The Clinical Nurse Leader (CNL) utilizes independent critical thinking skills and the nursing process to provide care through Primary Care Services which encompasses the practice area at Medical Practice and Primary Health Units (Women's Health, Infectious Disease, Travelling Veterans Coordination and Anticoagulation) at the San Francisco VA Health Care System. Basic Requirements: English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation C