Dialysis clinical nurse manager - specialty care

Summary

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.

Duties

The Nurse Manager (CNM) for Hemodialysis, is accountable for the management, supervision and evaluation of care delivered by the nursing staff for the assigned area on a 24-hour basis. The CNM is responsible for contribution to the establishment and implementation of nursing standards. As a nursing leader, the CNM uses appropriate consultation with experts of each discipline he/she supervises to ensure that practice and performance issues are addressed and resolved. Position may entail other duties as assigned. The CNM will ensure a safe environment of care to include oversight of properly functioning equipment and availability of supplies, efficient quality assessment and performance improvement program, and maintenance of standard operating procedures that meet regulatory agencies and accrediting bodies. The CNM collaborates and communicates with fellow managers and the care line chief and provides guidance to staff when necessary. The CNM supports frontline staff education, competency, coaches/mentors, and provides professional development. The CNM promotes optimal, safe patient care while ensuring appropriate patient flow and responsible resource management.

Requirements of the CNM role

The necessary skills to identify, coordinate discipline-specific education, and to provide oversight in all areas of Human Resources. The CNM must have a minimum of 12 months experience in clinical nursing. 6 months or more of experience within the last 3 years providing direct nursing care to dialysis patients in accordance with 42.C.F.R.494.140(b)(1).

The following duties and responsibilities are not intended to be all inclusive:

• Accountable for the management, supervision and evaluation of care delivered by nursing, patient care technicians, and Medical Instrument technicians as well as providing direct patient care, supporting staff needs and promoting a just culture.
• Is a "resource" to clinical staff regarding competencies and other clinical and administrative activities of the unit.
• Performs as a staff RN as a backup coverage.
• Performs infection control audits regularly and submits reports monthly.
• Prepares for, reports, and attends facility wide meetings, and QAPI meetings.
• Comply with all governing standards as required for inpatient and outpatient treatment; main treatment; maintain all required competencies and certifications.
• Utilize the established nursing process to make recommendations for patient care; evaluate delivery of care and communicate to appropriate facility personnel and any relevant data to the multidisciplinary teams.
• Facilitate continuity of care.
• Submit required data for IPEC, Dialysis Data Module and others within the SAVAHCS.
• Cover all duties as back up Peritoneal Hemodialysis duties as needed.
• Assist proactively with inventory needs; monitor water quality treatment system, culturing, and disinfection of equipment following all infection control policies.
• Participate in facility committees.
• Participate in daily huddle.
• Precept new staff.

Work Schedule:

Monday - Friday 07:30AM - 16:00PM

Telework:

Not Available

Virtual:

This is not a virtual position.

Relocation/Recruitment Incentives:

Authorized (Rules & Restrictions apply) Relocation incentive may not be authorized to current part time & intermittent employees. Relocation incentives are not payable and may not commence for the same period of employment covered by a recruitment incentive or previous relocation incentive.

Permanent Change of Station (PCS):

Not Authorized

Financial Disclosure Report:

Not required

Requirements 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
• 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 evaluation.
• 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.)

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/13071983.

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:

36 Months of Dialysis Care

Reference:

For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements:

This position may include a level of physicality normally associated with duties performed by nurses such as walking, bending, stooping, and some lifting. There may also be extended periods of sitting or standing. Transferring patients and objects may be required. Utilization of safe patient handling and mobility protocols using mechanical lifts that are provided.

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. 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. Learn 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.