Foreign Service Registered Nurse - Limited Non Career Appointment (RNLNA)
Provides primary care and urgent care services to U.S. government employees and eligible family members at overseas posts.
The Bureau of Medical Services (MED) maintains and promotes the health of employees and their eligible family members (EFM) who represent U.S. government (USG) agencies abroad. The Department assigns Foreign Service Medical Specialists, Limited Non-Career Appointment Registered Nurses (RNLNA) to select posts overseas. Many of these posts have significant health risks and local medical facilities are often inadequate to cope with them. This position is for a Registered Nurse (RN). A Limited Non-Career Appointment (LNA) does not lead to onward employment in the State Department or conversion to another form of employment. Candidates must be willing to accept assignments based on the needs of the Foreign Service, primarily in high-threat locations. Limited Non-Career Registered Nurses (RNLNA) presently serve at unaccompanied posts in Iraq, Pakistan, and Haiti. Assignments may change at any time based on the needs of the Service. Family members are not permitted to accompany RNLNAs to post. However, at some locations, adult eligible family members (EFMs) may be approved to accompany the RNLNA to post if they will fill certain mission-critical positions. EFMs must be employed and hired by the mission before traveling to post. All Medical Specialists working with the Bureau of Medical Services must provide primary care services and counseling to all patients regardless of age, sex, race, ethnicity, national origin, language, disease, disability, or religion. RNLNA duties include but are not limited to:
- Maintains a primary care/urgent care clinic by ordering and stocking supplies and performing quality control on all laboratory tests and equipment.
- Evaluates and assesses patients within their scope of training, including assessing vital signs, observation, taking a health history, performing physical examination, and performing selected diagnostic testing.
- Records all findings accurately in the Electronic Health Record (EHR).
- Uses Clinical Practice Guidelines (CPGs) and/or collaborates care with Health Unit providers.
- Other responsibilities include but are not limited to vaccinating patients, dispensing medication, home visits, hospital visits, and responding to compound emergencies and exercises.
- Participates in after-hours call responsibilities with other Health Unit members.
- May need to assist or arrange Medevacs through medical provider direction and coordinate with MED/Foreign Programs or the appropriate Regional Medevac Center.
- RNLNAs are considered essential personnel and are on call to provide services 24 hours a day, seven days a week.
- All LNAs are members of the Foreign Service and have the same obligations and standard of conduct expectations as all Foreign Service employees.
Requirements
Specialized Experience
At the time of application, candidates must have a minimum of five (5) years of experience within the last six (6) years providing direct patient care as a Registered Nurse.
Knowledge, Skills, and Abilities
- Clinical and Leadership Skills: Must gain the cooperation and confidence of patients, colleagues, supervisors, and subordinates. Ability to teach or lecture groups on medical issues is preferred.
- Program Management: Must develop, coordinate, and administer healthcare delivery programs and trainings, including individual and community health promotion and disease prevention.
- Analytical Skills: Must possess strong analytical and evaluative abilities, including independent learning, complex problem identification, critical thinking, and problem-solving capabilities.
- Interpersonal and Intrapersonal Qualities: Must demonstrate a desire to serve others, empathy, compassion, resilience, self-confidence, and convictions aligned with Department interests.
- Communication: Must demonstrate strong command of English with excellent grammar, spelling, and punctuation.
Preferred Experience
Prior military experience or experience with other U.S. agencies working abroad is desirable but not required.
Benefits
- Health and medical coverage
- Federal retirement benefits
- Paid leave
- Continuing Medical Education (CME) expenses
Note: Not all benefits are available to LNA positions. Student Loan Repayment and Language Incentive Pay are not included under the LNA program.
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Additional Info
Locations
- Montevideo, Uruguay
- Toshkent, Uzbekistan
- Vatican City, Vatican City
- Caracas, Venezuela
- Hanoi, Vietnam
- Ho Chi Minh City, Vietnam
- San'A, Yemen
- Lusaka, Zambia
- Harare, Zimbabwe
- Kabul, Afghanistan
- Tirane, Albania
- Algiers, Algeria
- Luanda, Angola
- Buenos Aires, Argentina
- Yerevan, Armenia
- Canberra, Australia
- Melbourne, Australia
- Perth, Australia
- Sydney, Australia
- Vienna, Austria
- Baku, Azerbaijan
- Nassau, Bahamas
- Manama, Bahrain
- Dhaka, Bangladesh
- Bridgetown, Barbados
- Minsk, Belarus
- Brussels, Belgium
- Belmopan, Belize
- Cotonou, Benin
- Hamilton, Bermuda
- La Paz, Bolivia
- Banja Luka, Bosnia and Herzegovina
- Mostar, Bosnia and Herzegovina
- Sarajevo, Bosnia and Herzegovina
- Gaborone, Botswana
- Brasilia, Brazil
- Recife, Pernambuco, Brazil
- Rio De Janeiro, Brazil
- Sao Paulo, Brazil
- Bandar Seri Begawan, Brunei
- Sofia, Bulgaria
- Ouagadougou, Burkina Faso
- Rangoon, Burma
- Bujumbura, Burundi
- Phnom Penh, Cambodia
- Douala, Cameroon
- Yaounde, Cameroon
- Calgary, Canada
- Halifax, Canada
- Montreal, Canada
- Ottawa, Canada
- Quebec, Canada
- Toronto, Canada
- Vancouver, Canada
- Winnipeg, Canada
- Praia, Cape Verde
- Bangui, Central African Republic
- Ndjamena, Chad
- Santiago, Chile
- Beijing, China
- Chengdu, China
- Guangzhou, China
- Shanghai, China
- Shenyang, China
- Wuhan, China
- Bogota, Colombia
- Cartagena, Colombia
- Brazzaville, Congo
- Kinshasa, Congo (DRC)
- San Jose, Costa Rica
- Abidjan, Cote D'Ivoire
- Zagreb, Croatia
- Havana, Cuba
- Nicosia, Cyprus
- Prague, Czech Republic
- Damascus, Syria
- Copenhagen, Denmark
- Ali Sabih, Djibouti
- Djibouti, Djibouti
- Santo Domingo, Dominican Republic
- Dili, Timor-Leste
- Guayaquil, Ecuador
- Quito, Ecuador
- Alexandria, Egypt
- Cairo, Egypt
- San Salvador, El Salvador
- Malabo, Equatorial Guinea
- Asmara, Eritrea
- Tallinn, Estonia
- Addis Ababa, Ethiopia
- Suva, Viti Levu, Fiji
- Helsinki, Finland
- Bordeaux, France
- Lyon, France
- Marseille, France
- Paris, France
- Rennes, France
- Strasbourg, France
- Toulouse, France
- Libreville, Gabon
- Banjul, Gambia, The
- Tbilisi, Republic of Georgia
- Berlin, Germany
- Dusseldorf, Germany
- Frankfurt, Germany
- Hamburg, Germany
- Leipzig, Germany
- Munich, Germany
- Accra, Ghana
- Athens, Greece
- Thessaloniki, Greece
- Saint Georges, Grenada
- Guatemala City, Guatemala
- Conakry, Guinea
- Georgetown, Guyana
- Port-Au-Prince, Haiti
- Tegucigalpa, Honduras
- Hong Kong, Hong Kong
- Budapest, Hungary
- Reykjavik, Iceland
- Calcutta, India
- Chennai, India
- Hyderabad, India
- Mumbai, India
- New Delhi, India
- Jakarta, Java, Indonesia
- Medan, Sumatra, Indonesia
- Surabaya, Indonesia
- Baghdad, Iraq
- Kirkuk, Iraq
- Dublin, Ireland
- Jerusalem, Israel
- Tel Aviv, Israel
- Florence, Italy
- Milan, Italy
- Naples, Italy
- Rome, Italy
- Kingston, Jamaica
- Fukuoka, Japan
- Nagoya, Japan
- Naha, Okinawa, Japan
- Osaka, Japan
- Sapporo, Japan
- Tokyo, Japan
- Amman, Jordan
- Almaty, Kazakhstan
- Astana, Kazakhstan
- Nairobi, Kenya
- Seoul, South Korea
- Pristina, Kosovo
- Kuwait City, Kuwait
- Bishkek, Kyrgyzstan
- Vientiane, Laos
- Riga, Latvia
- Beirut, Lebanon
- Maseru, Lesotho
- Monrovia, Liberia
- Tripoli, Libya
- Vilnius, Lithuania
- Luxembourg, Luxembourg
- Skopje, North Macedonia
- Antananarivo, Madagascar
- Lilongwe, Malawi
- Kuala Lumpur, Malaysia
- Bamako, Mali
- Valletta, Malta
- Majuro Atoll, Marshall Islands
- Nouakchott, Mauritania
- Port Louis, Mauritius
- Ciudad Juarez, Mexico
- Guadalajara, Mexico
- Hermosillo, Mexico
- Matamoros, Mexico
- Merida, Mexico
- Mexico City, Mexico
- Monterrey, Mexico
- Nogales, Mexico
- Nuevo Laredo, Mexico
- Tijuana, Mexico
- Kolonia, Micronesia (FSM)
- Chisinau, Moldova
- Ulaanbaatar, Mongolia
- Podgorica, Montenegro
- Casablanca, Morocco
- Rabat, Morocco
- Maputo, Mozambique
- Windhoek, Namibia
- Kathmandu, Nepal
- Amsterdam, Netherlands
- The Hague, Netherlands
- Curacao, Netherlands Antilles
- Auckland, New Zealand
- Wellington, New Zealand
- Managua, Nicaragua
- Niamey, Niger
- Abuja, Nigeria
- Lagos, Nigeria
- Oslo, Norway
- Muscat, Oman
- Islamabad, Pakistan
- Karachi, Pakistan
- Lahore, Pakistan
- Peshawar, Pakistan
- Koror, Caroline Island, Palau
- Panama City, Panama
- Port Moresby, Papua New Guinea
- Asuncion, Paraguay
- Lima, Peru
- Manila, Philippines
- Krakow, Poland
- Warsaw, Poland
- Lisbon, Portugal
- Ponta Delgada, Portugal
- Doha, Qatar
- Bucharest, Romania
- Moscow, Russia
- Saint Petersburg, Russia
- Vladivostok, Russia
- Yekaterinburg, Russia
- Kigali, Rwanda
- Apia, Samoa
- Singapore, Singapore
- Dhahran, Saudi Arabia
- Riyadh, Saudi Arabia
- Dakar, Senegal
- Freetown, Sierra Leone
- Bratislava, Slovakia
- Ljubljana, Slovenia
- Muqdisho, Somalia
- Capetown, South Africa
- Durban, South Africa
- Johannesburg, South Africa
- Pretoria, South Africa
- Barcelona, Spain
- Madrid, Spain
- Colombo, Sri Lanka
- Juba, Sudan
- Khartoum, Sudan
- Paramaribo, Suriname
- Mbabane, Eswatini
- Stockholm, Sweden
- Geneva, Switzerland
- Dushanbe, Tajikistan
- Dar Es Salaam, Tanzania
- Bangkok, Thailand
- Chiang Mai, Thailand
- Lome, Togo
- Port of Spain, Trinidad and Tobago
- Tunis, Tunisia
- Adana, Turkey
- Ankara, Turkey
- Gaziantep, Turkey
- Istanbul, Turkey
- Asqabat, Turkmenistan
- Kampala, Uganda
- Kiev, Ukraine
- Abu Dhabi, United Arab Emirates
- Dubai, United Arab Emirates
- Belfast, United Kingdom
- Edinburgh, United Kingdom
- London, United Kingdom
- District of Columbia, District of Columbia
- Fort Lauderdale, Florida
- New York, New York
- Belgrade, Serbia
Who May Apply
This position is open to the public.
Conditions of Employment
- Must be a U.S. citizen and accept assignments based on the needs of the Foreign Service.
- Must be able to obtain a Top Secret Security Clearance.
- Must meet the minimum medical qualification standard.
- Must be able to obtain a favorable Suitability Review Panel determination.
- Must be at least 20 years old and at least 21 years old to be appointed.
- Must be appointed prior to age 60 (preference eligible veterans excepted).
- Drug test required.
- This is a Limited Non-Career Appointment (LNA), restricted by statute to a maximum of five years.
Security Clearance
Top Secret
Travel Required
Occasional travel may be required.
Relocation
Relocation expenses may be authorized.
Essential Physical Requirements
- Speaking, hearing, vision, mental endurance, tolerance for extreme environmental conditions, physical endurance, dexterity, and mobility.
- May require heavy lifting, pulling, stooping, bending, and twisting in tight spaces.
- Must be able to travel independently via commercial air carriers, military aircraft, or other transportation.
- Must be able to provide emergency care in potentially hostile or physically challenging environments.
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