Registered Nurse - Outpatient, Nursing Specialty

Job Title

Nursing Position

Major Duties

Uses the nursing process and evidence-based practice to collaborate with the Teamlet and larger Team to meet patient care needs.

Provides patient and family health education with a focus on self-management, prevention, wellness, and Whole Health, based on the patient's goals.

Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients.

Educates patients regarding clinic procedures and what to expect during the procedure.

Assists with clinic procedures and monitors patient for any adverse effect. Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems; documents own interventions.

Monitors progress using clinical standing orders, analyzes variations, and initiates appropriate actions.

Maintains current knowledge of multidisciplinary resources, programs, and services. Refers patients for community resources as deemed necessary.

Reviews options with patients and families, alternatives, risks/benefits, and services.

Educates the patient and family on disease processes, resources, plan of care, treatments, and/or procedures.

Screens patients for social service, home care, and other community care needs; and coordinates or makes referrals as appropriate; and seeks consultation when indicated.

Ensures the patient's provider is aware of patient progress, issues, and/or problems.

Evaluates needs and facilitates the patient's ability to learn the principles of self-care; utilizes appropriate resources if the patient is unable to grasp the knowledge/skills needed for self-care through the use of motivational interviewing.

Utilizes approved Standing Orders and Guidelines to facilitate autonomy in providing care.

Promotes cost effective use of resources and effective strategies including nonface-to-face approaches (including telehealth).

Maintains privacy and confidentiality of all patient information, including electronic, print, and conversations.

Applies skills, such as motivational interviewing to promote patient self-management. Adheres to policies, procedures, and standards to promote evidence-based patient driven care.

Timely compliance of required web-based educational modules (Talent Management System TMS).

Completes and documents secure messaging within 72 hours. Surrogate is always identified. Escalation of secure messaging must be maintained at 10% or less. Routes messages to appropriate care lines as needed.

Performs other tasks as requested by providers or supervising nursing personnel within the scope of training and abilities.

Demonstrates flexibility and adapts to work demands or adjustment of assignments.

Performs as a role model in the provision of excellent customer service

Reviews Message Manager and assists Team to address/complete pending alerts communicated throughout tour of duty to facilitate care and address needs of the caller within 48 hours or before being cognizant of the Veteran awaiting response

Completes and documents Nursing Notes in CPRS, as applicable, in a timely manner and closes the Encounter Notes for patients not seen by a provider. Notes will be closed by the end of tour of duty daily. Areas to be addressed include: Encounters: reasons for visit- Service Connection; Primary Assignment-Service connected conditions under the Diagnosis tab; Procedures, ACSC conditions, etc.

Provides Care Management to patients with Ambulatory Care Sensitive Conditions (ACSCs) including review of the patient record, deciding if the patient needs more indepth education (formal and/or informal), nursing visits, and/or telephone calls between provider visits to assist in care management. Collaborates with the High-Risk Care Coordinators, Home Telehealth, social work, and/or dieticians for referrals and care management.

Cultivates an environment of professionalism, excellence, and conflict resolutionat the team level.

Promotes teamwork and is a resource for support staff, peers, and other clinical staff.

Cleans equipment per RME policy after each use.

Total Rewards

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: Monday - Friday, 8:00am-4:30pm

Telework: Adhoc Eligible

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

US Department of Veterans Affairs