Registered Nurse (Patient Aligned Care Team)

Veterans Health Administration, Department of Veterans Affairs; Greenville (NC); On-site; USD 75,000 - 95,000; Full time

Job summary

Veterans Health Administration’s Greenville Outpatient Clinic is seeking a Registered Nurse to support PACT in comprehensive primary care for Veterans. The RN will participate in patient intake, triage, and health education, coordinating care with physicians and the care team.

The role emphasizes chronic disease management, care coordination, and evidence-based practice within the Primary Care Department. A strong focus on patient-centered care and collaboration with interdisciplinary teams is

Qualifications

• English language proficiency required.
• Nursing degree from an approved program and current state license.
• Foreign nursing education requires validation if applicable.
• Must meet VA qualification standards for nursing positions.

Responsibilities

• The Registered Nurse serves as a primary care nurse in support of the physician or advanced practice provider.
• Oversees nursing staff, patient intake, documentation, and point-of-care testing.
• Provides health education, coaching, and health promotion to Veterans.
• Coordinates care within the health continuum and maintains chronic disease management.
• Manages assigned panels and utilizes registries to ensure timely evaluation and access.

Skills

English proficiency

Education

Nursing degree (RN)

Job description

Summary

PACT/Primary Care: The Greenville Outpatient Clinic- PACT maintains the health and manages the care for patients with a variety of medical problems including hypertension - diabetes - arthritis - cancer - congestive heart failure and other chronic diseases. The clinic is designed to provide comprehensive primary services - including gender specific care for Veterans.

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/13098514
• 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
• The full performance level of this vacancy is Nurse III
• The actual grade at which an applicant may be selected for this vacancy is in the range of Nurse I to Nurse III
• 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 inpatient 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
• The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
• Must complete- annual Employee Health requirements - such as annual TB screening or testing - 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
• Position specific duties/expectations are detailed in the associated competency and should be performed once the competency has been validated
• This position is subject to other duties as assigned and therefore potentially requires flexibility in schedule and assignments.

Duties

• The Registered Nurse will serve as a primary care nurse in support of the physician or advanced practice provider
• Duties will include - but not be limited to - oversight of nursing staff - patient intake - documentation - point of care testing and health screening
• The RN will assess - triage - take histories and document conditions and concerns for Veterans presenting to the clinic and via the telephone
• The RN is responsible for promoting an environment that supports caring and courteous service - safe patient care - and positive working relationships
• The clinical nurse will coordinate care through the health continuum using health education - health coaching - and health promotion
• General Description of Assigned Duties: The PACT Registered Nurse provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the Primary Care Department
• Manages assigned panel(s) - utilizes registries - and ensures appropriate evaluation and access is provided to patient panels
• This nurse provides health promotion - health education and coaching on wellness - disease prevention - and chronic care management
• The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization
• The PACT Registered Nurse evaluates practice in an ongoing process - based on best evidence
• Provides peers with informal constructive feedback for improvement
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• Contributes professional outpatient nursing perspective in discussions with the interdisciplinary team
• Partners with others to effect change and produce optimal outcomes
• Supports colleagues through knowledge sharing to provide safe - quality outpatient nursing care
• Shares educational findings - experiences - and ideas with peers
• Questions PACT clinical practices for the purpose of providing evidence-based care
• Participates in activities and strategies to sustain evidence-based-practice
• The PACT Registered Nurse assumes the role of Charge or Co-charge Nurse
• Demonstrates timely and effective communication
• Promotes seamless care coordination
• Ensures effective and timely management of CPRS alerts - Call Center Relay Messaging Queue (CMRQ) - and Secure Messaging by ensuring that patients' requests are acknowledged within 72 hours of receipt
• Consistently complies with the Standard of Work (SOW) for ED and Inpatient 2-day post discharge calls
• Collaborates with patients and interdisciplinary teams
• Responsible for a robust chronic disease management program
• Monitors PACT metrics with particular emphasis on HEDIS measures
• Demonstrates proficiency in PACT reports including eQM (electronic quality management) - VSSC (VA Support Service Center) - SAIL and Primary Care Almanac - and PACT Compass
• Collaborates with the patients and care teams to develop meaningful goals for patients
• Contributes to Accreditation Readiness including Quick Sweeps - Environment of Care (EOC) rounds - and clinic daily logs
• Leads and/or participates in daily huddles
• Initiates and follows through with patient schedule scrubbing days to weeks in advance
• Conducts Outreach to patients prior to appointment time to complete reminders
• Triages walk-in patients and collaborate with providers to determine a plan of care
• Conducts nurse visits and provide patient education
• Rooms patients - performs treatments - administers medications - performs other patient care duties
• Follows up on Community Care Consults
• Preferred Experience: 2-3 years Primary Care experience Direct patient care within the last 2 years
• 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 8:00a.m.- 5:00p.m./ 7:30a.m-4p.m
• Telework: Not authorized Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized