Registered Nurse - ABJ Patient Aligned Care Team Manager

Veterans Health Administration, Department of Veterans Affairs; Crown Point (IN); On-site; USD 95,000 - 125,000; Full time

Job summary

Veterans Health Administration, Department of Veterans Affairs in Crown Point, IN, seeks an experienced Registered Nurse - Patient Aligned Care Team Manager to coordinate a panel of patients. The role emphasizes health promotion, chronic care management, patient self-management support, and overall wellness within primary care.

The position requires BSN, an active RN license, and strong leadership with care coordination experience.

Qualifications

• Graduate of a nursing program accredited by ACEN or CCNE.
• Current, full, active RN license in the United States.
• BSN preferred; strong care coordination and patient education skills.
• Experience in primary care and care management is desirable.

Responsibilities

• Executes leadership and management of complex patient care within PACT.
• Delivers fundamental knowledge-based nursing care and care coordination.
• Provides patient-centered care using evidence-based guidelines.
• Acts as the coordinator for a designated panel emphasizing health promotion and self-management.
• Collaborates with PACT and external services to ensure timely access to care.

Skills

English proficiency

Communication

Care coordination

Leadership

Education

Bachelor of Science in Nursing (BSN)

Registered Nurse (RN) license

ACEN/CCNE-accredited program

Nursing degree from approved school

Job description

Summary

The Registered Nurse - Patient Aligned Care Team Manager acts as the primary coordinator for a designated panel of patients emphasizing health promotion - chronic care management - patient self management support - and overall wellness.

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
• Preferred Experience: BSN 2 years inpatient experience National Certification related to position assignment Primary Care Experience Care Coordination/Case Management experience 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/13085043
• 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 https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This clinical position includes a level of physicality normally associated with direct patient care duties performed by nurses such as long periods of continued walking - standing - sitting - moderate lifting - repeated bending - or kneeling
• Examples may include - but are not limited to: significant amounts of time standing - assisting assigned patients utilization of safe patient handling and mobility protocols

Duties

• The Registered Nurse - Patient Aligned Care Team Manager - duties include - but are not limited to: Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex patientcare beyond the immediate practice setting
• Delivers fundamental knowledge-based nursing care and care coordination within the Primary Care PACT
• Provides fundamental - knowledge-based - coordinated nursing care to panels of patients
• Focuses on proactive - patient-centered care by using nursing knowledge - evidence-based guidelines - and standardized nursing procedures/protocols
• Acts as the coordinator for a designated panel of patients - emphasizing health promotion - chronic care management - patient self-management support - and overall wellness
• Collaborate with the PACT members - extended care support team - and external services to develop and implement holistic - patient-driven care - facilitate care transitions - and ensure timely - coordinated access to health care resources
• Engages in patient and family education and advocates for patients' needs to enhance patient outcomes and wellness
• 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: Monday - Friday - 8:00am - 4:30pm Telework: Not available
• Virtual: This is not a virtual position.