Registered Nurse- Patient Aligned Care Team (PACT)

Veterans Health Administration • Spokane, WA

8d • Onsite

About The Position

The Registered Nurse-Patient Aligned Care Team (PACT) provides patient-centered care through assessment, planning, implementation, and evaluation. The nurse coordinates care with an emphasis on patient education, self-management, and satisfaction; administers medications and treatments according to established policies; and collaborates with interdisciplinary teams to support quality patient care. The position provides direct Veteran care and care coordination in the Primary Care Department, manages assigned patient panels, and supports health promotion and chronic care management. The nurse practices with increasing self-direction and applies primary care principles and critical-thinking skills.

The position requires professional nursing education from an appropriately accredited school and current, full, active, unrestricted U.S. nursing registration, subject to the stated Graduate Nurse Technician exception. Grade and level are determined by the applicable nursing education, specialized experience, and practice criteria. Preferred experience includes 2–3 years of RN experience, ICU/ED experience, and ambulatory care experience. The role has a Monday–Friday schedule from 8:00 a.m. to 4:30 p.m.; compressed or flexible scheduling may be authorized. Telework and virtual work are not available. Physical requirements include lifting and carrying, pulling and pushing, reaching, walking, standing, kneeling, bending, climbing, and coordinated use of hands, arms, and legs. The work environment includes constant noise, moving objects and vehicles, close collaboration as well as working alone, patient-care-related fatigue factors, and potentially protracted or irregular hours.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, or qualifying nursing 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; a temporary Graduate Nurse Technician appointment may be available to qualifying candidates pursuing licensure.
• Meet the education, experience, and dimension criteria for the grade and level sought; requirements vary by grade and may include an ADN, diploma, BSN, MSN, doctoral degree, and specified professional nursing experience.
• U.S. citizenship, except that non-citizens may be appointed when recruiting qualified citizens is not possible under VA policy.
• Complete required pre-employment screening and onboarding, including a background/security investigation, pre-employment physical evaluation, and drug testing if tentatively selected for a testing-designated position.
• Register for Selective Service if male and born after December 31, 1959.
• Participate in the seasonal influenza vaccination program.
• Meet all application requirements described in the announcement.

Nice To Haves

• 2–3 years of RN experience.
• ICU/ED experience.
• Ambulatory care experience.

Responsibilities

• Take responsibility and accountability for individual nursing practice and determine appropriate delegation of tasks to provide optimal care.
• Provide sex-specific direct Veteran care and care coordination within the Primary Care Department, as applicable.
• Manage assigned patient panels and use registries, 2-Day Discharge reports, and other PACT data and reports to support appropriate evaluation and access.
• Provide health promotion, health education, and coaching on wellness, disease prevention, and chronic care management.
• Develop outpatient PACT nursing practice with increasing self-direction.
• Formulate plans of care based on nursing assessments.
• Seek guidance to improve care provided to patients and families.
• Delegate elements of care to appropriate individuals based on assessed needs, condition, and patient safety.
• Apply primary care principles and theory using critical-thinking skills.
• Administer medications and treatments in accordance with established policies.
• Collaborate with interdisciplinary teams to support quality patient care.

Benefits

• Competitive salary, regular salary increases, and potential performance awards.
• 50 days of paid time off per year, consisting of 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 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: Entry Level
• Education Level: Associate degree