Direct Jobs
Summary
The Patient Aligned Care Team (PACT) Outpatient RN provides leadership and innovative approaches to managing complex primary care. This position delivers gender-specific direct veteran care and coordinates services within the Primary Care Department. Responsibilities include promoting health, supporting care continuity, and ensuring high-quality outcomes for Veterans.
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/12861180
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
Reference: For more information on this qualification standard – please visit https://www.va.gov/ohrm/QualificationStandards/
Preferred Experience
1–2 years Primary Care or acute care experience
Physical Requirements
Heavy lifting – 45 pounds and over
Moderate lifting – 15–44 pounds
Light lifting – under 15 pounds
Heavy carrying – 45 pounds and over
Moderate carrying – 15–44 pounds
Light carrying – under 15 pounds
Straight pulling (.5 hours)
Pushing (1–2 hours)
Reaching above shoulders
Use of fingers
Both hands required
Walking (4 hours)
Standing (4 hours)
Crawling (.1 hours)
Kneeling (.5 hours)
Repeated bending (1 hour)
Climbing – legs only (1 hour)
Near vision correctable at 13" to 16" to Jaeger 1 to 4
Far vision correctable in one eye to 20/20 and to 20/40 in the other
Depth perception
Ability to distinguish basic colors
Ability to distinguish shades of colors
Hearing (aid may be permitted)
Environmental Factors:
Solvents (degreasing agents)
Slippery or uneven walking surfaces
Working around machinery with moving parts
Working around moving objects or vehicles
Working with hands in water
Working closely with others
Working alone
Protracted or irregular hours of work
Duties
Manages assigned patient panel(s) – utilizes registries – and ensures appropriate evaluation and access for all patients within the panel
Provides health promotion – health education – and coaching on wellness – disease prevention – and chronic care management
Collaborates in the development – implementation – evaluation – and revision of policies – procedures – and guidelines
Demonstrates leadership performance broad enough to improve care delivery for the Primary Care Department and the facility
Provides peers with formal or informal constructive feedback to support professional growth and quality improvement
Shares primary care knowledge with colleagues and other nurses to promote safe – high‑quality nursing care
Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
Evaluates outpatient outcomes of evidence‑based decisions and practice changes for individuals – groups – and populations within primary care
Responsible for documented Patient Aligned Care Team (PACT) outcomes at the program or service level – which must be broad – complex – and demonstrable at any organizational level within the facility
Benefits
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 401(k) 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)
Schedule
Work Schedule: Monday‑Friday 8:00 am – 4:30 pm
Telework: Not available
Virtual: This is not a virtual position
#J-18808-Ljbffr
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/12861180
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
Reference: For more information on this qualification standard – please visit https://www.va.gov/ohrm/QualificationStandards/
Preferred Experience
1–2 years Primary Care or acute care experience
Physical Requirements
Heavy lifting – 45 pounds and over
Moderate lifting – 15–44 pounds
Light lifting – under 15 pounds
Heavy carrying – 45 pounds and over
Moderate carrying – 15–44 pounds
Light carrying – under 15 pounds
Straight pulling (.5 hours)
Pushing (1–2 hours)
Reaching above shoulders
Use of fingers
Both hands required
Walking (4 hours)
Standing (4 hours)
Crawling (.1 hours)
Kneeling (.5 hours)
Repeated bending (1 hour)
Climbing – legs only (1 hour)
Near vision correctable at 13" to 16" to Jaeger 1 to 4
Far vision correctable in one eye to 20/20 and to 20/40 in the other
Depth perception
Ability to distinguish basic colors
Ability to distinguish shades of colors
Hearing (aid may be permitted)
Environmental Factors:
Solvents (degreasing agents)
Slippery or uneven walking surfaces
Working around machinery with moving parts
Working around moving objects or vehicles
Working with hands in water
Working closely with others
Working alone
Protracted or irregular hours of work
Duties
Manages assigned patient panel(s) – utilizes registries – and ensures appropriate evaluation and access for all patients within the panel
Provides health promotion – health education – and coaching on wellness – disease prevention – and chronic care management
Collaborates in the development – implementation – evaluation – and revision of policies – procedures – and guidelines
Demonstrates leadership performance broad enough to improve care delivery for the Primary Care Department and the facility
Provides peers with formal or informal constructive feedback to support professional growth and quality improvement
Shares primary care knowledge with colleagues and other nurses to promote safe – high‑quality nursing care
Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
Evaluates outpatient outcomes of evidence‑based decisions and practice changes for individuals – groups – and populations within primary care
Responsible for documented Patient Aligned Care Team (PACT) outcomes at the program or service level – which must be broad – complex – and demonstrable at any organizational level within the facility
Benefits
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 401(k) 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)
Schedule
Work Schedule: Monday‑Friday 8:00 am – 4:30 pm
Telework: Not available
Virtual: This is not a virtual position
#J-18808-Ljbffr