Registered Nurse - Patient Aligned Care Team (Outpatient)

Full Job Description

This announcement is open to VA employees only. NOTE: The 2-page Resume requirement does not apply to this occupational series.

PLEASE REFER TO REQUIRED DOCUMENTS SECTION FOR DIRECTIONS ON HOW TO UPLOAD RESUME/CV THAT IS LONGER THAN 2 PAGES. 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/12903260.

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: Two years Ambulatory Care Experience One to two years Med Surg Experience Triage Experience: Telephone and/or Face to Face Care Coordination Experience/Certification Ambulatory Care Certification Physical Requirements: Light carrying, under 15 pounds; straight pulling (6 hours); pushing (2 hours); reaching above shoulder; use of fingers; walking (6 hours); standing (2 hours); repeated bending (6 hours); climbing, use of legs and arms; ability to see the computer screen; ability to distinguish basic colors; hearing (aid may be permitted); visual acuity 20/30.

Major Duties:

VAPSHCS is hiring a Registered Nurse Care Manager (RNCM) to assist with virtual Patient Aligned Care Team (PACT) coverage across VA Puget Sound Primary Care.

The PACT RN Care Manager will be responsible for providing temporary and long-term virtual coverage as needed for PACT Teams across various Primary Care sites to include but not limited to: Seattle, Mt.

Vernon, American Lake, Port Angeles, Silverdale, Women's Health Clinic, Puyallup, Olympia, Everette, Oak Harbor, Auburn, and other clinics.

The RNCM is responsible for organizing and directing team members to achieve desirable patient outcomes through day-to-day and/ or telephonic case management.

The RNCM uses the nursing process and evidence-based practice to collaborate with the Core Team in developing the patient-driven care plan.

The RNCM will provide face-to-face clinic care to support the clinic setting.

Duties include but are not limited to: Providing temporary virtual coverage for multiple PACT Teams at a time across various sites- coverage to include, but not limited to, telephone triage, secure messaging, and responding to electronic chart messages "view alerts".

Collaborating with onsite PACT teams and/or virtual care providers as needed to resolve patient care issues.

Demonstrating clinical knowledge in assessing, planning, implementing documenting and evaluating care for a designated group of patients across the continuum of care.

Triaging and applying a collaborative team approach in identifying, analyzing and resolving patient care problems.

Collaborating with patients to assess and identify needs, issues, care goals and resources in critical factors for achieving desired outcomes for discharge, post hospital recovery and health maintenance/wellness.

Maintaining current knowledge of multidisciplinary resources, programs and services, referring patients for community resources as appropriate.

Utilizing problem-solving methodologies and advances clinical knowledge to resolve system and/or processes that impact patient care.

Assisting with navigation of health systems and intervening or referring as needed to facilitate the achievement of patient outcomes.

Providing care, respecting patient's personal values, cultural and belief systems.

Assisting with the development, assessment, and monitoring/ evaluation of comprehensive plans of care to ensure efficient, effective, and coordinated care in meeting and promoting standards of wellness.

Coordinating an interdisciplinary approach to assure physical, psycho-social, and environmental needs and resource delivery to achieve patient goals. Performing other duties as assigned.

Work Schedule: Monday through Friday, 7:30AM to 4:00PM. Compressed/Flexible: May be available. Telework: Not authorized. Virtual: This is not a virtual position.

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

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 VA offers a comprehensive total rewards package: VA Nurse Total Rewards