Registered Nurse - Patient Aligned Care Team

Full Job Description

The Registered Nurse will be assigned to a Patient Aligned Care Team within the Primary Care Department at the Cape Girardeau Health Care Center. 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/12875371.

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/.

Physical Requirements: This position requires visual acuity, good hearing, clear and effective speech, and manual dexterity.

It may involve prolonged periods of walking, standing, stooping, sitting, bending, and exerting physical effort, including pushing and pulling objects weighing up to 35 pounds, in accordance with the Safe Patient Handling Program Directive 2010-032.

Transferring patients and objects may be necessary. Mechanical lifts are provided for patient transfers.

The position may involve exposure to infectious patients and contaminated materials, requiring the use of protective clothing in isolation areas, during procedures, or in home settings.

Occasional exposure to patients exhibiting combative behavior due to conditions such as delirium, dementia, or psychiatric disorders may occur.

The ideal candidate is a mature, adaptable, and responsible individual capable of functioning effectively in stressful situations and adjusting priorities based on patient needs.

Completion of annual Employee Health requirements, including TB screening or testing, is a condition of employment. Major Duties:

General Description of Assigned Duties: The Registered Nurse within the Patient Aligned Care Team is responsible for and accountable for all aspects of the nursing process when delivering and supervising direct patient care.

This role includes coordinating care with a focus on patient education, and ensuring high levels of patient satisfaction throughout the entire continuum of care.

The nurse administers medications and procedures in accordance with established policies and guidelines.

Additionally, the nurse contributes to positive care outcomes by collaborating effectively with interdisciplinary team members.

Key performance responsibilities include maintaining knowledge of and actively participating in unit or program quality improvement initiatives, as well as supporting customer service excellence.

Functions and Scope of Assigned Duties: The Nurse Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible for delivering competent, evidence-based, gender-specific care to primary care patients.

This role involves providing direct veteran care and care coordination within the Primary Care Department.

The nurse manages assigned patient panels, utilizes registries effectively, and ensures appropriate evaluation and access to care for these patients.

Responsibilities include health promotion, health education, and coaching on wellness, disease prevention, and chronic disease management.

The nurse supports the delivery of nursing education, orientation, and competency development, as well as contributing to quality improvement initiatives and outcomes analysis.

Demonstrating leadership, the nurse collaborates with team members to enhance holistic, primary care services.

They continuously evaluate practice based on current best evidence, provide constructive feedback to peers, and offer professional perspectives in interdisciplinary team discussions.

The nurse partners with colleagues to facilitate positive change and achieve optimal patient outcomes. Preferred Experience: 2-3 years of clinical experience is preferred.

Experience in Care Management is a plus.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) 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) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: 8 or 10 hour shifts Monday - Friday between the hours of 7:00am-5:30pm Telework: Ad-hoc Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized