PACT Registered Nurse Care Manager

US-Department-of-Veterans-Affair; Slidell (LA); On-site; USD 80,000 - 105,000; Full time

Job summary

U.S. Department of Veterans Affairs is seeking an experienced RN Care Manager (Outpatient Primary Care) to deliver foundational nursing care and coordinate services within the PACT framework.

The role focuses on patient-centered ambulatory care for a defined panel, with emphasis on timely follow-up and interdisciplinary collaboration. Qualified candidates will have a nursing degree and active licensure, with English proficiency and experience in care coordination.

Qualifications

• English proficiency required for direct patient care.
• Graduate of an approved nursing school with licensure.
• Board licensure in nursing valid for the state (US).

Responsibilities

• Provide fundamental, knowledge-based nursing care and care coordination within PACT.
• Coordinate care for patient panels in outpatient primary care.
• Support VHA standards and ensure timely follow-up.

Skills

English proficiency

Care coordination

Ambulatory care nursing

Education

Nursing degree from ACEN/CCNE approved program

Tools

Electronic Health Records (EHR)

Job description

The Patient Aligned Care Team (PACT) Registered Nurse Care Manager (RNCM): Outpatient Primary Care (PC) delivers fundamental knowledge-based nursing care and care coordination within the Primary Care PACT. The PACT RNCM provides fundamental, knowledge-based, coordinated nursing care to panels of patients.

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: https://apply.usastaffing.gov/ViewQuestionnaire/13070069.

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:

Outpatient Ambulatory Care PACT RN Care Manager, Strong ambulatory/primary care nursing experience, preferably within PACT or a similar patient-centered medical home model, Demonstrated care coordination and case management skills, including hypertension, diabetes, preventive care, and HEDIS/eQM quality measures, Strong clinical assessment, triage, and critical-thinking skills with appropriate escalation of changes in condition, Effective interdisciplinary collaboration with providers, LPNs, MSAs, pharmacy, social work, and specialty services, Demonstrated ability to prioritize workload and independently manage a patient panel, including secure messages, alerts, follow-up, and care coordination, Experience utilizing virtual care modalities such as VVC, telephone care, and remote patient monitoring, Proficient with electronic health records and clinical documentation, preferably VA systems, BSN preferred with applicable ambulatory care, case management, or nursing specialty certification desirable.

Reference:

For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.