Registered Nurse, Assistant Nurse Manager, Patient Aligned Care Team

Registered Nurse, Assistant Nurse Manager, Patient Aligned Care Team

Department: Department of Veterans Affairs

Location(s): San Antonio, Texas

Salary Range: $84762 - $172250 Per Year

Job Summary: The Patient Aligned Care Team (PACT), Assistant Nurse Manager, Registered Nurse functions as a clinical expert and is responsible and accountable for all elements of the nursing process when providing or supervising direct patient care. Assesses, plans, implements, and evaluates delivery of care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.

Major Duties:

• The duties and responsibilities of the PACT, Registered Nurse, Assistant Nurse Manager include, but are not to, the following: Represent the unit/clinic in the absence of the Nurse Manager. Able to provide patient care as outlined by the staff nurse job description for the unit/clinic. Acts as direct supervisor for designated staff: Contributes /assists with yearly performance evaluations. Assists with payroll duties. Assists Nurse/Clinic Manager in the hiring/selection process for LPN, RN, and HT. Assists Nurse/Clinic Manager in collecting and preparing evidence for disciplinary actions for LPN, RN, and HT. Is proactive in identifying potential crisis situations and responds effectively in emergency/code situations in the unit/clinic. Functions as a consult person to nursing and other personnel for unit/clinic practices and patient care issues. Assists the Unit Education Coordinator. Works with Nurse Manager or Clinic Manager in mentoring new staff and students in clinical and professional role development acting as a role model. Monitors unit/clinic staffing needs and maintains adequate levels. Maintains a safe unit/clinic environment by routinely inspecting the area and requesting supportive services assistance as needed; in accordance with the Environment of Care (EOC) standards. Communicates and/or mediates effectively with staff and support personnel to solve patient care and staff issues. Assists the Nurse/Clinic Manager in monitoring unit /clinic for compliance with applicable performance measures and Joint Commission standards. Acts as lead nurse within the clinic: Responsible for charge nurse training and mentoring. Charges on the shifts/days worked in staffing when needed. Assists the Nurse/Clinic Manager in departmental projects and initiatives. Assists the Nurse/Clinic Manager in oversight of clinically assigned performance measures. Provides interpretation and rationale for hospital policies and procedures to personnel, physicians and others. Audits charts for complete documentation as required for specific clinical settings (Inpatient or Outpatient). Proficient using VA EMR and nursing specific documentation. Ensuring yearly competencies are completed, RQI, and additional in-services per staff needs. Ensuring there are no lapses in RN and LVN/LPN licenses or BLS (RQI). Servant leadership style, proactive in teambuilding and fostering a positive work environment. Working knowledge of Nursing Scope of Practice and ANA Code of Ethics. Ability to surrogate coverage other PACT staff members. Ability to perform other PACT staff member's roles as needed basis. Provided culturally competent and gender specific care. Ability to pull data specific to PACT and panel management. Provide and document patient education specific to disease states. Assists the Clinic Manager in developing and implementing plans to meet learning needs of Primary Care and Nursing Service. Maintains professional boundaries with patients, families, and employees. Behavior as a role model is transparent and above reproach. Maintains competency on PEE use/ donning and doffing. Contributes to an environment of a High Reliability Organization with a culture of safety founded on a systems approach to developing health care solutions based on prevention, not punishment, with collective mindfulness. Submits completed annual self-evaluation to the supervisor in a timely manner by the requested deadline. Demonstrates professional and cooperative behavior in all aspects of practice. Use the proper chain of command for communication. Demonstrates effective written and verbal communication skills. Demonstrates professional and cooperative behavior in all aspects of practice. Participates in unit-based performance improvement activities to improve patient care. Participates in meeting VA Performance Measures to include All Employees Surveys. 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, 8:00am- 4:30pm. May include Saturdays Telework: Ad-Hoc (Occasional or Irregular basis) Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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/12858411. 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: Minimum of 3 years experience of successful practice as a Registered Nurse. Knowledge of PACT goals Minimum of 2 years experience as a Nurse Leader (Charge, ANM, NM) Proficient in using Microsoft Word, Excel and Outlook Team player, excellent customer service and communication skills are required. BSN preferred ANCC certification (ex. RN-BC, CCRN, CEN) preferred Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position may require potentially long periods of continued Moderate lifting of 15-44 pounds, Moderate carrying of 15-44 pounds, Straight pulling for 1 hour, Pushing for 1-3 hours, Reaching above shoulder, Use of fingers, Both hands required, Walking for 4 hours, Standing for 2-7 hours, Kneeling for 2 hours, Repeated bending for 2 hours, Climbing, use of legs and arms, Both legs required, Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13" to 16" to Jaeger 1 to 4, Specific visual requirement of 20/40 DVA; corrected, Both eyes required, Ability to distinguish basic colors, Hearing (aid may be permitted), Sitting for 8 hours, Simple grasping for 2-4 hours, Fine manipulation (including keyboarding for 4-6 hours), Twisting for 2 hours, Mental and emotional stability.

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 01/06/2026 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12858411. 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 is 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.

Application Deadline: 2026-01-06