Registered Nurse-Community Living Center

Veterans Health Administration • Fayetteville, NC

10d • Onsite

About The Position

The Community Living Center (CLC) 3A Registered Nurse provides competent, evidence-based care to residents and oversees licensed vocational nurses and nursing assistants as appropriate. The nurse helps direct nursing education, orientation, competency development, quality improvement, and efforts to enhance outcomes. The position provides skilled nursing care to Community Living Center residents and their families, working collaboratively with the interdisciplinary team and other healthcare providers.

The RN completes admission and ongoing assessments, documents care in accordance with regulations and agency policy, evaluates changes in residents’ conditions and abilities, and updates individualized plans of care in consultation with physicians and the interdisciplinary team. The nurse supports resident independence, safety, and social interactions; educates residents and families; and contributes to staff development, compliance readiness, and performance improvement.

The position works 12-hour shifts, either 7:45 p.m.–8:15 a.m. or 7:45 a.m.–8:15 p.m., with alternating weekends, totaling 80 hours biweekly. Telework and virtual work are not available. The position requires a current, full, active, and unrestricted U.S. nursing license, subject to the stated education and grade requirements. Preferred experience is one year in long-term care, hospice, or rehabilitation.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, or qualifying equivalent education as described in the announcement.
• Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. state, territory, commonwealth, or the District of Columbia; a temporary Graduate Nurse Technician appointment exception is described for eligible candidates pursuing licensure.
• Meet the education and specialized nursing experience requirements for the applicable Nurse grade and level.
• Ability to complete required documentation in accordance with regulations and agency policy and procedure.
• Ability to work effectively in stressful situations, remain flexible, and shift priorities based on patient needs.
• U.S. citizenship is required, except that non-citizens may be appointed when qualified citizens cannot be recruited under VA policy.
• Selected applicants are subject to a pre-employment drug test, background/security investigation, onboarding, and physical evaluation/examination; seasonal influenza vaccination and annual employee health requirements are also required.
• Male applicants born after December 31, 1959, must meet Selective Service registration requirements.

Nice To Haves

• One year of experience in long-term care, hospice, or rehabilitation.

Responsibilities

• Provide competent, evidence-based skilled nursing care to Community Living Center residents and their families.
• Oversee licensed vocational nurses and nursing assistants as appropriate to the setting.
• Help direct nursing education, orientation, competencies, quality improvement, and outcome-enhancement activities.
• Demonstrate leadership and creative approaches to managing complex resident care.
• Collaborate in developing, implementing, evaluating, and revising policies, procedures, and guidelines.
• Provide constructive feedback and share knowledge with peers and colleagues to support safe, quality nursing care.
• Foster a safe and supportive environment for the professional development of healthcare professionals.
• Evaluate outcomes of evidence-based decisions and practice changes for individuals, groups, and populations, and document program- or service-level outcomes.
• Collaborate with the Minimum Data Set coordinator to ensure accuracy of Resource Utilization Group scores.
• Maintain consistent assignments and continuity of care where possible.
• Complete and accurately document admission physical assessments, including all body systems and designated CLC assessments.
• Assess changes in residents’ abilities and medical situations, and teach and implement skills that promote independence, safety, and social interaction.
• Communicate courteously and appropriately with internal and external customers, and maintain confidentiality of resident and employee information.
• Ensure restorative care measures are implemented by team members.
• Collaborate with the interdisciplinary team to establish, maintain, and update individualized written plans of care.
• Perform comprehensive initial and ongoing assessments, including disease processes, comorbidities, medical and medication history, allergies, symptoms, pain, psychosocial status, and the effects of terminal diagnoses on functional and environmental needs and activities of daily living.
• Update plans of care as needed in consultation with physicians and interdisciplinary team members.
• Coordinate care with other healthcare providers, including spiritual counselors, medical social workers, bereavement services, and rehabilitation services as appropriate.
• Educate residents and families about disease processes, self-care techniques, end-of-life issues, and care and complaint resolution processes.
• Collaborate with staff regarding resident needs and assist in developing plans of correction and integrating recommendations into daily staff functions.
• Participate in Long-Term Care Institute readiness and CLC Compare performance-improvement activities.
• Complete other duties as assigned.

Benefits

• 50 days of paid time off per year, including 26 days of annual leave, 13 days of sick leave, and 11 paid federal holidays.
• Traditional federal pension with five-year vesting.
• 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 may be carried into retirement.
• Regular salary increases and potential performance awards.

What This Job Offers

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