Registered Nurse - Hematology/Oncology

Registered Nurse - Hematology/Oncology

Department: Department of Veterans Affairs

Location(s): Durham, North Carolina

Salary Range: $81999 - $153574 Per Year

Job Summary: The Durham VA Healthcare System is seeking (1) highly skilled/experienced Registered Nurse to serve within Hematology/Oncology Services. Demonstrates leadership, experience/ingenious approaches to management of complex patient care. Accountable for the management of patient care, human, fiscal/material resources, & the total environment of the unit. Responsible to ensure that the highest possible quality of care is achieved & a safe therapeutic environment.

Major Duties:

• The Veteran Oncology patients are treated with chemotherapy and non-chemotherapy regimens such as (port flushes, Blood products, IV fluids, Zometa injections, etc.). The setting is located at the Durham VAMC Main Campus. The Registered Nurse working in this position will be entering a groundbreaking home-based care program. In the first phase of this program, Veteran oncology patients will receive non-chemotherapy interventions such as hormone injections, port flushes, central line care, lab draws, vaccines, etc. The second phase will include chemotherapy infusions & injections. The setting is located at the veteran's place of residency & the Durham VAMC Main Campus. This position will require driving daily utilizing a federally issued vehicle. The RN will evaluate & enroll patients in the program, monitor administration of chemotherapy & non-chemotherapy medications, educate patients on plan of care & effects of therapy, closely interact with interdisciplinary team to plan for patient care, & provide follow-up services for efficacy of the treatment module. Delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, & evaluates care based on age-specific components. Assumes responsibility for coordination of care focused on patient education, self management, & customer satisfaction throughout continuum of care. Administers medications & procedures per established policies and guidelines. Influences care outcomes by collaborating with members of interdisciplinary team. The Oncology/Hematology Registered Nurse (RN) is a clinical expert who uses advanced specialized knowledge and judgement for delivery of high quality and evidence-based care to oncology patients and their families. Uses a team approach to identify, analyze, & resolve patient care problems with measurable outcomes. Responsible & accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, & evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, & customer satisfaction throughout the continuum of care. Administers medications & procedures per established policies & guidelines. Influences care outcomes by collaborating with members of interdisciplinary team. Executes position responsibilities that demonstrate leadership, experience, & creative approaches to management of complex client care. Duties include but not are not limited to: Completes basic physiological assessments & completes documentation in the electronic health record (EHR) in accordance to established policies & procedures. Triages patient problems & assists in the evaluation of symptoms & initiate interventions in collaboration with interdisciplinary team. Monitors, tracks/tends, & reports ongoing care needs & outcomes to the interdisciplinary team. Directs the provision of nursing education, orientation, competencies, & providing quality improvement & outcome utilization. Provides a safe working environment while administering, handling, & disposing of antineoplastic drugs & medical waste. Oversees the administration & management of various medical procedures & treatments in the oncology setting, including vascular access devices & infusion treatments. Conducts in-service education based on insights gained from oncology professional development activities & acquiring specialized skills in oncology-specific areas, including chemotherapy administration, oncology electronic ordering systems, & calculating drug dosages. Manages monitoring requirements for specific drugs, handling immediate infusion reactions, & preventing & managing oncology-related symptoms & adverse events, such as chemo-related symptoms & immune-related adverse events. Responsible for the documented outcomes at the program or service level. Focuses on individual growth & development in practice with increased levels of self-direction & seeks guidance on how to improve care to patients & families. 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) & 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; 7:30a.m. - 4:00 p.m. Tour subject to change based on the needs of the agency. (Will be required to travel) Telework: No Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required

Qualifications: Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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 & spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency & 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 & later converted to a permanent appointment upon successful completion & 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, & 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, & 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 & 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 & 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 & licensure/certification. Preferred Experience: Minimum 2 years Oncology Nursing experience Minimum 2 years in the last 5 years of administration of Chemotherapy/Biotherapy Infusion Documented knowledge of Chemotherapy Induction and Infusion monitoring of patient progress in treatment regimen Successful Nursing Practice and experience 5 years or greater Prior VA experience or history of working with Veterans Grade Determinations: The following Scope, Education & Dimension criteria must be met in determining the grade assignment of candidates, & if appropriate, the level within a grade. The Dimension requirements are detailed for each grade & level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12833381. 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 & technically competent practice in providing care to clients with basic or complex. An ADN or Diploma in Nursing & 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 & deliberate planning. Self-directed in goal setting for managing complex client situations. An ADN or Diploma in Nursing & 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN & 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) & no additional professional nursing experience; OR a Master's degree in a *related field with a BSN & no additional professional nursing experience. Nurse II Demonstrates leadership in delivering & 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 & 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 & creative approaches to management of complex client care beyond the immediate practice setting. MSN & 2 years of specialized nursing experience, one of which is equivalent to Nurse II & meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN & two years of specialized nursing experience, one of which is equivalent to Nurse II & meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with & 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 & one year of specialized nursing experience equivalent to Nurse II & meets all dimension requirements for Nurse III. *Note: Foreign education programs/degrees are not creditable as related degrees. Preferred Level of Education: BSN Preferred Certification(s) ANCC Oncology Nursing ACLS BLS Chemotherapy and Biotherapy Certification - Active Full performance level of this vacancy is Nurse III. The actual grade an applicant may be selected for is Nurse I to Nurse III. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: See VA Directive and Handbook 5019. This position requires potentially long periods of continued walking, standing, sitting, lifting, carrying, pushing, reaching above shoulder, use of fingers, both hands, both legs & repeated bending. Heavy lifting (45 lbs. & over) Heavy Carrying (45 lbs. & over) Straight Pulling (up to 4 hours) Pushing (up to 4 hours) Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8 hours) Standing (up to 8 hours); Repeated bending (up to 8 hours) Both legs required; Ability for rapid mental & muscular coordination simultaneously; Specific visual requirement: Read typed Chapters; Correctable vision 20/40 in one eye; Ability to distinguish basic colors & shades of colors; Hearing (aid permitted). The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders; Emotional & Mental Stability: 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/testing, as a condition of employment.

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 11/24/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12833381. 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. To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

Application Deadline: 2025-11-24