Registered Nurse - Patient Aligned Care Team - Outpatient

Veterans Health Administration, Department of Veterans Affairs; Perry Point (MD); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Paid time off 50 days per year

Federal pension and 401(k)

Job summary

Veterans Health Administration (Department of Veterans Affairs) seeks a Registered Nurse to provide direct Veteran care and coordinate care within the Primary Care Department, using registries and panel management.

The role emphasizes health education, self-management coaching, and collaboration with the interdisciplinary team to improve outcomes and patient satisfaction.

Qualifications

• English proficiency required per VA standards.
• BSN preferred and state licensure required or pursued.
• Experience in ambulatory/primary care settings is highly desirable.

Responsibilities

• Provide direct Veteran care and care coordination within Primary Care.
• Manage assigned panels, using registries to ensure access and evaluation.
• Educate patients on health promotion, self-management and wellness.
• Lead and participate in evidence-based practice projects.
• Collaborate with the interdisciplinary team to optimize outcomes.

Skills

English proficiency

Ambulatory/Primary care

Patient education

BLS certification

Leadership

Education

BSN preferred

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.

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
• 2-3 years of Ambulatory/Primary care experience within the last 5 years
• preferred Ambulatory Care Nursing or Case Management certification is highly desired
• BLS certification is highly desired
• Experience leading group-based patient education sessions to support health outcomes is strongly preferred Experience supporting patients with chronic conditions through ongoing assessment - care coordination - patient education - and follow-up
• Experience leading evidence-based practice projects is strongly preferred
• 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/13085526
• 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 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

• This Registered Nurse (RN) 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
• Demonstrates leadership in delivering and improving holistic - primary care through collaborative strategies with others
• Evaluates practice in an ongoing process - based on best evidence
• Partners with others to effect change and produce optimal outcomes
• Supports colleagues through knowledge sharing to provide safe - quality outpatient nursing care
• Duties include but are not limited to: Using the nursing process and evidence-based practice to collaborate with the Teamlet and larger interdisciplinary team (family/caregiver - internal and community-based services) in developing a patient-driven - holistic care plan for life
• Providing patient and family health education focused on self-management - prevention - and wellness in alignment with the patient's goals
• Following the patient's personalized health care plan as designated by the patient and the Patient Aligned Care Team (PACT)
• Demonstrating advanced clinical knowledge in assessing - planning - implementing - documenting - and evaluating care for a designated patient population across the continuum of care
• Triaging and applying a collaborative team approach to identify - analyze - and resolve patient care concerns
• Working collaboratively to support the day-to-day mission and operational flow of the clinic
• Providing patient care in coordination with the interdisciplinary team
• Serving as a clinical resource expert to staff and team members
• Functioning as an educator for both patients and clinical team members
• Acting as a systems coordinator by monitoring patient progress - evaluating clinical pathways - analyzing variations - and initiating appropriate interventions to ensure optimal and timely patient outcomes
• Reviewing Message Manager and assisting the team in addressing and completing pending alerts and communications throughout the tour of duty to facilitate timely care and meet caller needs
• 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 8am-430pm Telework: Not Authorized Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized