Registered Nurse - PACT Care Manager

Veterans Health Administration•Washington, DC

About The Position

The PACT RN Care Manager uses the nursing process and evidence-based practice to collaborate with the teamlet—including the patient, primary care provider, PACT RN Care Manager, health technician, pharmacists, and clerical associate—and the expanded team, such as family members or caregivers, consulting providers, and internal and community-based services. Together, they develop patient-driven care plans for disease prevention and management. The RN partners with an assigned panel of patients and team members to support effective disease and chronic care management in a primary care setting. The role provides evidence-based health education to patients and families, with an emphasis on self-management, prevention, and wellness in accordance with patient goals. It advocates for patients, demonstrates leadership among colleagues, initiates recommended follow-up, administers prescribed therapies using appropriate judgment, and evaluates therapies in a timely manner. Care must be nonjudgmental, nondiscriminatory, and sensitive to the lifestyle of adult or elderly patients and their families while preserving autonomy, dignity, and rights. The RN questions clinical practices to promote evidence-based care and supports full PACT implementation, compliance with VA policies and directives, national Primary Care standards, clinical practice guidelines, clinical pathways, and PACT fundamentals. This is a full-time, non-virtual position. Telework is available; specific work schedule details are to be determined. Recruitment or relocation incentives and permanent change of station are not authorized. The position is in the Excepted Service and does not confer competitive status.

Requirements

  • Proficiency in basic written and spoken English.
  • Graduation from an appropriately accredited school of professional nursing, subject to the stated education and equivalency provisions.
  • Current, full, active, and unrestricted registered nurse license in a U.S. State, Territory, or Commonwealth, or the District of Columbia; the stated Graduate Nurse Technician exception may apply to eligible candidates pursuing licensure.
  • Must meet the education, experience, and dimension criteria for the assigned Nurse grade and level.
  • U.S. citizenship, except that non-citizens may be appointed when qualified citizens cannot be recruited in accordance with VA policy.
  • Selected applicants are subject to drug testing, background/security investigation, onboarding, and a pre-employment physical evaluation.
  • Males born after December 31, 1959, must meet Selective Service registration requirements.
  • Participation in the seasonal influenza vaccination program and completion of annual Employee Health requirements.
  • May be required to serve a probationary period and complete all application requirements detailed in the announcement's Required Documents section.
  • Physical ability to meet the stated demands, including visual acuity, keen hearing, clear distinctive speech, manual dexterity, and periods of walking, standing, stooping, sitting, bending, pulling, and pushing; transferring patients and objects may be required.
  • May need to use protective clothing in isolation situations, operative or invasive procedures, or home settings, and may encounter infected patients, contaminated materials, or combative patients.
  • For care in home or other off-site settings, may be required to drive and/or ride in GSA vehicles.
  • Only qualifying education or degrees recognized by the U.S. Department of Education from accredited institutions may be used; foreign education requires the stated equivalency documentation.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) with 3 years of PACT experience.
  • Outpatient clinic experience.
  • 5 years of acute or critical care experience.

Responsibilities

  • Collaborate with the PACT teamlet and expanded care team to develop patient-driven plans for disease prevention and management.
  • Partner with an assigned panel of patients and team members to provide effective disease and chronic care management.
  • Provide evidence-based health education to patients and families focused on self-management, prevention, and wellness in accordance with patient goals.
  • Advocate for patients and demonstrate leadership with colleagues.
  • Initiate recommended follow-up and administer prescribed therapies using appropriate judgment; evaluate therapies in a pertinent and timely manner.
  • Provide nonjudgmental, nondiscriminatory care that is sensitive to adult or elderly patients' and families' lifestyles and preserves patient autonomy, dignity, and rights.
  • Question clinical practices to support evidence-based care.
  • Promote full implementation and function of PACT in the Primary Care setting.
  • Interact with and assist PACT members in complying with VACO, VISN, and local policies and directives.
  • Help teams maintain national Primary Care standards through clinical practice guidelines and clinical pathways.
  • Promote PACT fundamentals.

Benefits

  • 50 days of paid time off per year: 26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
  • Traditional federal pension, with 5-year vesting.
  • Federal 401(k), with up to 5% in contributions by VA.
  • Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
  • Competitive salary, regular salary increases, and potential performance awards.
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