Registered Nurse - Outpatient Primary Care - Patient Aligned Care Team

Veterans Health Administration • Rolla, MO

11d • Onsite

About The Position

The Registered Nurse is assigned to the Primary Care Patient Aligned Care Team (PACT) at the Saint James Community-Based Outpatient Clinic. The position will be temporarily located in St. James, Missouri, until the new facility in Rolla, Missouri, becomes operational, projected for March 1, 2027.

The PACT Outpatient Staff RN is responsible and accountable for all elements of the nursing process when providing or supervising direct patient care. The nurse assesses, plans, implements, and evaluates care using age-specific components; coordinates care focused on patient education, self-management, and customer satisfaction across the continuum of care; administers medications and procedures under established policies and guidelines; and collaborates with interdisciplinary team members to influence care outcomes.

The RN demonstrates leadership, experience, and creative approaches to managing complex primary care. Responsibilities include leading and organizing care delivery to support continuity and peer accountability in alignment with ANA Standards of Nursing Practice; applying advanced clinical judgment to staff planning, decision-making, and outcome evaluation beyond the immediate practice setting; leading improvement efforts and problem-solving; and evaluating program, process, or medical-center policies and procedures. The role also includes addressing ethical and legal issues affecting patients, staff, and the medical center.

The position is not telework or virtual. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. VA offers a comprehensive total rewards package, including paid leave, retirement, insurance, and potential performance awards.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, or qualifying education under the stated bridge-program or foreign-education provisions.
• Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. State, Territory, Commonwealth, or the District of Columbia; the stated Graduate Nurse Technician exception may apply.
• 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 must complete applicable pre-employment screening and onboarding requirements, including urinalysis for applicants tentatively selected for testing-designated positions, a background/security investigation, and a pre-employment physical evaluation.
• Participation in the seasonal influenza vaccination program is required for VA Health Care Personnel.
• Complete all application requirements specified in the announcement's Required Documents section.

Nice To Haves

• Previous ambulatory care experience.
• Strong medical/surgical background.
• Three years of nursing experience is highly preferred.

Responsibilities

• Provide and supervise direct patient care, applying all elements of the nursing process.
• Assess, plan, implement, and evaluate care using age-specific components.
• Coordinate care with a focus on patient education, self-management, and customer satisfaction throughout the continuum of care.
• Administer medications and perform procedures according to established policies and guidelines.
• Collaborate with interdisciplinary team members to influence patient care outcomes.
• Lead and organize care delivery to ensure continuity and peer accountability in accordance with ANA Standards of Nursing Practice.
• Use advanced clinical knowledge and judgment to lead staff participation in planning, decision-making, and evaluation of outcomes beyond the immediate practice setting.
• Lead nursing practice improvement efforts and demonstrate outcomes beyond the immediate practice setting.
• Use the nursing process independently to improve care outcomes at the program or service level.
• Use a collaborative team approach to identify, analyze, and resolve problems and sustain improvements.
• Lead problem-solving beyond the unit level to improve care and outcomes.
• Evaluate program, process, or medical-center policies and procedures and report on their effectiveness.
• Provide leadership in analyzing and addressing ethical and legal issues affecting patients, staff, and the medical center.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 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 five-year vesting and 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree