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Licensed Practical Nurse-Patient Aligned Care Team
Licensed Practical Nurse-Patient Aligned Care TeamVETERANS HEALTH ADMINISTRATION • Billings, MT, United States
Licensed Practical Nurse-Patient Aligned Care Team

Licensed Practical Nurse-Patient Aligned Care Team

VETERANS HEALTH ADMINISTRATION • Billings, MT, United States
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Summary

The primary purpose of the Licensed Practical / License Vocational Nurse (LPN / LVN) is to perform assigned duties in a manner that promotes quality health care, positive customer service and the maintenance of an environment committed to serving the veteran.

Duties

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Total Rewards of a Allied Health Professional

  • Technically proficient in initiating, performing, and completing assigned duties in providing care to variable patient populations.
  • Knowledge and ability to appropriately carry out assigned patient care based on the patient's conditions; to use judgment in selecting the appropriate order and sequence of procedures and treatments; and to accurately recognize, report and record relevant patient information. Completed work should need only a general review by a registered nurse or physician for appropriateness and conformity with established policies / procedures.
  • Ability to observe, identify and respond to the patient's needs for care including medication equipment-assisted care and (patient / family education). In organizing and delivering care, the LPN / LVN recognized and considers emotional, socio-economic, and age-related factors.
  • Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and / or intravenous) and performs treatments according to established policies / procedures. Observes for physical and / or emotional changes in patient's condition from prescribed medication / treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD / DO.
  • Knowledge and ability to recognize urgent and emergent patient care situation, seek assistance of the RN and / or MD / DO, and initiate appropriate emergency interventions as directed.
  • Knowledge and understanding of human behavior, patient motivations and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff.
  • Established constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication and socialization skills, Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and / or other inter / external customers.
  • Knowledge and skill in performing support duties for complex diagnostic tests and / or specialized practices or procedures, which include preparing the patients, assisting in the diagnostic examination, preparing, and handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during and following the procedure. Serves as a preceptor in orienting, educating, and training less experienced LPNs / LVNs or NAs / HTs related to support duties for these more complex, specialized tests / procedures.
  • Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice.
  • Completes focused data collection using all clinical reminders as outlined in the clinical guidelines and standing order policy.
  • Perform pre-visit phone calls to prepare patients for upcoming appointments by reviewing necessary information, ensuring an efficient clinic visit for both the patient and provider

Work Schedule : Monday-Friday 8 : 00am-4 : 30pm

Recruitment Incentive (Sign-on Bonus) : Not Authorized

Permanent Change of Station (Relocation Assistance) : Not Authorized

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 # : 52837-A, 52838-A, 52839-A & 52840-A

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 (). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical examination.
  • 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

  • This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until February 13th, 2026. The initial cut-off date for referral of eligible applications will be November 28th, 2025, with subsequent cut-off dates on the 1st of each month. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled.
  • 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.
  • Licensure : Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia.
  • Education : Graduate of a school of practical or vocational nursing approved by the appropriate State-accrediting agency and / or the National League for Nursing Accrediting Commission (NLNAC) (copy of transcripts required)
  • OR
  • Health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN / LVN licensure will be accepted as meeting the education requirements for VHA employment.
  • English Language Proficiency : Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in [both] spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
  • 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, candidates must meet requirements for each grade level applied for as outlined below :

    GS-03 :

    None beyond basic requirements.

    GS-04 :

  • Six months of qualifying experience as an LPN or LVN.
  • OR, Graduation from an approved school and one year of experience.
  • OR, Graduation from an approved school of at least 24 months duration.
  • LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level; however, they are expected to exercise greater judgment, require less supervision, and to operate in accordance with all established policies, procedure, and techniques.
  • GS-05 :

    Requires at least 1 year of qualifying experience at the GS-4 level or equivalent. In addition the following criteria must be met :

  • Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and / or behavioral problems.
  • Demonstrated ability to serve as a responsible member of the nursing team and interact with patients, family members, professional and supportive personnel patient care, incorporating acceptable, established customer service standards into practice.
  • Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and / or intravenous medications as permitted by approved local facility policies and procedures. Observation and documentation will include patient's response to medication administered and the reporting of any noted change in patient's condition to RN or MD / DO.
  • Knowledge and ability to recognize the need for and to institute emergency measures when indicated, promptly seek the assistance of the RN or MD / DO, and assist in resuscitation procedures in cardiac and / or pulmonary arrest.
  • Recognizes and appropriately responds to breakage / malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.
  • Completed work is under the general supervision of an RN or MD / DO. Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures. However, completion of more complex practices or procedures may be subject to closer higher-level review.
  • GS-6 :

    Requires at least 1 year of additional qualifying experience at the GS-5 level or equivalent and fully meeting all performance requirements for the GS-5 LPN. In addition the following criteria must be met :

  • Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations.
  • Knowledge and ability to appropriately carry out assigned patient care based on the patient' conditions.
  • Ability to observe, identify, and respond to the patient's needs for care, including medication, equipment-assisted care, and patient / family education.
  • Prepare and administer prescribed medication (oral, topical, subcutaneous, intramuscular, and / or intravenous) and performs treatments according to established policies / procedures.
  • Observes for physical and / or emotional changes in patient's condition from prescribed medications / treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD / DO.
  • Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and / or MD / DO, and initiate appropriate emergency interventions as directed.
  • Knowledge and understanding of human behavior, patient motivations and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff.
  • Establish constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication, and socialization skills.
  • Knowledge and skill in performing support duties for complex diagnostic tests and / or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during, and following the procedure.
  • Actively seek out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice.
  • Preferred Experience : PACT or Primary Care experience preferred

    Reference : For more information on this qualification standard, please visit

    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.

    Physical Requirements : This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling. See VA Handbook 5019 and local LPN / LVN physical standards. Examples may include but are not limited to :

  • Significant amounts of time standing assisting assigned patients
  • Utilization of safe patient handling and mobility protocols Position specific duties / expectations are detailed in the associated competency and should be performed once the competency has been validated
  • 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 : 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 :

    Additional information

    Receiving Service Credit or Earning Annual (Vacation) Leave : Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

    During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

    This job opportunity announcement may be used to fill additional vacancies.

    This position is in the Excepted Service and does not confer competitive status.

    VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

    If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

    Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration / Operations, Security, and Preparedness (HRA / OSP) at The Fair Chance Act.

    Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

    Help

    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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    Licensed Practical • Billings, MT, United States

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