Registered Nurse, Patient Aligned Care Team (PACT) Outpatient

This Registered Nurse position provides direct Veteran care and care coordination to Veterans within the primary care department. The RN manages assigned panel(s), utilizes registries, ensures appropriate evaluation and access to patient panels, and provides care management. Medications and procedures are administered per established policies and guidelines. Basic Requirements English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless 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 than 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 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: Nurse I, Level I – Scope: Delivers fundamental, knowledge‑based care to assigned clients while developing technical competencies. Education: An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required. Nurse I, Level II – Scope: Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex needs. Education: An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level I; OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required. Nurse I, Level III – Scope: Demonstrates proficiency in practice based on conscious and deliberate planning. Self‑directed in goal setting for managing complex client situations. Education: 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) with 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 – Scope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Education: A BSN with 2 years of professional nursing equivalent to Nurse I, Level III; OR an MSN with one year of specialized nursing experience equivalent to Nurse I, Level III; OR a Master’s degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse I, Level III; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a related field with a BSN and no additional professional nursing experience. Nurse III – Scope: Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting. Education: 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 a 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 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. * Foreign education programs/degrees are not creditable as related degrees. Preferred Experience 1 year in Primary Care; 1 year in VA PACT. Physical Requirements The Registered Nurse (RN) must perform all activities of the position without restriction. The role requires considerable standing, walking, stooping, bending, reaching, lifting and turning. Mechanical devices should be used when available for heavy or difficult lifting. The RN may need to perform tasks involving pushing or lifting more than 50 pounds, and ascending or descending flights of stairs. Visual and auditory acuity at a level to provide safe and effective nursing care is required. The RN must work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and must be able to physically control or protect herself from physically abusive patients. The RN may be exposed to infected patients and contaminated materials and may need to don protective clothing in isolation situations, operative or invasive procedures. Occasionally the RN may be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The RN must be mature, flexible, sensible, and capable of working effectively in stressful situations, able to shift priorities based on patient needs. #J-18808-Ljbffr