Float LVN supporting San Antonio clinics as a multi-site resource. Provides foundational, patient-centered nursing care under RN/provider supervision. Performs health screenings, vital collection, patient rooming, and medication/immunization administration. Supports PACT team through pre-visit planning, clinic flow management, and health coaching. Requires nursing judgment proportionate to grade level.
Physical demands include standing, walking, moderate lifting, and direct patient assistance.
Duties include, but are not limited to the following at each grade level: GS-03 Perform routine structured/focused health screenings and basic nursing interventions under close supervision Room patients, collect vital data, complete assigned clinical reminders, and maintain clinic flow Administer medications and immunizations following established protocols Support clinical decision-making by reviewing medications/allergies and communicating findings to RN/provider Participate in PACT team operations including pre-visit planning, daily huddles, and team meetings GS-04 Perform structured/focused health screenings and basic nursing interventions with greater judgment and less supervision than GS-03 Exercise judgment in clinical decision-making by identifying urgent needs, reviewing medications/allergies, and initiating nursing protocols Manage clinic flow by rooming patients, assisting providers with procedures, and maintaining exam room readiness Conduct pre-visit planning by reviewing records, obtaining missing documentation, and preparing clinical data Contribute to schedule management and panel review, identifying opportunities for alternate care modalities GS-05 Provide a full range of practical nursing care to patients with varied physical and/or behavioral problems Orient and train less experienced LPNs/LVNs and nursing assistants in relation to acceptable standards of practice Administer commonly prescribed medications (oral, topical, subcutaneous, intramuscular, intravenous) with appropriate observation and documentation Support clinical decision-making with broad working knowledge by identifying urgent/emergent situations and communicating key findings Manage clinic operations through pre-visit planning, patient rooming, procedure assistance, and PACT collaboration under general supervision GS-06 Demonstrate technical proficiency in initiating, performing, and completing complex diagnostic tests and specialized procedures with appropriate patient preparation and monitoring Serve as a preceptor, orienting and educating less experienced LPNs/LVNs and nursing assistants on complex, specialized procedures and support duties Use clinical judgment to select appropriate order and sequence of procedures/treatments; accurately recognize, report, and record patient information Actively seek educational opportunities to enhance nursing knowledge and skills, sharing new knowledge with staff to advance nursing practice Collaborate with PACT on access, continuity, quality, and patient-experience goals, requiring only general review of work for appropriateness and policy conformity Work Schedule: Monday-Friday, 8:00am to 4:30pm Telework: Not Available Virtual: This is not a virtual position.
Functional Statement #: 99267-F (GS-3), 99266-F (GS-4), 99265 (GS-5), 99264-F (GS-6) Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
Accreditation Information: The degree must be fully accredited by the National League for Nursing (NLNAC). Verification of accreditation may be made obtained from https://www.nln.org/. Note: If your school was accredited by the National League for Nursing at the time of graduation but is no longer listed on the NLNAC website, you must provide documentation of accreditation with your application.
Note: If your school has changed names, or is no longer in existence, you must provide this information in your application. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $49373 – $89858/yr.
Applications close on 2026-10-28.
This is a Monday-Friday, 8:00am to 4:30pm position.
This position is open under the 'Fed Competitive' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-22 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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