Registered Nurse (Outpatient Primary Care)

Veterans Health Administration•South Jordan, UT
•Onsite

About The Position

The Patient Aligned Care Team (PACT) Registered Nurse provides expert nursing care and care coordination within Primary Care PACT, demonstrating leadership, experience, and creative approaches to managing complex patient care beyond the immediate practice setting. The role focuses on improving Veteran outcomes through evidence-based care, population health management, preventive and chronic disease interventions, and coordination across care settings and modalities. The nurse provides care through face-to-face visits, virtual encounters, secure messaging, and telephone service. Working with PACT and extended interdisciplinary team members, the nurse supports Veteran-centered goals, self-management, continuity, access, and quality outcomes. The role also leads or contributes to process and quality improvement efforts and proactive panel management. This is a permanent, non-virtual position with a Monday–Friday schedule of 8:00 a.m.–4:30 p.m. Limited ad hoc telework may be available, subject to the VA’s return-to-office requirements. Relocation and recruitment incentives and permanent change of station are not authorized.

Requirements

  • Proficiency in basic written and spoken English.
  • Graduation from an appropriately accredited school of professional nursing, or qualifying equivalent nursing education as specified in the posting.
  • Current, full, active, and unrestricted registered professional nurse license in a U.S. State, Territory, Commonwealth, or the District of Columbia; a limited Graduate Nurse Technician exception is described for eligible candidates pursuing licensure.
  • Meet the education and experience criteria for the applicable VA Nurse grade and level. Requirements vary by grade and may include an ADN, BSN, MSN, doctoral degree, and specified professional or specialized nursing experience.
  • U.S. citizenship; non-citizens may be appointed only when qualified citizens cannot be recruited under VA policy.
  • Selected applicants must undergo required background/security investigation, pre-employment drug testing for testing-designated positions, and a pre-employment physical evaluation/examination.
  • Participation in the seasonal influenza vaccination program is required for VA Health Care Personnel.
  • Ability to perform the position’s physical activities without restriction, including standing, walking, stooping, bending, reaching, lifting, turning, repositioning and transferring patients, and potentially pushing or lifting more than 50 pounds.
  • Ability to meet the visual and auditory requirements for safe and effective nursing care and to work in stressful situations while shifting priorities based on patient needs.
  • Ability to work with potentially infected patients and contaminated materials, use protective clothing when required, and physically control or protect oneself from potentially abusive or combative patients.
  • Complete the online onboarding process and all application requirements described in the announcement.

Nice To Haves

  • At least two years of Registered Nurse experience.
  • Outpatient and/or Primary Care experience.

Responsibilities

  • Provide expert primary care coordination for the PACT and oversee transitions of care.
  • Develop and implement Veteran-centered nursing care, including preventive and chronic disease management interventions.
  • Provide care through face-to-face visits, virtual encounters, secure messaging, and telephone-based service.
  • Use population health tools and evidence-based guidelines to identify and manage high-risk and chronically ill patients.
  • Collaborate with interdisciplinary team members, use structured appointment grids, and engage in proactive panel management.
  • Provide proactive, evidence-based care management using clinical reminders, policy orders, nurse protocols, and population health tools.
  • Deliver chronic disease management, preventive health services, patient education, and health coaching to support Veteran-centered goals.
  • Coordinate same-day needs and post-discharge transitions, including procedures, labs, follow-up, pre-visit preparation, clinical reminders, and referrals.
  • Connect Veterans with appropriate services, specialty care, and interdisciplinary team resources.
  • Identify patients requiring RN care through daily huddles and team collaboration; develop individualized care plans.
  • Use health coaching and motivational interviewing and manage patients with chronic and ambulatory care-sensitive conditions.
  • Use data-driven risk indicators to identify rising- and high-risk patients, prioritize panel management, and coordinate referrals for enhanced care management.
  • Identify care gaps and connect patients with wraparound services; coordinate care and transitions between acute and ambulatory settings.
  • Lead process or quality improvement initiatives to improve processes or patient outcomes.
  • Deliver RN-led chronic disease management using VA/DoD and other evidence-based guidelines, health coaching, and collaboration with extended team members.
  • Collaborate with PACT core and extended care support teams through huddles, pre-planning, and daily communication to support access, continuity, patient experience, and quality outcomes.
  • Apply Whole Health principles and appropriate task delegation to strengthen team functioning and care coordination.
  • Monitor team metrics and use VHA panel-management tools to identify care gaps, improve patient data, and lead proactive primary care delivery.

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.
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