Remote Nursing Jobs in Big Spring, TX (NOW HIRING)

Summary
Nursing Assistants function as a member of the nursing care team and assist licensed nursing staff in the care of patients/residents receiving preventative, acute, sub-acute, chronic, maintenance, and hospice care. NA's, depending on assignment level, may address more complex nursing needs, which can vary within range of predictable to unpredictable requirements.
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Duties
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Total Rewards of a Allied Health Professional
The Nursing Assistant (NA):

• Assist in the full range of nursing care to patients/residents with physical and/ or behavioral problems in a hospital, long term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse/Licensed Practical Nurse.
• Communicate orally with patients/residents, families, interdisciplinary team and other personnel.
• Recognize and react to emergent patient/resident care situations and intervene while waiting for assistance. For example, recognizing need for basic life support, controlling bleeding and assisting with behavior crisis, etc.
• Utilizes glucose monitoring machine to collect glucose values on veterans when needed and refer deviations to appropriate nursing staff or other health care provider.
• Provides direct care for complex Veterans.
• Makes observations of subtle changes in resident's condition, i.e., behavior shifts, mood, skin coloring, etc. and takes action accordingly within the NAs assigned role.
• Documents care given, observations and responses on appropriate tools or forms.
• Responds appropriately to subtle patient changes by contacting the appropriate nursing personnel.
• Administers complete tracheostomy care, including suctioning.
• Monitors and documents patient intake and output reports deviations timely and accurately.
• Performs nursing procedures within scope of practice and according to policies and standard procedures to care for the veteran such procedures but not limited to: enemas, catheterization, colostomy care, skin care (simple dressing), application of braces and prosthetic devices.
• Works on small group activities with veterans/residents' treatment plan.
• Recognizes the residents' autonomy and promotes independence by means of respect, limit seeing and individualized treatment.
• Actively participates in Treatment Planning Meetings.
• Utilizes equipment to promote the veteran self-care, such as; lift equipment, Hydro sound tubs, and Veteran/Resident Wandering System.
• Verbally provides patient information to the treatment team for inclusion in the veteran/residents' plan of care, participates in treatment team meetings for resident care planning.
• Enters information about the residents' condition in the chart, utilizing appropriate formats.
• Participates in maintaining a clean, safe environment for the patient/resident.
• Removes defective equipment, reports hazards, observes safety regulations, contributes to infection control, and utilizes proper aseptic technique in performance of duties.
• Serves as the unit safe patient handling liaison.
• Serves as preceptor and mentor to other NAs.
• Orients members of the health care team to the units as appropriate.
• Functions as a member of the unit base counsel.
• Operation of a government-owned or leased motor vehicle for patient transportation to medical appointments internal and external to VA facilities.
• Manages disturbed patient behavior and appropriately intervenes by requesting assistance from other health care members.
• Appropriately initiates basic life support, take appropriate actions.

Work Schedule: Rotating Shifts, 06:00 AM -06:30 PM; 06:00 PM- 06:30 AM
Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
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)
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 55342F, 55343F, 55344F
Permanent Change of Station (PCS): Not Authorized.
Requirements
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Conditions of employment

• 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.
• 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.
Qualifications
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Experience, Education or Training. You must meet one of the following to meet the basic requirements for a Nursing Assistant (NA):
  
  1. Six (6) months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA; OR,
  2. One year of education above high school with courses related to the NA occupation; OR,
  3. Completion of an intensive, specialized, occupation-related training course of study or program of less than one year as a NA may also meet in full the experience requirements for GS-3.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
Grade Determinations: In addition to the basic requirements stated above, the following qualification criteria must be met for each grade. The candidate's qualifications must clearly demonstrate the level of competence required for the grade.
GS-03 - None beyond the basic requirements. NAs at this grade NAs are considered entry-level and are closely supervised.
GS-04 - To qualify at the GS-4 level you must meet the following:

• EXPERIENCE: One (1) year of experience as a Nursing Assistant or in another medical field (licensed practical nurse, health technician, hospital corpsman, etc.), performing technical and nursing skills requiring knowledge of the human physical and emotional states, therapeutic communication, and technical skills required for basic and intermediate treatments. OR,
• EDUCATION: Successful completion of two (2) years above high school in an accredited institution with courses related to nursing care, health care or in a field of study appropriate to the specialization of the position, such as education in a program for psychology, psychiatric, or operating room technicians.

AND, in addition you must demonstrate the following Knowledge, Skills and Abilities (KSAs):

1. Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents.
2. Ability to observe patients/residents' or residents' physical or emotional status and refer deviations and/or problems to supervisor in a timely manner.
3. Ability to properly use equipment, materials and supplies in simple diagnostic and treatment procedures such as bladder scan, continuous passive motion device, blood glucose monitoring machine, specimen collection, etc.
4. Ability to communicate effectively with patients/residents, their families and other health professionals.

GS-05 - To qualify at the GS-5 level you must meet the following:

• EXPERIENCE: One (1) year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities (KSAs) that are directly related to the specific assignment. Specialized experience includes but is not limited to functioning as a member of the nursing care team and assisting licensed nursing staff and other members of the care team in the full range of nursing care of patients/residents receiving outpatient care, home, or community living care or other patients/residents who are receiving preventative, acute, sub-acute, chronic, maintenance, and hospice care. OR,
• EDUCATION: Successful completion of 4-year course of study above high school leading to a bachelor's degree that included 24 semester hours of courses related to health care or possession of a bachelor's degree.

AND, in addition you must demonstrate the following Knowledge, Skills and Abilities (KSAs):

1. Ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral problems in a hospital, long-term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse/Licensed Practical Nurse.
2. Ability to communicate orally with patients/residents, families, interdisciplinary team and other personnel. This includes serving as a preceptor to new NAs by assisting with the coordination of their orientation and overseeing/assessing their practical experience while in a clinical setting.
3. Ability to recognize and react to emergent patient/resident care situations and intervene while waiting for assistance. For example, recognizing need for basic life support, controlling bleeding and assisting with behavior crisis, etc.

Preferred Experience:

• One year experience as a nurse aide in a hospital, nursing home, home health agency, hospice, or skilled nursing facility
• Completion of Certified Nurse Aide Program
• BLS certified, Adept at handling difficult or traumatic situations with complete courtesy and professionalism
• One-year experience in oral communication and documentation in a health care related field, requiring good reading, writing, math and computer skills

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
The full performance level of this vacancy is GS05. The actual grade at which an applicant may be selected for this vacancy is in the range of GS03 to GS05.
Physical Requirements: There are no physical requirements for this occupation.
Education
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.go