Registered Nurse- Patient Aligned Care Team (PACT)

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

Job summary

Veterans Health Administration seeks a Registered Nurse with RN-PACT responsibilities to provide patient-centered care. You will assess, plan, implement, and evaluate care while coordinating with interdisciplinary teams.

Emphasis on patient education, self-management, and satisfaction guides daily nursing practice. The role requires a valid US nursing license, English proficiency, and completion of an approved nursing program.

Qualifications

• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by ACEN or CCNE
• Current, full, active, and unrestricted registration as a graduate professional nurse in a US state or territory
• State license obtained before permanent appointment or upon completion of bridge program
• Foreign nursing education requires formal degree equivalency validation (ICD)
• Reference VA Handbook 5005 for qualification standards and grandfathering provisions

Responsibilities

• Provide nursing care and coordinate with interdisciplinary teams
• Deliver patient education, self-management coaching, and care planning
• Administer medications and treatments per established policies
• Assess, plan, implement, and evaluate patient care
• Lead or participate in care improvements and documentation

Skills

English proficiency

Nursing

Patient education

Medication administration

Education

Associate Degree in Nursing (ADN) or Diploma in Nursing

Bachelor of Science in Nursing (BSN)

Master's degree in nursing (MSN)

Unrestricted nursing license (US)

Foreign nursing degree equivalency validation

Job description

Summary

The RN-PACT provides patient-centered care through assessment - planning implementation - and evaluation. Coordinates care with an emphasis on patient education - self-management - and satisfaction. Administers medications and treatments in accordance with established policies and collaborates with interdisciplinary teams to support quality patient 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
• 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/13094033
• 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 Specialized Experience: 2-3 Years of RN Experience ICU/ED Experience Ambulatory Care Experience Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Heavy lifting (45 pounds and over) - Moderate lifting (15-44pounds) - Light lifting (under 15 pounds) - Moderate carrying (15-44 pounds) - Light carrying (under 15 pounds) - Straight pulling (5 hours) - Pulling hand over hand (5 hours) - Pushing - Reaching above shoulder - Use of fingers - Both hands required - Walking (5 hours) - Standing (5 hours) - Kneeling (5 hours) - Repeated bending (5 hours) - Climbing and use of legs and arms - Ability of r rapid mental and muscular coordination simultaneously - Specific visual requirements (Good) - Depth Perception - Hearing (aid may be permitted) - Mental Stability - Emotional Stability Environmental Factors: Constant noise - Working around moving objects and vehicles - Unusual fatigue factors (patient care) - Working closely with others - Working alone - Protracted or irregular hours of work

Duties

• Duties include but are not limited to: Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care
• Provide sex-specific direct Veteran care and care coordination - as it pertains - to Veterans and their care within the Primary Care Department
• Manage assigned panel(s) - utilizes registries - 2- Day Discharge report and other PACT data/reports to ensure appropriate evaluation and access is provided to patient panels
• Provide health promotion - health education and coaching on wellness - disease prevention - and chronic care management
• Focus on individual growth and development in outpatient PACT nursing practice with increased levels of self-direction
• Formulate a plan of care based on nursing assessments
• Seek guidance on how to improve care provided to patients and families
• Delegate elements of care to the appropriate individual based upon assessed needs - condition - and safety of the patient
• Bring primary care principles and theory with application of critical thinking skills 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 8:00am - 4:30pm Compressed/Flexible: May be authorized Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized