Registered Nurse-Patient Aligned Care Team

Diversity Group; Lubbock (TX); On-site; USD 75,000 - 110,000; Full time

Job summary

Department of Veterans Affairs is seeking a Patient Aligned Care Team (PACT) Registered Nurse Care Manager (RNCM) for outpatient primary care. The RNCM coordinates care focused on education, self-management, and patient satisfaction, working as a key team member to provide comprehensive nursing care.

Qualifications include BSN/ADN with valid RN licensure, English proficiency, and ability to work within VA guidelines.

Qualifications

• English language proficiency required for direct patient care.
• ACEN- or CCNE-accredited nursing program graduate.
• State licensure upon graduation and eligibility.
• Foreign-educated nurses require degree equivalency validation.
• Physical requirements and ability to perform nursing duties.

Responsibilities

• Lead proactive, patient-centered care using established nursing protocols.
• Coordinate care for designated patient panel with emphasis on education and self-management.
• Collaborate with PACT team to ensure timely, coordinated access to care resources.
• Educate patients and families to support wellness and self-management goals.
• Promote continuity and quality of care within the practice setting.

Skills

English proficiency

Communication skills

Nursing clinical judgment

Education

BSN (Bachelor of Science in Nursing)

ADN/Diploma in Nursing

Tools

Microsoft Office Suite

EMR systems

Job description

Summary

The Patient Aligned Care Team (PACT) Registered Nurse Care Manager (RNCM): Outpatient Primary Care (PC) is responsible and accountable for all elements of the nursing process when providing nursing care and care coordination within the Primary Care PACT. The PACT RNCM assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction while functioning as a key team member providing comprehensive - coordinated nursing care to patients.

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.) HPTs who are on track to graduate/complete the requirements should respond as if they have met the requirements
• Provide details in the narrative sections of the assessment
• 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/13070292
• 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
• Preferred Experience: Bachelors Degree in Nursing Inpatient and Outpatient clinical experience Case management experience or certification Ability to multi-task - prioritize - and communicate effectively both verbally and in writing Strong organizational and independent judgement skills Familiarity with Microsoft Office Suite - EMR - and compute software
• Keyboarding skills with the ability to type 45-50 words per minute
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Lifting up to 35·pounds for 8-12 hours - intermittently - moderate carrying (15-35 pounds) for 8 to 12 hours - intermittently - lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care - pulling for 8 to 12 hours intermittently - pushing for 8-12 hours - intermittently - reaching above the shoulders for 8-12 hours - intermittently - both hands required - walking 8-12 hours - intermittently - standing 8-12 hours intermittently - kneeling 8 to 12 hours - intermittently - repeated bending for 8-12 hours - intermittently - climbing and use of both legs and arms for 8-12 hours - intermittently - both legs required - near vision at 13 to 16"" Jaeger 1 to 4 - far vision correctable in one eye to 20/20 and to 20/40 in the other eye - ability to distinguish basic colors - hearing aid permitted - twisting - simple grasp and fine manipulation.

Duties

• This role demonstrates leadership in delivering proactive - patient-centered care by using nursing knowledge - evidence-based guidelines - and standardized nursing protocols within the immediate practice setting
• The PACT RNCM acts as the primary coordinator for a designated panel of patients - emphasizing health promotion - chronic care management - patient self-management support - and overall wellness
• They collaborate with the PACT team members - extended care support team - and external services to develop and implement holistic - patient-driven care - facilitate care transitions - and ensure 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 champions a collaborative team approach for managing patient panels - ensuring continuity and quality of care tailored to individual patient goals and needs
• Core elements of performance include leading professional practice - integration of evidence-based practice - quality improvement - and resource allocation to improve outcomes for the immediate practice setting
• 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
• 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
• 08:00am-04:30pm Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized