PACT Outpatient Nurse

Full Job Description

The Registered Nurse (RN) provides patient-centered care in an outpatient setting in Goldsboro Community-Based Outpatient Clinic (CBOC) as part of the Patient Aligned Care Team (PACT).

Responsibilities include patient assessment, care coordination, medication administration, and patient education.

The RN collaborates with an interdisciplinary team to promote quality outcomes and ensure continuity of care. 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 Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program.

Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program.

(Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program.

Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD).

Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.

Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade.

The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/12913031.

Grade/Level Scope Education Nurse I, Level I Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies.

An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required.

Nurse I, Level II Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex.

An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required.

Nurse I, Level III Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.

An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level 2; OR a Master's degree in nursing (MSN) and no additional professional nursing experience; OR a Master's degree in a *related field with a BSN and no additional professional nursing experience.

Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.

A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience.

Nurse III Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.

MSN and 2 years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III.

*Note: Foreign education programs/degrees are not creditable as related degrees.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Preferred Experience: One year nursing experience in Ambulatory Care, Long Term Care, or Med-Surgery. Physical Requirements: The physical demands of the work are generally minor.

The work is primarily sedentary in nature and usually occurs within climate controlled clinical and administrative settings. Use of fingers may be required to operate computers.

There may be occasional light lifting/carrying (15 pounds or less) requirements to relocate boxed materials from one area to another, equipment and room set - up, and ambulation related to physical inspections of the facilities.

Major Duties:

The RN functions as a member of the Patient Aligned Care Team (PACT) and is responsible for providing comprehensive, coordinated, and continuous care to a panel of patients in an outpatient setting.

Major duties include, but are not limited to: Performs comprehensive patient assessments, including physical, psychosocial, and functional status, and identifies care needs based on clinical findings.

Utilizes critical thinking and clinical judgment to develop, implement, and evaluate individualized patient care plans.

Provides direct patient care, including medication administration, treatments, and procedures in accordance with established policies and evidence-based practices.

Conducts triage and prioritizes patient care needs, including responding to walk-ins, phone calls, and secure messaging.

Coordinates care across interdisciplinary teams, including providers, social workers, pharmacists, and other healthcare professionals to ensure continuity of care.

Manages a panel of patients using population health strategies, including tracking, follow-up, and preventive care measures.

Provides patient and family education related to disease management, medications, treatments, and health promotion.

Documents all patient care activities accurately and timely in the electronic health record (CPRS/Vista or current system).

Monitors patient responses to interventions and adjusts care plans accordingly to ensure optimal outcomes.

Participates in quality improvement initiatives, performance measures, and patient safety activities.

Demonstrates knowledge and application of infection control practices and maintains a safe clinical environment.

Supports care coordination for transitions between care settings, including hospital discharge follow-up and specialty referrals.

Serves as a patient advocate to ensure ethical and patient-centered care delivery. Collaborates with leadership and participates in staff meetings, training, and ongoing professional development.

Provides guidance and mentorship to support staff, LPNs, and unlicensed personnel as appropriate. Adheres to all VA policies, regulatory requirements, and accreditation standards.

Work Schedule: Monday-Friday 08:00am-4:30pm Telework: Available. Virtual: This is not a virtual position.

Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized