Registered Nurse - Intermittent Patient Aligned Care Team Manager

Veterans Health Administration, Department of Veterans Affairs; Washington (District of Columbia); On-site; USD 90,000 - 130,000; Full time

Job summary

Veterans Health Administration is seeking a Registered Nurse - Patient Aligned Care Team (PACT) Care Manager to deliver and improve holistic care through collaboration with team members. You will develop patient-driven care plans, monitor outcomes, and educate patients and families on self-management and wellness.

The role emphasizes leadership in chronic care management, coordination of services, and adherence to VA standards. A BSN is preferred with a strong focus on comprehensive nursing care.

Qualifications

• English language proficiency required for direct patient care.
• Current full, active, unrestricted nursing license in US/DC required.
• Graduate of a nursing program approved by accrediting agencies (ACEN/CCNE) or equivalent.
• Foreign nursing education requires degree equivalency validation.
• Bridge program pathways may apply for RN licensure before completion.

Responsibilities

• Collaborate with the care team to implement patient-driven care plans.
• Deliver holistic nursing care and disease management per care standards.
• Collect data and apply evidence-based changes to practice based on results.
• Facilitate care transitions with internal and external services.
• Provide patient and family health education focusing on self-management, prevention and wellness.

Skills

English language proficiency

Education

ADN or Diploma in Nursing

RN license (state) - active & unrestricted

BSN preferred

MSN or related master’s with BSN

Job description

Summary

The Registered Nurse - Patient Aligned Care Team (PACT) Care Manager delivers and improves holistic care through collaboration strategies with others to provide comprehensive nursing care to patients assigned.

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/13098822
• 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 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/Qualifications: Bachelor of Science in Nursing (BSN) - Three years of PACT experience
• Prior five years acute/critical care experience is a plus
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• 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 - and pushing
• Transferring patients and objects may be required
• Mechanical lifts are provided
• The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations - operative/invasive procedures - or home settings
• The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
• Must complete annual Employee Health requirements as a condition of employment
• The incumbent who provides care in home settings or other off-site locations may be required to drive and/or ride in GSA-vehicles

Duties

• The Registered Nurse (RN) - Patient Aligned Care Team (PACT) Care Manager works in partnership with an assigned panel of patients and team members for effective disease and chronic care management
• They use the nursing process and evidence-based practice to collaborate with the expanded team - internal and community-based services - in developing the patient driven care plan for prevention and management of diseases
• Major Duties include - but are not limited to: Responsible for collection of data and implementing evidence based changes to practice based on data results
• Collaborates with the services internal and external to the VA to facilitate care transition in order to effectively meet the patient's needs
• Provides evidence-based patient and family health education with a focus on self-management - prevention - and wellness
• Initiates follow-ups as recommended while administering the prescribed therapies using appropriate judgement
• All other duties as assigned - pertaining to this occupation - to meet the needs of the Agency - Department - Facility - and/or Service
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Various work hours and shifts
• to be determined at time of hire
• Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized