Registered Nurse (Patient Aligned Care Team)

Veterans Health Administration • Greenville, NC

7d • Onsite

About The Position

The Registered Nurse serves as a primary care nurse supporting a physician or advanced practice provider in the Greenville Outpatient Clinic’s Patient Aligned Care Team (PACT). The clinic provides comprehensive primary care, including gender-specific care for Veterans with a range of chronic and other medical conditions. The nurse provides direct Veteran care and care coordination, manages assigned patient panels, uses registries, and helps ensure patients receive appropriate evaluation and access to care.

The role includes patient assessment, triage, intake, documentation, point-of-care testing, health screening, treatment, medication administration, patient education, and nurse visits. The nurse promotes wellness, disease prevention, and chronic disease management through education and coaching, and coordinates care across the health continuum. The position also involves leading or participating in huddles, serving as Charge or Co-charge Nurse, supporting nursing education and quality improvement, and contributing to evidence-based practice and interdisciplinary care. The nurse monitors PACT measures and reports, supports accreditation readiness, conducts patient outreach, manages communications and alerts, and follows up on Community Care Consults.

The position is not authorized for telework and is not virtual. The stated work schedule is Monday through Friday, either 8:00 a.m.–5:00 p.m. or 7:30 a.m.–4:00 p.m.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an approved school of professional nursing accredited by ACEN or CCNE, or qualifying equivalent education as described in the announcement.
• Current, full, active, and unrestricted registered nurse license in a U.S. State, Territory, Commonwealth, or the District of Columbia; a temporary Graduate Nurse Technician exception may apply to eligible candidates pursuing licensure.
• Meet the applicable education, experience, and dimension requirements for the selected Nurse grade and level, ranging from Nurse I to Nurse III.
• Complete pre-employment screening and onboarding requirements, including a background/security investigation and physical evaluation; selected applicants in testing-designated positions are subject to pre-employment urinalysis.
• Participate in the seasonal influenza vaccination program and complete annual employee health requirements, such as TB screening or testing.
• U.S. citizenship is required, except where non-citizens may be appointed under VA policy when qualified citizens cannot be recruited.
• Register for Selective Service if applicable to males born after December 31, 1959.
• Ability to meet the position’s physical requirements, including visual acuity, keen hearing, clear speech, manual dexterity, and periods of walking, standing, stooping, sitting, bending, pulling, and pushing.
• Ability to work effectively in stressful situations, adjust priorities to patient needs, and remain flexible regarding duties, schedule, and assignments.
• The full performance level is Nurse III; selection may be at Nurse I, Nurse II, or Nurse III.

Nice To Haves

• Two to three years of primary care experience.
• Direct patient care experience within the last two years.

Responsibilities

• Provide primary care nursing support to a physician or advanced practice provider.
• Provide direct Veteran care and coordinate care within the Primary Care Department.
• Manage assigned patient panels, use registries, and support appropriate evaluation and access to care.
• Assess and triage Veterans, take histories, document conditions and concerns, and conduct patient intake, including in-person and telephone encounters.
• Perform point-of-care testing, health screening, nurse visits, patient treatments, medication administration, and other patient care duties.
• Provide health promotion, education, and coaching on wellness, disease prevention, and chronic care management.
• Oversee nursing staff and assist in directing nursing education, orientation, competencies, quality improvement, and outcomes utilization.
• Evaluate nursing practice on an ongoing basis using best evidence, provide constructive feedback to peers, and support professional development.
• Contribute an outpatient nursing perspective to interdisciplinary discussions and collaborate with patients and care teams to develop meaningful goals.
• Serve as Charge or Co-charge Nurse and communicate in a timely and effective manner.
• Coordinate care and manage CPRS alerts, Call Center Relay Messaging Queue (CMRQ), and Secure Messaging, ensuring patient requests are acknowledged within 72 hours.
• Follow the Standard of Work for emergency department and inpatient two-day post-discharge calls.
• Support chronic disease management and monitor PACT metrics, including HEDIS measures.
• Use PACT reports and tools, including eQM, VSSC, SAIL, Primary Care Almanac, and PACT Compass.
• Contribute to accreditation readiness, including Quick Sweeps, Environment of Care rounds, and clinic daily logs.
• Lead or participate in daily huddles and proactively scrub patient schedules.
• Conduct appointment reminders and outreach to patients before appointments.
• Triage walk-in patients and collaborate with providers to determine a plan of care.
• Follow up on Community Care Consults.
• Promote a caring, courteous, safe, and supportive environment and positive working relationships.
• Share educational findings, experience, and ideas with peers; question clinical practices and participate in strategies that sustain evidence-based practice.

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.
• Federal 401(k) with VA contributions of up to 5%.
• 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: Entry Level
• Education Level: Associate degree