Registered Nurse - PACT - Outpatient Staff Registered Nurse

Veterans Health Administration, Department of Veterans Affairs; Baltimore (MD); On-site; USD 90,000 - 120,000; Full time

Job summary

Veterans Health Administration, Department of Veterans Affairs is seeking a Registered Nurse to lead and coordinate care within the Patient Aligned Care Team (PACT). The RN will assess, plan, implement, and evaluate care, focusing on patient education, self-management, and satisfaction in a team-based outpatient setting.

The ideal candidate will have BSN, current RN licensure, and experience in ambulatory or primary care environments, with strong leadership and motivational interviewing skills

Qualifications

• English language proficiency is required by VA.
• Experience leading or coordinating care in an ambulatory or primary care setting preferred.
• Graduate of an accredited nursing program with active licensure in the United States.

Responsibilities

• Coordinate care for patients enrolled in the PACT across the care continuum.
• Lead an interprofessional team to deliver holistic, patient-centered care.
• Support patient self-management and wellness goals using motivational interviewing techniques.
• Facilitate communication between physicians, nurses, and other health professionals to ensure seamless care.
• Ensure continuity of care across inpatient and outpatient settings.

Skills

English proficiency

Team leadership

Motivational interviewing

Self-management support

Interdisciplinary collaboration

Education

BSN (Bachelor of Science in Nursing)

Current RN license

MSN (Master’s in Nursing)

Job description

Summary

The 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. The RN assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care. The RN must work well within a team environment.

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
• preferred At least 2 years of recent experience (in the last 5 years) as a Primary Care/PACT - Ambulatory/Outpatient or Med-Surg RN
• 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/13090001
• 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: Reference VA Handbook 5019 - Part II-Physical Requirements

Duties

• The Intermittent Registered Nurse Patient Aligned Care Team (PACT) is a self-directed professional nurse who assumes a leadership role in both the direct and indirect management of a group of patients by coordinating care with physicians - nurse practitioners - medical residents/students - other health professionals - and hospital systems
• This role spans all sites in managed care nursing and reports directly to the site Nurse Manager of Managed Care
• The RN is responsible for coordinating the care of patients assigned to the PACT
• Within the PACT - the RN provides intensive management for at-risk patient subgroups who may be admitted as inpatients and subsequently discharged to the outpatient setting - or who remain in the outpatient setting
• The RN demonstrates leadership - experience - and creative approaches to managing complex care through their position responsibilities
• They coordinate patient care across and between healthcare systems - including the private sector - continuing to exhibit leadership - experience - and innovative care management
• The RN supports patient self-management - prevention - and wellness based on the patient's goals - utilizing motivational interviewing skills to help patients establish and achieve these goals
• 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: Tour and Hours to be Discussed with Supervisor
• Telework: Not Available
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized.