Nurse Outpatient

Clarification from the agency

The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3.

Total Compensation Package - Check out IHS's outstanding total compensation package for this job:
Registered Nurse Total Compensation | Pay (ihs.gov)

The purpose of this position is to provide comprehensive care to pediatric, adolescent, adult and geriatric patients within the Indian Health Service:

The Outpatient Staff Registered Nurse (RN) provides comprehensive, evidence-based, and patient-centered nursing care to individuals and families in an ambulatory care setting. The RN demonstrates professional competence, leadership, and sound clinical judgment while delivering high-quality care to patients with a wide range of acute and chronic conditions. The nurse provides oversight and direction to licensed vocational nurses and nursing assistants, as appropriate to the clinic setting, and actively contributes to care coordination, health promotion, education, and quality improvement initiatives.

Conditions of employment

Selectee may be subject to a probationary period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959

This is a competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served, and all other Federal entitlements would remain the same.

This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.


IHS Selectees that will work in an IHS health care facility may be subject to Employee Health Policies related to Measles and Rubella, and seasonal influenza immunizations. Vaccine exemption requests may be available according to the National and/or Service Unit guidance.


On-call hours or standby duty may be required.

Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/.


You will need to set up direct deposit so we can pay you.


Background Investigation Requirement:
This position requires the successful completion of a federal background investigation as a condition of employment.

A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.

Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.

Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

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; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

Degree and License Waiting Period for Impending Graduates: The Hiring Manager/Selecting Official may elect to utilize an available flexibility wherein applicants who are currently enrolled and expected to complete the required education and obtain the required licensure/certification/registration with 9 month(s) of applying, may be deemed tentatively qualified. Applicants who have not completed their education requirements (but who are within the established timeframe for qualifying) must submit:

• Documentation from the educational institution's registrar, dean or other appropriate official that attests to the applicable timeframe for completion of the professional program/coursework AND
• A copy of the most recent unofficial transcript.

BASIC REQUIREMENT(S):
Education A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education(external link), Council on Accreditation of Nurse Anesthesia Educational Programs(external link), Accreditation Commission for Midwifery Education(external link), or an accrediting body recognized by the U.S. Department of Education(external link) at the time the degree was obtained.Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools (external link) is required for individuals who graduated from foreign nursing schools.Licensure For all grade levels and positions, applicants must have passed the National Council Licensure Examination(external link). In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.Experience The work experience must have equipped the applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. At the GS-9 and above grade level, many positions may require experience in a specialty area of nursing.Basic Requirements for the GS-5

• Possession of a bachelor's degree in Nursing with no experience; or
• Possession of a diploma or associate degree in professional nursing and one full year of professional nursing experience.

Basic Requirements for the GS-7

• Possession of a bachelor's degree in Nursing and eligibility under the Superior Academic Achievement provision;
• Possession of a bachelor's degree in Nursing and at least one full year of professional nursing experience (equivalent to the GS-5 grade level);
• Possession of a diploma or associate degree in professional nursing and two full years of professional nursing experience; or
• Completion of at least one full year of graduate education in a professional nursing educational program.

Basic Requirements for the GS-9

• Possession of a master's degree in professional nursing; or
• At least one full year of professional nursing experience (equivalent to the GS-7 grade level or above) and possession of a diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program.

In addition, to the Basic Requirements, you must also meet the Minimum Qualifications stated below-

MINIMUM QUALIFICATIONS:

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:

Specialized experience GS-07

• Performing outpatient nursing duties including triage, patient assessment, and implementing provider/clinic standing orders while selecting the appropriate guideline(s) to match changing patient conditions. Administering medications/treatments and observing, recognizing, and documenting patient responses and condition changes in the electronic health record. Coordinating patient care activities with the care team and communicating patient status/needs to providers and other staff; counseling/teaching patients within established protocols. Using common outpatient clinic equipment (e.g., EKG, POC equipment, emergency equipment) in support of patient care.

Specialized experience GS-09

• Implementing standardized disease management and prevention guidelines; conducting comprehensive assessments (including pre-visit planning) and prioritizing clinical information based on patient condition/preferences and anticipated needs. Developing plans of care with the care team per clinical practice guidelines; monitoring patients and communicating clinical changes between patient and provider/care team. Coordinating referrals/consults and outside services; providing patient/family counseling and education on preventive, curative, and rehabilitative measures; and ensuring accurate, complete electronic health record documentation. Administering medications/treatments, recognizing adverse signs/symptoms, initiating appropriate interventions (including emergency response as needed), and evaluating outcomes to modify the care plan. Providing guidance/training/mentoring to clinical and non-clinical staff and supporting orientation and clinical flow coordination within the care team. Participating in designing/improving clinical care delivery systems through data collection/evaluation; supporting performance improvement (PDSA), infection prevention/control activities, and LEAN/process improvement efforts.

Click on the following link to view occupational requirements for this position: Nurse Series 0610

You must meet all qualification requirements within 30 days of the closing date of the announcement.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

This job announcement uses the USA Hire Assessment to evaluate applicants.
There is no "pass/fail" outcome; results are used as part of the overall evaluation process to determine applicant qualifications. However, if you do not take the assessment within the assessment window timeframe you will be found ineligible for this position.

For more information, visit the USA Hire Applicant Resource Center.

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position.

You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):

• Attention to Detail
• Flexibility
• Integrity/Honesty
• Interpersonal Skills
• Reading Comprehension
• Reasoning
• Teamwork

Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on an assessment may also result in your removal from consideration.

To preview the application questionnaire, click the following link: https://apply.usastaffing.gov/ViewQuestionnaire/12984003

This position will be filled through the Office of Personnel Management's Direct Hire Authority. Category rating and Veterans' Preference will not be considered in evaluating applicants. For more information on Direct Hire Authority, please see OPM Direct Hire Fact Sheet. Your application (resume and supporting documentation) will be evaluated to determine if you meet the minimum qualifications required as listed on the announcement under qualification requirements. To be considered well qualified for the purposes of the Career Transition Assistance Program (CTAP) and the Interagency Career Transition Assistance Program (ICTAP), you must substantively exceed the basic qualifications and meet all eligibility, physical, medical, suitability, and any other requirements.

You will be evaluated for this position in accordance with the OPM Merit Hiring Plan.
As part of the application process, you will be asked to provide short essay responses (200 words or less each) to the following four questions.

1. How has your commitment to the Constitution and the founding principles of the United States inspired you to pursue this role within the Federal government?
2. In this role, how would you use your skills and experience to improve government efficiency and effectiveness?
3. How would you help advance the President's Executive Orders and policy priorities in this role?
4. How has a strong work ethic contributed to your professional, academic or personal achievements?

• Your responses are optional and will not be scored.
• However, they may be reviewed by hiring managers and agency leadership (or designees) during the evaluation process.
• You will be asked to certify that your responses are written in your own words and that you did not use a consultant or artificial intelligence (AI) tool (such as ChatGPT or Copilot).

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.

Resume: You are highly encouraged to visit the USAJOBS Help Center before submitting a resume. USAJOBS Help Center - Update your resume now so it meets new resume requirements
Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements:

• Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Indian preference will not be given unless a properly signed and dated form is submitted with your application, including any verification by an authorized Tribal Representative or BIA Official of tribal enrollment records. For detailed instructions, see form BIA-4432. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS
• Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP): If you are claiming CTAP/ICTAP, follow the instructions below: http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/ctap_guideline.pdf.
• Transcripts: You are encouraged to submit copies of transcripts (official or unofficial) although not required at the time of application. You must list your courses including titles, credit hours completed, and grades. Official transcripts will be required after tentative selection and prior to issuing an official job offer.
• Licensure, Certifications: Applicants should list their license/certifications on their resume, along with the expiration date, if applicable. Certification of licensure/certification will be required after tentative selection and prior to issuing an official job offer.
• Superior Academic Achievement: If claiming eligibility for Superior Academic Achievement, candidates must provide copies of transcripts (official or unofficial) must be included at the time of initial application. If unable to obtain transcripts, candidates must provide sufficient evidence to validate courses completed and credit hours earned. Eligibility is based on one of the following:
• Class standing - Applicants must be in the upper third of the graduating class in the college, university, or major subdivision and based on completed courses.
• Grade-point average (G.P.A.) - Applicants must have a G.P.A. of: a.) 3.0 or higher out of a possible 4.0 (''B" or better) as recorded on their official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or b.) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum.
• Election to membership in a national scholastic honor society - Applicants can be considered eligible based on membership in one of the national scholastic honor societies listed here Association of College Honor Societies. Official transcripts may be required after tentative selection and prior to issuing an official job offer.

All documents above MUST be received by 11:59 (Eastern Standard Time) of the closing date of 09/30/2026, to be considered.

Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant

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