Registered Nurse-Patient Aligned Care Team/Homeless PACT Outpatient Staff

Summary

You will provide care coordination for veterans who are assigned to the Homeless Patient Aligned Care Team (HPACT) for the Balcones Heights Primary Care Clinic located in the Wonderland of the Americas Mall. You will provide comprehensive - coordinated nursing care to Veterans experiencing or at risk for homelessness as part of an interdisciplinary PACT.

Qualifications

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:
• 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
• Preferred Experience: -Experience with homeless or high-risk populations -Primary care - mental health - case management - or Community Health experience -Familiarity with VA programs and resources for at-risk Veterans -Three years Nursing experience -BSN -Current/Recent PACT Experience -Triage/Telephone Triage -Excellent Communication Skills - Flexibility - Dependability - and Critical Thinking Skills Reference: For more information on this qualification standard - please visit
• Pre-Employment/Post-Employment Physical Examination: May be required - depending on the needs of the organization.

Duties

• You will work with Veterans and their families - collaborating with medical providers - social workers - and case managers to deliver patient-centered care in the outpatient setting
• Provide care coordination for veterans who are assigned to a Patient Aligned Care Team (PACT) for the Balcones Heights Primary Care Clinic located in the Wonderland of the Americas Mall
• You will consistently be able to fulfill the standards of Nursing Practice in accordance with established policies and procedures of the Department of Veterans Affairs and Nursing Service
• Perform a wide range of clinical and/or administrative duties and utilize nursing skills when assessing and triaging unscheduled patients as walk-ins - over the phone or via secure messaging
• Assure current - comprehensive - and timely documentation is contained in the patient's medical record and any other pertinent records
• Use the nursing process - evidence based practice - and effective communication to collaborate with healthcare providers - family and/or caregiver as well as internal VHA and community-based services
• You will work collaboratively within an intradisciplinary team to assist in the care of complex populations
• Perform a variety of tasks to include but not limited to: Vital signs - EKGs - immunizations - injections - setting up and assisting with procedures - wound care and other tasks as required
• Oversee the duties and performance of the LVNs
• Function as charge nurse and preceptor
• prepare schedule - make/adjust staffing assignments - etc
• Foster/support a learning environment by participation in the orientation of new employees - provide feedback as appropriate and seek opportunities for self-improvement
• You will also perform telehealth duties as required - which may include but not limited to: Assist providers with set and assessment via telehealth equipment - conduct duties related to telemed - teleretinal - telederm - etc
• Promote patient self-management - prevention - and wellness
• while incorporating critical thinking and customer service skills into all aspects of the role
• Must also be able to navigate the electronic health record - as well as databases/tools that support Ambulatory Sensitive Conditions and Disease Management
• Must be able to participate in all PACT activities - huddles - and training as well as other relative training
• 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: Full-time
• Monday-Friday
• 8:00 am-4:30 pm (Tour of Duty and location may change due to patient care needs to include weekends and extended hours)
• Tour location may vary depending on patient care needs and staffing requirements
• Telework: Available
• Ad-hoc Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.

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