Licensed Practical Nurse - Patient Aligned Care Team (PACT)

U.S. Department of Veterans Affairs; Spokane (WA); On-site; USD 52,000 - 76,000; Full time

Job summary

U.S. Department of Veterans Affairs in Spokane, WA seeks a Licensed Practical Nurse to join our care team. The role involves continuous patient care, documentation, medication administration, and collaboration with RNs and physicians within the PACT setting.

Applicants must be a graduate of an approved nursing program, hold an active LPN/LVN license, and meet English language and citizenship requirements. The position offers solid benefits and opportunities for professional growth.

Qualifications

• English language proficiency required.
• Active LPN/LVN license in US state or territory.
• Graduate of an approved practical or vocational nursing program.
• Licensure must be active and unrestricted.

Responsibilities

• Provide ongoing patient care within the team.
• Administer prescribed medications per policy.
• Document patient status and care provided.
• Collaborate with RN/MD to coordinate patient care.
• Assist in training other nursing staff as needed.

Skills

English Language Proficiency

Team Collaboration

Education

LPN/LVN license

Approved nursing program graduate

ACEN accredited program

Current State licensure

Job description

Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

Qualifications

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• English Language Proficiency
• Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d) - and 7407(d)
• Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the Accreditation Commission for Education in Nursing (ACEN) at the time the program was completed by the applicant
• Exceptions include: Health care education in the military service or training in the military service that is accepted by the licensing body in the jurisdiction in which licensed as qualifying for full LPN/LVN licensure meets the education requirements
• Individuals granted a license by a jurisdiction that does not require graduation from an approved school
• Licensure: Full - active - current and unrestricted licensure as a licensed practical or vocational nurse in a State - Territory or Commonwealth of the US - or District of Columbia
• Grade Determinations: GS-3: None beyond the basic requirements
• GS-4: Six months of qualifying experience as an LPN or LVN
• OR Must have graduated from an approved school and one year of experience that involved nursing care work in a hospital - outpatient clinic - nursing home - or other supervised medical - nursing - or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures
• OR Must have graduated from an approved school of at least 24 months duration
• LPNs at the GS-4 grade level perform all duties expected of employees at the GS-3 grade level
• however - they are expected to exercise greater judgment - require less supervision - and to operate in accordance with all established policies - procedure - and techniques
• GS-5: Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent
• AND Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems
• Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to acceptable standards of practice in promoting optimal patient care delivery
• Provides effective education to patients and/or family members in relation to common disease processes - medication - and /or prescribed treatment regimes
• Demonstrated ability to serve as a responsible member of the nursing team and interact in an appropriate manner with patients - family members - professional and other supportive personnel involved in the delivery of patient care - incorporating acceptable - established customer service standards into practice
• Knowledge and skill sufficient to prepare - administer - and appropriately document actions taken specific to commonly prescribed oral - topical - subcutaneous - intramuscular - and/or intravenous medications as permitted by approved local facility policies and procedures
• Observation and documentation will include patient's response to medication administered and the reporting of any noted change in patient's condition to RN or MD/DO
• Knowledge and ability to recognize the need for and to institute emergency measures when indicated - promptly seek the assistance of the RN or MD/DO - and assist in resuscitation procedures in cardiac and/or pulmonary arrest
• Recognizes and appropriately responds to breakage/malfunction or loss of equipment - safety hazards - and supply deficiencies - promptly reporting to appropriate personnel for corrective action
• Completed work is under the general supervision of an RN or MD/DO
• Individuals at this grade level are expected to have a broad working knowledge of practical nursing procedures
• However - completion of more complex practices or procedures may be subject to closer higher-level review
• GS-6: Completion of one year of additional qualifying experience at the GS-5 level or equivalent - fully meeting all performance requirements for the GS-5 LPN/LVN
• AND Technically proficient in initiating - performing and completing assigned duties in providing care to variable patient populations
• Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions
• to use judgment in selecting the appropriate order and sequence of procedures and treatments
• and to accurately recognize - report and record relevant] patient information
• Completed work should need only a general review by a RN/MD/DO for appropriateness and conformity with established policies/procedures
• Ability to observe - identify and respond to the patient's needs for care - including medication - equipment-assisted care and patient/family education
• In organizing and delivering care - the LPN/LVN recognizes and considers emotional - cultural - spiritual - socio-economic - and age-related factors
• Prepares and administers prescribed medications (oral - topical - subcutaneous - intramuscular and/or intravenous) and performs treatments according to established policies/procedures
• Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments - promptly and accurately documenting noted changes - and reporting any deviations from normal to RN or MD/DO
• Knowledge and ability to recognize urgent or emergent patient care situations - seek assistance of the RN and/or MD/DO - and initiate appropriate emergency interventions as directed
• Knowledge and understanding of human behavior - patient motivations and reactions to situations - and ability to appropriately utilize this knowledge in working effectively with patients - family members - and other staff
• Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes - and to promote positive relationships - communication and socialization skills
• Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery
• Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients - family members - and/or other internal/external customers
• Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures - which include preparing the patient - assisting in the diagnostic examination - preparing and handling specialized instruments or other specialized equipment - and monitoring the patient's condition before - during - and following the procedure
• Serves as a preceptor in orienting - educating - and training less experienced LPNs/LVNs or NAs/HTs related to support duties for these more complex - specialized tests/procedures
• Actively seeks out educational opportunities to enhance nursing knowledge and skills - sharing new knowledge gained with other staff to improve and advance nursing practice
• Preferred Experience: One year ambulatory care experience preferred
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Physical Requirements: There are no physical requirements for this occupation per OCHCO Communications email to VA Handbook 5019 - updated on 4/17/2026.

Duties

• Duties include - but are not limited to: Ongoing - continuous care of one or more assigned panel(s) of Veterans
• Utilizing all available tools - such as registries - to enable effective and efficient identification and intervention of individual patients and cohorts
• Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel
• Functioning at the full extent of the team member's relevant clinical privileges - credentials - scopes of practice - elements of practice - certification - functional statement - position description - or other VHA or local facility approved documentation of competency
• Participating in team performance improvement and sustainment activities to optimize team efficiency and care delivery to patients
• Implementing primary care operations management processes - as appropriate
• Managing communications and facilitating safe transitions of patients between the PACT's site of care and other health care settings - using informal and formal communication methods - as appropriate
• Providing health education and health coaching on wellness - disease prevention - chronic care management - and self-management skills to patients and personal support persons - commensurate with the documented expertise or professional training of the PACT member
• Engaging patients in using health care - encouraging patients to engage personal support persons - receiving input from patients and personal support persons regarding VA care
• Using formal and informal communications that are respectful - effective - timely - and bidirectional with all team members (including the patient and personal support persons) to convey significant - clinically relevant information for the care of the patient
• Collaborating with informatics technology staff to develop and implement systematized - electronically supported - standardized - tools to support PACT care delivery processes (e.g. - pre-visit reminder calls - post-hospitalization follow-up calls - recall scheduling procedures - new patient orientation - disease registries and primary care protocols for chronic disease management)
• Providing evaluation and care consistent with licensure - certification - and functional statement with elements of practice - to patients assigned PACTs
• Collaborating with PACT staff to develop comprehensive health care plans and care management plans for patients assigned to patient panels
• Managing clinic workflow
• Ensuring patients are placed in examination rooms in a timely manner - and providing direction to patients as they move through the clinic environment
• Total Rewards of a Allied Health Professional Work Schedule: 8AM - 4:30PM - Monday - Friday Compressed: May be authorized discuss with hiring manager in interview Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact [e-mail] - the EDRP Coordinator for questions/assistance
• Learn more Pay: Competitive salary and regular salary increases
• When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year)
• Selected applicants may qualify for credit toward annual leave accrual - based on prior work experience or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• 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) Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 00000 Permanent Change of Station (PCS): Not Authorized