Summary
The primary purpose of the Outpatient Primary Care Licensed Practical/Licensed Vocational Nurse (LPN/LVN) at the South Bexar Outpatient Clinic is to provide technically proficient, patient-centered nursing care under the supervision and direction of a registered nurse (RN) or provider, supporting safe, efficient clinical operations and contributing to high-quality care within the healthcare team.
Duties
Functions or Scopes of Practice: GS-3 Level Provides foundational, entry-level patient-centered nursing care under direct supervision of an RN or provider. Performs routine structured/focused health screenings, basic nursing interventions, and supports patient safety and clinic flow. Completes preventive procedures, routine nursing tasks, chart reviews, panel scrubbing, daily huddles, and visit preparation with routine or detailed oversight depending on task complexity. Supports clinic operations by rooming patients, taking vital signs, performing clinical reminders, assisting with entry-level procedures, managing room turnover, and making pre-visit calls. Assists in schedule management by reviewing upcoming appointments, helping identify alternate care modalities, supporting consult tracking, and serving as backup for routine post-discharge calls. Participates in PACT meetings and uses clinic tools and workflows to maintain continuity, coordination, and quality of care. Provides entry-level patient/customer service through pre-visit outreach, reinforcing instructions, and ensuring patients bring needed health information. Supports clinical decision-making by reviewing medications/allergies, identifying urgent needs, initiating protocols as approved, and reporting findings to the RN or provider. Enhances team functioning through health coaching, patient education, secure message management, consult tracking, and follow-up with no-shows. Assists with immunizations, injections, procedures, prevention activities, and serves as a chaperone when appropriate and within competency limits. Maintains an organized clinical environment, including exam room cleanliness, stocking, supply management, and required quality checks. Contributes to patient care planning and Whole Health principles at an entry-level capacity, supporting shared decision-making and collaborative care. GS-4 Level Provides foundational, patient-centered nursing care under RN or provider supervision. Performs structured or focused health screenings and basic nursing interventions. Supports patient safety, clinic flow, patient education, and continuity of care. Completes preventive procedures, assigned nursing tasks, chart reviews, panel scrubbing, huddles, and visit preparation. Rooms patients, collects vital signs, completes clinical reminders, assists providers, and prepares exam rooms. Conducts pre-visit calls and contributes to appointment management and clinic efficiency. Participates in PACT operations, meetings, and workflows to support coordination and quality of care. GS-5 Level Provides patient-centered nursing care with broader working knowledge and ability than GS-04. Performs a full range of practical nursing duties, with some complex tasks requiring higher-level review. Conducts structured/focused health screenings, basic interventions, and supports patient safety and clinic flow. Completes preventive procedures, chart reviews, panel scrubbing, huddles, and visit preparation with general supervision. Orients/trains less experienced LPNs/LVNs and Nursing Assistants/Health Technicians. Manages clinic operations including reminders, rooming, assisting with procedures, and room turnover. Supports schedule management, consult tracking, alternate care modalities, and post-discharge call backup. Participates in PACT meetings and uses clinic tools to maintain continuity, quality, and coordination. GS-6 Level Provides technically proficient, patient-centered nursing care with advanced judgment and minimal supervision. Uses clinical judgment to select appropriate order/sequence of procedures and accurately recognize and report patient findings. Performs structured/focused screenings, nursing interventions, patient education, and promotes safety and smooth clinic flow. Completes preventive nursing tasks, chart reviews, panel management activities, huddles, and visit preparation. Serves as a preceptor, educating and training less experienced LPNs/LVNs and NAs/HTs. Supports complex diagnostic or specialized procedures, including patient preparation, instrumentation, and monitoring. Performs schedule management, consult tracking, and post-discharge call support. Actively engages in PACT activities and seeks educational opportunities to advance nursing skills and team effectiveness. Work Schedule: Monday - Friday, 8:00am - 4:30pm, weekends as needed. Telework: Ad-hoc only, as determined by the agency policy. Virtual: This is not a virtual position. Functional Statement #: 99267-F; 99266-F; 99265-F; 99264-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
Requirements
You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Physical Examination: May be required, depending on the needs of the organization. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Education
Qualifications Continued Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Education 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 has changed names, or is no longer in existence, you must provide this information in your application. 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 packet. 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/.
How you will be evaluated
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.