Summary

This position is located at the Department of Veterans Affairs (DVA) - Veterans Health Administration (VHA) - Mid-Atlantic Health Care Network (VISN-6) - VA Clinic Wilmington - NC. The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex primary care. This RN provides direct care and coordination as it pertains to Veterans within the Primary Care Department.

Qualifications

Basic Requirements:

• Citizenship: Citizenship of the United States in accordance with 38 U.S.C. 7402(c)
• Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• 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
• Education: 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)
• Licensure and Certification: All nurses must possess and maintain an active - current - full and unrestricted license as a Nurse to practice in a State - Territory - or Commonwealth of the United States - or in the District of Columbia
• Exception to Licensure for Graduate Nurse Technician (GNT): 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.) Physical Requirements: This clinical position includes a physicality normally associated with direct patient care: the physical requirements of this position include lifting - prolonged standing - sitting - frequent bending - stooping - walking - reaching - repetitive motion - and climbing stairs
• The mental/sensory requirements include logical thinking - processing and retaining information - reading - recall - reasoning - complex problem solving - hearing - clear distinct speech - writing - keyboarding - use of a telephone - and use of video connectivity
• Preferred Experience: 1 year of successful RN experience Emergency Room (ER) - Urgent Care - Critical Care - or Ambulatory Care experience 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/12944623
• 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.

Duties

• The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible and accountable for all elements of the process when providing and/or supervising direct patient care to include case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planning
• Duties and Responsibilities include but are not limited to the following: Integrates outpatient nursing knowledge - skills - abilities - and judgement and is self-directed in goal setting for managing complex PACT situations
• Manages assigned panel(s) - utilizes registries - and ensures appropriate evaluation and access is provided to patient panels
• Validates understanding of the rationale for care processes and decisions
• Provides health promotion - health education and coaching on wellness - disease prevention - and chronic care management
• Assists 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
• Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines
• Provides peers with formal and informal constructive feedback for improvement
• Contributes professional outpatient nursing perspective in discussions with the interdisciplinary team
• Partners with the patient - family - and interdisciplinary team to promote effective and safe transitions across the health care continuum - including the Veteran's goals of care
• Supports colleagues and other nurses through knowledge sharing of educational findings - experiences - and ideas to provide safe - quality nursing care
• Fosters a safe and supportive environment conductive to the professional development of health care professionals
• Evaluates outpatient outcomes of evidence-based decisions and practice changes for primary care individuals - groups - and populations
• Responsible for the documented PACT outcomes at the program or service level
• Demonstrates the ability to cope with and manage competing priorities
• Demonstrates competence in decision-making - deliberate planning - and critical thinking skills
• Compressed/Flexible: Available Telework: Ad-hoc Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: NOT Authorized Permanent Change of Station (PCS): NOT Authorized