Summary

The Bruce W. Carter Department of Veterans Affairs Medical Center is looking for a Registered Nurse - Community Living Center Clinical Nurse Leader (CNL) to work in the Nursing GEC service. The Unit-based Clinical Nurse Leader/Educator possesses specialized knowledge and clinical skills necessary to function in various roles in caring for the (Community Living Center and Spinal Cord) Veteran.

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
• Additional Appointment Requirements: Education: Master's Degree in Nursing with concentration as Clinical Nurse Leader
• Important Note: Clinical Nurse Leader must possess a Masters degree from an academic program/must have graduated from a school of professional nursing accredited by the Accreditation Commission for Education in Nursing (ACEN formerly the NLNAC) OR the Commission on Collegiate Nursing Education (CCNE) at the time of graduation
• In cases of graduates of foreign schools of professional nursing
• possession of current - full - active - and unrestricted registration will meet the requirement of graduation from an approved school
• Also - the completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study
• ACEN Link: Search ACEN Accredited Nursing Programs (acenursing.com) CCNE Link: CCNE - Accredited Programs (ccnecommunity.org) Certifications: Full and current national board certification as a Clinical Nurse Leader from a VA-approved certifying body 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/12729013
• 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: This position requires visual acuity - keen 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 occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• The environment's space can vary
• The incumbent must have the ability to prioritize patient care needs
• Weight limitations vary depending on area of service and functional duties.

Duties

• VA offers a comprehensive total rewards package: VA Nurse Total Rewards This is an OPEN CONTINUOUS ANNOUNCEMENT for Miami VA medical Center for Registered Nurse - Clinical Nurse Leader position
• It will remain open until 07-31-2025
• The initial cut-off date for referral of eligible applications will be on 14 days
• Eligible applications received after this date will be referred at regular intervals or as additional vacancies occurs as-needed basis until position is filled
• The Registered Nurse - Clinical Nurse Leader position is located at the Miami VAMC main facility - address 1201 Northwest 16th Street - Miami - FL 33125
• At the Miami VA Healthcare System at the Nursing GEC service service and reports to the Chief of Long-Term Care (CNLTC) under the Associate Director of Patient Care Service (ADPCS) may require travel to various locations (e.g
• Broward Outpatient Center - CBOCs - conferences) as appropriate to patient care or training needs
• The certified Clinical Nurse Leader (CNL) is a proficient nurse that utilizes a comprehensive approach to nursing practice - emphasizing evidenced-based care delivery and the integration of innovative strategies
• The CNL utilizes principles of complexity science to analyze and address the dynamic nature of healthcare systems
• Implement evidence-based interventions at the microsystems level to optimize care delivery and patient outcomes
• The CNL facilitates an effective - holistic nursing approach - from assessment and intervention to evaluation and advocacy - in delivering quality healthcare
• The certified Clinical Nurse Leader (CNL) utilizes the principles of complexity science to analyze and address the dynamic of healthcare systems
• Implement evidence-based interventions at the microsystem level to optimize care delivery and patient outcomes - applies public safety health concepts to advance equitable preventive services
• Will communicate the importance of the CNL role in the healthcare delivery
• Apply improvement science to enhance performance measurement and quality improvement
• The Clinical Nurse Leader (CNL) duties include but are not limited to: Advocate for social justice and health equity in healthcare policies to address disparities
• Facilitate difficult conversations within healthcare teams and with patients
• Utilize diverse data sources to evaluate care outcomes and benchmark against standards Assists in development and implementation of plan of care to complex patients or those at high risk for major complications for all members of the healthcare team
• Demonstrates knowledge of Community Living Center and departmental policies and procedures in guiding or providing patient care
• Conducts patient care rounds with individual nurses - especially for identified high risk groups and identifies patient - family and staff needs while assessing progress and appropriateness of patient care
• Identifies and addresses the varied learning needs of staff
• Serves as advocate for patients - families - and caregivers - improving outcomes for the immediate practice setting
• Responds to critical situations in a professional manner
• Encourages individual growth and development
• Work Schedule: Monday-Friday
• 8:30am - 5:00pm
• flexibility may be required to ensure coverage for the 24\\7 operations of the facility
• 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