Registered Nurse - Outpatient Primary Care - Patient Aligned Care Team

Veterans Health Administration, Department of Veterans Affairs; Rolla (MO); Sur place; USD 70 000 - 90 000; Plein temps

Avantages offerts par ce poste

Paid Time Off

Health, vision & dental insurance

Federal retirement benefits

Résumé du poste

Veterans Health Administration, Department of Veterans Affairs, is seeking an experienced Registered Nurse for the Patient Aligned Care Team (PACT) in Missouri. The RN will provide and oversee direct patient care in a primary care setting, supporting care coordination within the team while focusing on patient education and self-management.

The role emphasizes leadership in nursing practice, evidence-based care, and collaboration with an interdisciplinary team to ensure continuous, high-quality

Qualifications

• Graduate of a nursing program approved by ACEN/CCNE.
• Current, full, active, and unrestricted RN license in the U.S.
• Knowledge of ambulatory care and primary care practices is desirable.

Responsabilités

• Provide and supervise direct patient care in the PACT setting.
• Assess, plan, implement, and evaluate patient care using nursing process.
• Coordinate care education and self-management with patients across continuum.
• Administer medications and procedures per policies.
• Collaborate with interdisciplinary team to improve outcomes.
• Lead and participate in quality improvement within primary care.

Connaissances

Nursing assessment

Medication administration

Patient education

Team coordination

Clinical documentation

Formation

Associate Degree in Nursing (ADN) or Diploma in Nursing

State RN license

BSN preferred

Description du poste

Summary

This RN is assigned to the Primary Care - Patient Aligned Care Team (PACT) team at the Saint James CBOC. This position will be located temporarily in St. James - MO until our new facility in Rolla - MO becomes operational; projected March 1st - 2027.

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/13099428
• 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/
• Desirable Factors: Previous ambulatory care experience - strong medical/surgical background
• Highly prefer 3 years of nursing experience.

Duties

• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care
• Assesses - plans - implements - and evaluates care based on age specific components
• Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care
• Administers medications and procedures per established policies and guidelines
• Influences care outcomes by collaborating with members of the interdisciplinary team
• Executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex client care
• The PACT RN executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex primary care
• Duties may include but are not limited to: Leads and organizes delivery of care to ensure continuity of care and peer accountability for practice in alignment with the ANA Standards of Nursing Practice
• Applies advanced clinical knowledge/judgment to lead staff involvement in planning - decision-making - and evaluating outcomes beyond the immediate practice setting
• Applies nursing expertise to lead improvement - with demonstrated outcomes - beyond the immediate practice setting
• Demonstrates ability to be self-directed in using the nursing process to improve the outcomes of care at the program/service level
• Applies collaborative team approach in identifying - analyzing - resolving problems - and sustaining improvements
• Applies problem solving skills beyond the unit level - leading to improved care/outcomes
• Leads and directs others in organizing the delivery of care to assure continuity of care and peer accountability for practice
• Evaluates program/process or medical center policies//procedures and reports effectiveness or provides leadership - analyzing and addressing ethical legal issues that impact patients and staff and the medical center
• 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 am to 430 pm Telework: Not available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized