The Registered Nurse - Primary Care Outpatient Clinic (Fredericksburg HCC) will be responsible for collaborating with other health team members to develop - implement and coordinate patient care delivery to achieve maximum quality - patient centered care - positive patient outcomes - and appropriate utilization of resources to a culturally diverse Veteran patient population.
Qualifications
Basic
Read the full posting
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/12956327
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/
Preferred
Experience
At least three (3) years of RN experience in an ambulatory care environment (primary care - internal medicine - urgent care) or at least three years of experience in a medical surgical setting
-Demonstrated ability to lead a frontline healthcare team in process improvement in order to meet organizational performance measures
-Experience working with interdisciplinary teams
Physical
Requirements
See VA Directive and Handbook 5019
This position requires potentially long periods of continued walking - standing - and sitting - lifting - carrying - pushing - reaching above shoulder - use of fingers - both hands - both legs and repeated bending
Heavy lifting (45 lbs
and over)
Heavy Carrying (45 lbs
and 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 and muscular coordination simultaneously
Specific visual requirement: Read typed Chapters
Correctable vision :20/40 in one eye
Ability to distinguish basic colors and 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 and 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 or testing - as a condition of employment.
Duties
Duties include - but are not limited to: -Manages assigned panel(s) - utilizes registries - and ensures appropriate evaluation and access is provided to patient panels
-Provides health promotion - health education and coaching on wellness - disease prevention - and chronic care management
-Focus is on individual growth and development in outpatient Patient Aligned Care Team (PACT) nursing practice with increased levels of self-direction
-Ability to formulate a plan of care based on nursing assessments
-Seeks guidance on how to improve care provided to patients and families
Delegates elements of care to the appropriate individual based upon assessed needs - condition - and safety of the patient
-Brings primary care principles and theory with limited application of critical thinking skills
-Assumes the role of Charge or Co-charge Nurse
Demonstrates timely and effective communication
-Promotes seamless care coordination
-Collaborates with patients and interdisciplinary teams
-Responsible for a robust chronic disease management program
-Monitors PACT metrics with particular emphasis on Healthcare Effectiveness Data and Information Set (HEDIS) measures
-Demonstrates proficiency in PACT reports including eQM (electronic quality management) - VSSC (VA Support Service Center) - SAIL (Strategic Analytics for Improvement and Learning Value Model) and Primary Care
-Almanac - and PACT Compass
Collaborate with the patients and care teams to develop meaningful goals for patients
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 through Friday - 8:00am-4:30pm
Subject to change based on needs of the clinic
Telework: Not Available Virtual: This is not a virtual position
Relocation/Recruitment Incentives/Expenses: Not Authorized Permanent Change of Station (PCS): Not Authorized
Sourced from a public job board.
“three (3) years of RN experience in an ambulatory care environment (primary care - internal medicine - urgent care) or at least three years of experience in a medical surgical setting” · from this posting
Requirements
Basic
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/12956327
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/
Preferred
-At least three (3) years of RN experience in an ambulatory care environment (primary care - internal medicine - urgent care) or at least three years of experience in a medical surgical setting
-Demonstrated ability to lead a frontline healthcare team in process improvement in order to meet organizational performance measures
-Experience working with interdisciplinary teams
Physical
See VA Directive and Handbook 5019
This position requires potentially long periods of continued walking - standing - and sitting - lifting - carrying - pushing - reaching above shoulder - use of fingers - both hands - both legs and repeated bending
Heavy lifting (45 lbs
and over)
Heavy Carrying (45 lbs
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 and muscular coordination simultaneously
Specific visual requirement: Read typed Chapters
Correctable vision :20/40 in one eye
Ability to distinguish basic colors and 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 and 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 or testing - as a condition of employment.
Benefits
401(k)
Paid time off
Place
City
Fredericksburg, VA
Median rent
$1,619/mo
rent and tenant-paid utilities
Local household income
$86,071/yr
all local households, not nurse pay
State price level
1% above the national average
Virginia index 101.1, where 100 is the national average.
Fredericksburg sits midway between Richmond and Washington, D.C., blending Civil War-era downtown charm with Rappahannock River views — a quieter launch point for RNs who want historic small-city living with easy access to major metro healthcare job markets.
Choose your specialty, travel preference, and license stage to see how this role fits.
The work you want
Where you'd go
Where you are
About the employer
VA
Veterans Health Administration
Health system employer
Nationally the VA describes itself as the largest U.S. nurse employer, with more than 120,000 RNs, APNs, LPNs, and nursing assistants. The VA has said it is on pace to reduce staff by nearly 30,000 by the end of FY2025…
