Registered Nurse - Electrophysiology

Veterans Health Administration • Milwaukee, WI

21h • Onsite

About The Position

The Electrophysiology Registered Nurse provides comprehensive care coordination for Veterans with cardiac arrhythmias and cardiac implantable electronic devices (CIEDs), including pacemakers, implantable cardioverter-defibrillators (ICDs), and implantable loop recorders. The RN manages complex patient situations, advocates for patients, and coordinates evaluation and treatment for cardiovascular and electrophysiology conditions.

The role includes comprehensive assessment and triage, independent longitudinal care coordination, patient and caregiver education, pre- and post-procedure coordination, and follow-up planning. The RN independently interrogates CIEDs in outpatient settings and, when clinically indicated, in inpatient and ancillary settings; reviews and interprets device data and remote transmissions; troubleshoots device concerns; and communicates significant findings to Electrophysiology providers. The position also involves accurate clinical documentation, multidisciplinary problem solving, workflow coordination, quality improvement, evidence-based practice, research activities as assigned, continued competency, and cross-coverage within the integrated EP/Device RN model.

The work schedule is Monday through Friday, day shift, with variable start times. Telework is not available, and this is not a virtual position. Relocation and recruitment incentives and permanent change of station are not authorized. The position is in the Excepted Service and does not confer competitive status.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, subject to the listed education pathways and exceptions.
• Current, full, active, and unrestricted RN registration in a U.S. State, Territory, or Commonwealth, or the District of Columbia; a Graduate Nurse Technician exception is described for eligible candidates pursuing licensure.
• Meet the education and experience criteria for the applicable VA Nurse grade and level.
• U.S. citizenship, except that non-citizens may be appointed when qualified citizens cannot be recruited in accordance with VA policy.
• Selected applicants must complete required pre-employment screening and onboarding, including a urinalysis for testing-designated positions, background/security investigation, and physical evaluation.
• Participation in the seasonal influenza vaccination program is required for VA Health Care Personnel.
• Male applicants born after December 31, 1959, must meet Selective Service registration requirements.

Nice To Haves

• Experience evaluating and managing cardiac arrhythmias, including atrial fibrillation/flutter, supraventricular tachycardia, symptomatic bradycardia, frequent PVCs, and ventricular arrhythmias.
• Competence recognizing common and complex arrhythmias, conduction defects, and paced rhythms.
• Experience with arrhythmia triage, symptom assessment, secure-message triage, guideline-based recommendations, and urgent escalation for high-risk arrhythmias.
• Experience caring for Veterans undergoing arrhythmia-related diagnostics, such as Holter or event monitoring, stress tests, device interrogations, and cardioversion coordination.
• Knowledge and experience managing pacemakers, ICDs, CRT devices, and loop recorders, including interpreting device data, reviewing arrhythmia episodes, and supporting remote monitoring workflows.
• Experience performing or assisting with device-related peri-procedural care, including MRI or OR reprogramming, post-radiation therapy checks, and ED or inpatient interrogations.
• Strong clinical assessment and critical-thinking skills for arrhythmia-related symptoms and device concerns in clinic and remote settings.
• Additional arrhythmia- or electrophysiology-related training.

Responsibilities

• Conduct comprehensive nursing assessments and clinical triage for Veterans with known or suspected arrhythmias and/or CIEDs, reviewing relevant history, symptoms, medications, diagnostic results, and outside records.
• Independently manage and coordinate longitudinal care for arrhythmia and cardiac device patients in collaboration with Electrophysiology providers and the interdisciplinary healthcare team.
• Manage telephone calls, secure messages, clinical reminders, view alerts, and other patient communications; assess urgency, provide guidance within established protocols, and escalate significant findings.
• Educate and coach patients and caregivers about arrhythmias, therapies, medications, testing, CIEDs, remote monitoring, symptom recognition, and when to seek care.
• Monitor adherence to treatment plans and coordinate follow-up testing, appointments, referrals, and other care needs.
• Coordinate pre- and post-procedure care for electrophysiology procedures, including education, review of testing and treatment plans, communication of instructions, and post-procedure follow-up.
• Perform CIED interrogation in outpatient clinics and, when clinically indicated, inpatient or ancillary settings including MRI, Radiation Therapy, the Emergency Department, and inpatient units.
• Collect, investigate, analyze, and interpret CIED data and communicate findings and recommendations to Electrophysiology providers.
• Troubleshoot device function, settings, arrhythmia episodes, alerts, and therapies in collaboration with the EP team.
• Manage remote CIED monitoring, review and interpret transmissions and alerts, identify clinically significant findings, communicate with Veterans as appropriate, and promptly notify providers when review or intervention is indicated.
• Monitor and evaluate multiple makes and models of pacemakers, ICDs, and implantable loop recorders, and maintain knowledge of evolving device technology and management recommendations.
• Analyze clinical data and document nursing assessments, triage encounters, care coordination, CIED management, remote transmission reviews, and clinic visits in the electronic health record.
• Communicate and problem solve with the multidisciplinary team to address complex care issues, arrhythmia management, device function, access barriers, and continuity-of-care concerns.
• Review schedules, referrals, and follow-up needs to support efficient workflows, identify potential gaps or conflicts, and facilitate timely access to care.
• Participate in assigned quality improvement, evidence-based practice, and clinical research activities related to electrophysiology and cardiac device care.
• Maintain current knowledge and competency in electrophysiology, arrhythmia care, CIED technology, remote monitoring, clinical protocols, and relevant practice changes.
• Provide cross-coverage within the integrated EP/Device RN model according to operational needs and demonstrated competency.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year: 26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
• Traditional federal pension with five-year vesting and federal 401(k), with up to 5% in contributions by VA.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree