Registered Nurse- Patient Aligned Care Team (PACT) (Knoxville - TN)

Summary

The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible for providing competent - evidence-based gender-specific care to primary care patients with oversight of licensed vocational nurses/nursing assistants as appropriate to the setting. The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the Primary Care Department.

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
• Reference: For more information on this qualification standard - please visit Preferred Experience: BSN or MSN 2-3 years of Case Management or ED
• Dependability
• Demonstrated leadership ability
• Computer literate
• Demonstrated ability to provide education to patient - family and/or significant others
• Demonstrated ability to work effectively as a team member
• Reference: For more information on this qualification standard - please visit Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - lifting 10 pounds or more and pushing
• Transferring patients and objects may be required
• The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures
• The RN may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• The RN must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs.

Duties

• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) manages assigned panel(s) - utilizes registries - and ensures appropriate evaluation and access is provided to patient panels
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) provides health promotion - health education and coaching on wellness - disease prevention - and chronic care management
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and enhance outcomes utilization
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) integrates outpatient nursing knowledge - skills - abilities - and judgment and is self-directed in goal setting for managing complex PACT situations
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) validates understanding of the rationale for care processes and decisions
• Questions clinical practices for the purpose of providing evidence-based care
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) will demonstrate the ability to cope with and manage competing priorities
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) demonstrates competence in primary care practice and decision-making - deliberate planning - and critical thinking skills
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) independently plans and delivers technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) manages the care of patients - while organizing and prioritizing patient care needs - and ensuring assigned tasks are completed
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) provides and directs others in Veteran/patient driven care that optimizes the patient's experience - satisfaction - and/or safety for a team of patients
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient
• Role models and displays ethical behavior
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) demonstrates knowledge over a wide range of job responsibilities - effectively communicating with individuals and groups to build a strong sense of teamwork and purpose
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) actively contributes to the collaboration process and clearly communicates ideas to promote team success
• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) makes meaningful and challenging contributions for the betterment of the work group
• 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 Pay Scale: NG45 Work Schedule: Full time (rotational) Telework: Not available Virtual: This is not a virtual position
• Not authorized 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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