Virtual: This is not a Virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not required

Requirements

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. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. 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).

Qualifications and evaluation

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy. Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Education

***Continued from the Duties Section. - Provide cross-coverage across units or service lines in response to fluctuating patient volumes, staffing needs, or organizational priorities - Provide education and information to patients, families, and the healthcare team regarding specialty-specific conditions, treatments, and self-management strategies - Participate in the development and implementation of policies and procedures relevant to the clinical area - Maintain specialty-specific clinical competency per the applicable clinic check-off, and participate in nursing education, staff orientation, and competency validation - Contribute to quality improvement processes, evidence-based practice initiatives, and outcomes utilization; participate in clinical research as applicable to the specialty area - Establish effective working relationships with peers and professionals across the facility, applying a collaborative team approach to identifying, analyzing, and resolving patient care problems - Foster a safe, supportive environment for staff professional development, and provide peers with constructive informal feedback and shared learnings to support safe, quality specialty nursing care - Perform other duties as assigned IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. 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: http://ope.ed.gov/accreditation/. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

How to apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 09/15/2026 to receive consideration. To preview the questionnaire, click https://apply.usastaffing.gov/ViewQuestionnaire/13055896. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation are submitted prior to the closing date. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

Required documents

To apply for this position, you must provide a complete Application Package which includes: RN License The following documents are accepted and may be required if applicable to your eligibility and/or qualifications for this position. Cover Letter DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) License Long-form resume/Curriculum vitae (CV) RN License PCS Orders Performance Appraisal Professional Certification Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action Transcript Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

Additional information

The William S. Middleton Memorial Veterans Hospital is committed to fostering and sustaining an environment which celebrates diversity, provides equitable opportunities for employment and promotion, and supports inclusiveness in our culture. Together, we strive to create and maintain working and learning environments that promote professional growth and teamwork, and are inclusive, equitable and welcoming. We embrace our differences as individuals and unite as a team toward a common goal: to serve our nation's Veterans. 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.