Registered Nurse (Ambulatory Care)

Veterans Health Administration, Department of Veterans Affairs; Loveland (CO); On-site; USD 70,000 - 110,000; Full time

Job summary

Cheyenne Veterans Affairs Healthcare System is seeking a PACT RNCM to deliver comprehensive, coordinated nursing care to a patient panel with limited supervision. Focus on proactive, patient-centered care using evidence-based guidelines and standardized protocols.

The role emphasizes health promotion, chronic care management, and collaboration with the care team to ensure smooth transitions and holistic, patient-driven care.

Qualifications

• English language proficiency required for direct patient care positions.
• Graduate of an approved nursing program with ACEN or CCNE accreditation.
• Current, full, active, and unrestricted RN license in the United States (and ability to obtain license where applicable).

Responsibilities

• Provide comprehensive, coordinated nursing care to panels of patients with occasional supervision.
• Deliver proactive, patient-centered care using nursing knowledge, evidence-based guidelines, and standardized protocols.
• Manage care coordination for a designated patient panel emphasizing health promotion, chronic care management, patient self-management support, and overall wellness.
• Collaborate with PACT members, extended care support team, and external services to develop holistic, patient-driven care and facilitate care transitions.
• Engage in patient and family education and advocate for patients’ needs to enhance outcomes and wellness.
• Demonstrate a collaborative team approach to ensure continuity and quality of care tailored to individual goals and needs.

Skills

English Language Proficiency

Education

Graduate of a school of professional nursing approved by accrediting agency (ACEN/CCNE)

Current, full, active, and unrestricted RN license in US

Job description

Summary

Cheyenne Veterans Affairs Healthcare System (CVAHCS) is a Level 3 facility with service-lines serving medical - mental health - surgical - and neurological outpatients - with a Level 3 Emergency Department - and multiple Community-Based Outpatient Clinics (CBOCs). There is a large outpatient psychiatric population - with admissions for medical co-morbidities. Home-Based Primary Care is provided in the veteran's home.

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: https://apply.usastaffing.gov/ViewQuestionnaire/13099217
• 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: Pre-placement evaluation Required - however incidental drivers shall undergo a standard Pre-Placement examination and periodic medical evaluation at least once every 4 years to ensure that employees who operate government owned or leased vehicles are medically able to do so without undo risk to themselves or others.

Duties

• The PACT RNCM is self-directed in functioning as a team member providing comprehensive - coordinated nursing care to panels of patients with occasional supervision
• This role focuses on proactive - patient-centered care by using nursing knowledge - evidence-based guidelines - and standardized nursing protocols
• The PACT RNCM manages care coordination for a designated panel of patients - emphasizing health promotion - chronic care management - patient self-management support - and overall wellness
• They collaborate with the PACT members - extended care support team - and external services to develop and implement holistic - patient-driven care - facilitate care transitions - and provide timely - coordinated access to health care resources
• The PACT RNCM also engages in patient and family education and advocates for patients' needs to enhance patient outcomes and wellness
• The PACT RNCM demonstrates a collaborative team approach for managing patient panels - ensuring continuity and quality of care tailored to individual patient goals and needs
• Nursing practice must be in accordance with the Nurse Practice Act of the State - Territory or Commonwealth of the United States - or the District of Columbia governing licensure
• Nursing practice must be in accordance with the Nurse Practice Act of the State - Territory or Commonwealth of the United States - or the District of Columbia governing licensure
• Preferred Experience: Previous care management and outpatient clinic experience preferred 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 hour shifts between 7am to 5pm Telework: Ad-hoc Virtual: This is not a virtual position.