Registered Nurse-Outpatient Specialty Care

Veterans Health Administration•Jacksonville, FL
•Onsite

About The Position

The Registered Nurse Specialty Nurse provides specialized, high-quality patient care, clinical assessment, and health education within a designated clinical specialty. The nurse collaborates with physicians, advanced practice providers, and interdisciplinary teams to monitor patient progress, manage complex interventions, and carry out specialized treatment plans. During patient check-in, the RN performs assessments and verifies medication orders and administration, as well as laboratory orders and results. The RN assists with clinic procedures and ensures patient assessments, medications, education, and post-operative instructions are addressed. The role maintains clinical practice in accordance with nursing standards and hospital policy, while working effectively with professional and support personnel. The RN may plan, organize, and, when appropriate, direct and supervise others’ activities to complete assignments safely and on time. The RN sets up diagnostic and therapeutic instruments and equipment for patient treatment, determines technical factors and operating controls, and prepares standard equipment for procedures ranging from simple to complex. The RN maintains sterility of procedure instruments and supplies, reports equipment malfunctions or abnormalities to the provider, cleans surgical equipment and instruments by removing gross contamination as needed, and helps the provider and care team locate and assemble equipment for procedures. The position follows a Monday–Friday schedule, 0730–1600, with occasional overtime. Telework and virtual work are unavailable. Relocation and recruitment incentives and permanent change-of-station authorization are not available. 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 professional nursing program, or qualifying nursing education as described for bridge-program and foreign-school graduates.
  • Current, full, active, and unrestricted registered professional nurse registration in a U.S. state, territory, commonwealth, or the District of Columbia; qualifying Graduate Nurse Technician appointments are described as an exception.
  • Meet the applicable education, experience, and grade-determination requirements for the assigned Nurse grade and level.
  • U.S. citizenship, unless appointment of a non-citizen is permitted under VA policy.
  • Pass a pre-employment physical evaluation or examination.
  • Submit to urinalysis drug screening if tentatively selected for a testing-designated position.
  • Complete required background/security investigation and online onboarding.
  • Participate in the seasonal influenza vaccination program.
  • Meet pre-employment identification requirements; effective May 7, 2025, non-REAL-ID-compliant state identification cannot be used as acceptable employment identification.
  • Males born after December 31, 1959, must meet Selective Service registration requirements.
  • May be required to serve a probationary period.
  • Complete all application requirements listed in the announcement’s Required Documents section.
  • Meet the position’s physical requirements, including visual acuity, keen hearing, clear distinctive speech, and manual dexterity; potentially long periods of walking, standing, stooping, sitting, bending, pulling, and pushing; patient and object transfers may be required.

Responsibilities

  • Perform patient assessments during check-in.
  • Verify medication orders and medication administration.
  • Verify laboratory orders and results.
  • Assist with clinic procedures and ensure patient assessment, medication, teaching, and post-operative instructions are completed.
  • Maintain clinical practice in accordance with nursing standards and hospital policy.
  • Work effectively with professional and supportive personnel providing care.
  • Plan, organize, and when appropriate direct and supervise others’ activities to complete assignments safely and on time.
  • Set up diagnostic and therapeutic medical instruments and equipment for patient treatment.
  • Determine technical factors and set controls for equipment and instruments.
  • Set up standard equipment for simple to complex procedures.
  • Maintain sterility of instruments and supplies used in procedures.
  • Report equipment malfunctions and abnormalities to the provider.
  • Clean surgical equipment and instruments, removing gross contamination by rinsing or using required solvents.
  • Support the provider and care team by locating and assembling equipment needed for procedures.
  • Collaborate with physicians, advanced practice providers, and interdisciplinary teams to monitor patient progress, manage complex interventions, and execute specialized treatment plans.
  • Provide specialized patient care, clinical assessment, and health education within a designated specialty.

Benefits

  • 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.
  • Federal 401(k), with VA contributions of up to 5%.
  • Federal health, vision, dental, term life, and long-term care insurance; many programs may be carried into retirement.
  • Competitive salary, regular salary increases, and potential performance awards.
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