The Specialty Care Registered Nurse provides comprehensive, evidence-based nursing care to Veterans in an outpatient clinical setting at the Santa Rosa VA Outpatient Clinic. The registered nurse is responsible for assessing patients' health needs, developing and implementing individualized nursing care plans, coordinating specialty care services, monitoring treatment outcomes, and providing patient and family education to promote health, wellness, and disease management.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards The nurse collaborates with physicians, advanced practice providers, licensed vocational nurses, medical support staff, and other members of the interdisciplinary healthcare team to ensure safe, timely, high-quality, and Veteran-centered care.
Responsibilities include clinical assessment, care coordination, medication management, patient triage, documentation, and follow-up of diagnostic testing and treatment plans in accordance with Department of Veterans Affairs policies, nursing standards, and applicable regulatory requirements.
Duties and responsibilities include: Conduct comprehensive and focused nursing assessments, including medical history, medication reconciliation, vital signs, pain assessment, and evaluation of current symptoms. Identify changes in patients' health status and initiate appropriate nursing interventions, escalation, and referrals.
Develop, implement, and evaluate individualized nursing care plans based on assessment findings, provider orders, and established clinical guidelines. Provide direct nursing care to Veterans with acute, chronic, and complex medical conditions in an outpatient setting. Assist with specialty clinic visits, examinations, treatments, procedures, and other clinical interventions within the nurse's assigned scope of practice and demonstrated competencies.
Prepare patients for diagnostic testing and specialty procedures, including providing pre-procedure instructions and completing required nursing assessments. Monitor patients before, during, and after procedures or treatments as appropriate to the assigned clinic. Coordinate referrals, consultations, and follow-up appointments to support continuity of care.
Assess incoming patient concerns by telephone, secure messaging, or in-person contact, using established triage protocols and clinical judgment. Determine the urgency of patient needs and facilitate appropriate appointments, clinical evaluations, emergency interventions, or referrals. Communicate significant clinical findings and changes in patient condition to the appropriate healthcare provider.
Coordinate follow-up for abnormal diagnostic results, missed appointments, pending consultations, and unresolved patient care needs. Administer medications and treatments in accordance with provider orders, VA policies, and applicable nursing standards. Monitor patients for therapeutic responses, adverse reactions, and potential medication-related complications. Provide education regarding prescribed medications, treatment plans, adherence, and potential side effects.
Support medication reconciliation and communicate identified discrepancies or concerns to the appropriate healthcare provider. Educate Veterans and their caregivers regarding diagnoses, treatment plans, disease prevention, medication use, and self-management strategies. Reinforce provider instructions and explain follow-up care, warning signs, and when to seek urgent medical attention.
Assess patient understanding, health literacy, and barriers to care, adapting education to individual needs. Promote preventive healthcare, wellness, and adherence to recommended treatment plans. Maintain accurate, timely, and complete nursing documentation in the VA electronic health record. Document assessments, interventions, patient education, telephone encounters, clinical communications, and follow-up activities.
Review patient records, laboratory results, diagnostic reports, and treatment plans to support safe and coordinated care. Follow infection prevention and control practices, medication safety procedures, patient identification requirements, and established clinical protocols. Recognize and respond appropriately to medical emergencies and changes in patient condition.
Report patient safety concerns, adverse events, and identified risks through established VA reporting processes. Support daily clinic operations by preparing examination rooms, verifying equipment readiness, maintaining supplies, and ensuring a safe clinical environment. Assist with patient flow, appointment preparation, and coordination of nursing services to promote timely access to care.
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 Work Schedule: Full-time; 8:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. 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/.
Angelica.Ratliff@va.gov · (909) 836-8026
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $153887 – $228000/yr.
Applications close on 2026-10-26.
This position is open under the 'Fed Excepted' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-23 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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