Registered Nurse - Patient Aligned Care Team

U.S. Department of Veterans Affairs; Mount Vernon (WA); On-site; USD 85,000 - 120,000; Full time

Job summary

The U.S. Department of Veterans Affairs seeks a Registered Nurse Care Manager to organize and direct team members delivering patient-centered care in a Primary Care Clinic.

The RNCM collaborates with the Core Team to develop patient-driven care plans and ensures timely assessment, planning, and documentation of care across the continuum. Responsibilities include triage, coordinating resources, and advancing evidence-based practices while adhering to program standards and licensure requirements.

Qualifications

• English language proficiency per policy for direct patient care.
• Current, full, active, and unrestricted nursing license in a US state or territory.
• Foreign-educated nurses require degree equivalency validation.

Responsibilities

• Organize and direct team members to achieve patient care goals.
• Provide care using nursing process and evidence-based practice in a Primary Care setting.
• Coordinate interdisciplinary care planning and resource delivery to satisfy patient needs.

Skills

English language proficiency

Current nursing license

Education

Associate Degree in Nursing

Bachelor of Science in Nursing

Master's degree in Nursing

Job description

Summary

This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.

Qualifications

• 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/13061328
• 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: 1-2 years Ambulatory Care Experience 1-2 years Med Surg Experience Triage Experience: Telephone and/or Face to Face Care Coordination Experience/Certification Ambulatory Care Certification Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.

Duties

• The Registered Nurse Care Manager (RNCM) is responsible for organizing and directing team members to achieve desirable patient outcomes through day-to-day and/ or telephonic case management
• The RNCM functions in the Primary Care Clinic which utilizes a Patient Aligned Care Team (PACT) model
• The RNCM uses the nursing process and evidence-based practice to collaborate with the Core Team in developing the patient-driven care plan
• Duties may include but are not limited to: Demonstrates clinical knowledge in assessing - planning - implementing documenting and evaluating care for a designated group of patients across the continuum of care
• Triage and apply a collaborative team approach in identifying - analyzing and resolving patient care problems
• Collaborates with patients to assess and identify needs - issues - care goals and resources in critical factors for achieving desired outcomes for discharge - post hospital recovery and health maintenance/wellness
• Maintains current knowledge of multidisciplinary resources - programs and services - referring patients for community resources as appropriate
• Utilizes problem-solving methodologies and advances clinical knowledge to resolve system and/or processes that impact patient care
• Assists with navigation of health systems and intervenes or refers as needed to facilitate the achievement of patient outcomes
• Provides care - respecting patient's personal values - cultural and belief systems
• Assists with the development - assessment - and monitoring/ evaluation of comprehensive plans of care to ensure efficient - effective - and coordinated care in meeting and promoting standards of wellness
• Coordinates an interdisciplinary approach to assure physical - psycho-social - and environmental needs and resource delivery to achieve patient goals
• 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 - 7:30am-4:00pm
• Compressed/Flexible: Available
• Telework: Not available
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not authorized
• EDRP Authorized: Former EDRP participants ineligible to apply for incentive
• Contact [e-mail] - the EDRP Coordinator for questions/assistance
• Learn more Permanent Change of Station (PCS): Not authorized.