Registered Nurse - Nurse Manager (Home Based Primary Care)

Veterans Affairs$80K — $95K *
Salem, VA 24153In-Person
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of nursing experience with a focus on geriatrics or chronic care management
  • Proven leadership skills in a clinical setting
  • Current, full, active, and unrestricted nurse licensure in the U.S.
  • Strong problem-solving and decision-making capabilities
  • Experience with interdisciplinary team collaboration and staff supervision

Responsibilities

  • Oversee daily nursing operations for the Geriatrics and Extended Care program
  • Ensure high-quality patient care and effective staff supervision
  • Implement Whole Health practices and patient education initiatives
  • Resolve system/process problems impacting patient care or staff performance
  • Collaborate with diverse clinical services to enhance patient outcomes

Benefits

  • 50 days of paid time off annually
  • Traditional federal pension and federal 401K with potential contributions by VA
  • Comprehensive federal health, vision, dental, and life insurance options
  • Standard Monday to Friday daytime schedule
  • Opportunities for continuous improvement initiatives within the program
Full Job Description
Summary

The Nurse Manager oversees daily nursing operations in the Geriatrics and Extended Care (GEC) program, ensuring high-quality patient care, staff supervision, and coordination across interdisciplinary teams. The role focuses on patient education, process improvement, and implementing Whole Health practices. Competitive federal pay, comprehensive benefits, and a standard daytime schedule are included.

Duties

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Some duties and responsibilities for the position include but are not limited to:

  • Utilizing problem-solving methodologies to resolve system and/or process problems that impact on patient care or staff performance at the program or service level that is supported by documented evidence of:
    • Assuming responsibility for meeting an identified need
    • Developing and implementing the plan to meet the identified need.
    • Evaluating and providing evidence of improved patient care or staff performance relative to the identified need.
  • Demonstrates role modeling, leadership and advanced clinical expertise to improve the delivery of patient care using the nursing process for patients requiring specialized/complex care.
  • Collaborates with Case Managers, Clinical Specialist, other Nurse Managers, Chief Nurses and the Associate Director for Patient /Nursing Service, Chief of Staff and other services, such as Health Administration Service and all other clinical services in the application of the nursing process to improve outcomes for programs.
  • Utilizes creative problem-solving methodologies to resolve problems that impact patient care or staff performance.
  • Uses a team approach to identify, analyze, and resolve problems.
  • Identifies the need for new or revised policies, procedures, standards, or guidelines and assures compliance.
  • Role models new practice changes to ensure improved patient care.
  • Demonstrates the ability to function effectively in a management role utilizing application of in-depth knowledge, competency, and skills to improve patient care in the area of supervision.
  • Utilizes systems thinking to actively participate in the development and maintenance of the program and delivery of care within an integrated system.
  • Submits reports, to include proficiency, performance appraisals, and incidents that are correct, complete, and reflect current standards, in the correct format and have evaluation for action. Reports submitted within the timeframe required.


Major duties of the Nurse Manager/Program Director:

  • Targets veterans with complex chronic diseases that worsen over time and require an interdisciplinary health care team, coordination of care, and the integration of diverse services to cover their complex medical, social, rehabilitative, and behavioral needs.
  • Responsible for the organization, administration, structure, planning, and evaluation of the HBPC Program.
  • Directs the program's clinical services to ensure it follows local and national VHA standards and policies, as well as accreditation standards for home care organizations.
  • Provides comprehensive interdisciplinary care and cost-effective primary care services in the home.
  • Collaborates with other managers/administration to initiate improvements in care and delivery and to identify and resolve problems affecting client care and program operations.
  • Functions as a role model, educator, and manager and provides leadership to an interdisciplinary team.


Preferred Experience: Leadership and Nurse Manager experience

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; 7:30 am - 4:00 pm

Compressed/Flexible: Not Authorized

Telework: Not Available

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

PCS Appraised Value Offer (AVO): Not Authorized

Requirements

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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/examination.
  • 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

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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/[redacted].

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.

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

Physical Requirements: Lifting/carrying - 45 lbs or more; Standing; Sitting; Walking; Kneeling; Bending/Stooping; Twisting; Pushing/pulling, Both legs required; Simple grasping; Use of fingers, Both hands required; Fine manipulation (includes keyboarding); Reaching above shoulders; Near vision correctable at 13-16" to Jaeger 1 to 4, Far vision correction in one eye to 20/20 and to 20/40 in the other eye; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing whispered voice (with or without aid); Emotional/mental stability; Walking on slippery or uneven walking surfaces; Working with hands in water; Working closely with others; and Protracted or irregular hours of work.

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.

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.

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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.

Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employe

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