Registered Nurse (Assistant Nurse Manager)

This position is located at the Kerrville Community Living Center in Kerrville, TX VA Medical Center. The Registered Nurse (Assistant Nurse Manager) functions as a clinical expert and is responsible 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. This position is approximately 60% direct patient care and 40% administrative responsiblities.

The Community Living Center (CLC) in Kerrville, Texas is located on the campus of the Kerrville VA Medical Center at 3600 Memorial Blvd. As the Assistant Nurse Manager (ANM) you will support the Nurse Manager (NM) with supervisory duties as a Charge Nurse and responsibility and accountability for the 24/7 operation of their designated units. Assist in the management of supplies, resources, and equipment for the area of responsibilities.

Provide coverage for other ANMs as needed. You will have responsibility and accountability for the direction and supervision of specific orientation, training and development of staff. Function as a role model, educator, practitioner, and leader to the team.

Influence care outcomes by collaborating with members of the interdisciplinary team to remove barriers and implement new evidence-based cutting-edge programs/processes. Engage in professional organizations to enhance leadership and career growth. Adhere to ethical principles in decision-making, fostering accountability at personal, organizational, and staff levels.

Equip staff with tools for culturally competent care and promotes a culture of accountability for high-quality, cost-effective outcomes. Cultivate alliances across the care continuum, building trust through active listening, engagement, and emotional intelligence. Contribute to the development of care delivery models and environmental design, ensuring evidence-based, accessible, affordable, and equitable patient care.

Ensure compliance with accreditation and regulatory standards. Align nursing/clinical objectives with organizational strategic outcomes, participating in strategy planning and execution. Promote an inclusive workplace valuing diversity to achieve the organizations vision and mission.

Maintain knowledge and ensures compliance with all regulatory and accreditation standards, Directives, policies, and standard operating procedures (SOP). You will support and assist with patient care, dedicating at least 60% of your time to clinical functions. Examples of support include, but are not limited to, serving as charge nurse, in direct patient care assignment, facilitating breaks and lunches by assuming patient care coverage, and functioning as a resource for clinical staff.

ANM is responsible for assisting the NM with personnel on the unit who they do not directly supervise; expectations may include but are not limited to: Drafting schedules and leave for final approval by the NM Assisting with making recommendations for selection of candidates for employment Applying clinical knowledge/judgment to lead staff involvement in planning, decision-making, and evaluating outcomes; providing feedback to the NM who ultimately ensures nursing personnel provide timely nursing care that complies with generally accepted standards of practice. The ANM assists in the design, implementation and evaluation of unit-based Nursing programs and goals. These are congruent with the service mission, philosophy, policies and procedures and the Standards of Nursing Care and Practice.

There are 9 major responsibilities of the Assistant Nurse Manager: Assists the Nurse Manager in managing patient care operation at the unit level. Role models collaborative leadership and communicates effectively. Monitors quality of patient care and nursing practice.

Develops and/or provides education for staff to meet specific patient care needs. Participates in the unit-based staffing methodology activities. Complies with Organizational Expectations.

Participates heavily in unit resource/equipment utilization and management. Assures compliance with standards and regulations related to clinical practice through audits, data collection, interpretation, and reporting of findings with appropriate recommendations including VANOD and other nurse sensitive data bases. Assures that customers are treated in a professional manner with tact, courtesy, and respect.

Other duties as assigned. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday - Friday, 7:30am - 4 pm; may require rotating evenings, nights, weekends and holidays. Other Tours may be added as needed.

Must be flexible with scheduling and duty assignments. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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

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/13073771. 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

BSN or higher; Minimum 2-3 years Long Term Care experience; 1-2 years of leadership experience Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical

Requirements

This position requires visual acuity, hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or during patient operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium,…