Nurse PACT

<p>This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.</p><h3>Major Duties</h3><p>Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care The Care Manager Registered Nurse (CMRN) is responsible for providing competent, evidence-based care to assigned patients. Provides patient management, care coordination, and discharge planning for inpatient and outpatient settings, assisting Veterans, family members, and caregivers in accessing appropriate services for complex health care needs. Coordinates care across multiple providers and settings, ensuring continuity of care within VA and community programs. Addresses psychosocial, nursing, and medical needs through interdisciplinary collaboration, expediting care from diagnosis to treatment. Manages laboratory and radiology results, utilizing databases for population management and evaluating care outcomes. Advocates for holistic care through education and provider interaction, implementing educational plans to meet patient needs. The Patient Aligned Care Team (PACT) CMRN provides outpatient primary and specialty care, supporting patients aged 18 and older. Duties include medical/surgical exams, acute illness management, preventative medicine, chronic disease management, patient education, and emotional support. Executes leadership responsibilities within the interdisciplinary team, supporting primary care providers and may take on additional roles based on experience and competency. Applies PACT principles using evidence-based practice to develop patient-driven care plans in collaboration with the teamlead and expanded team. Facilitates care transitions internally andexternally to meet patient needs, providing health education focused on self-management, prevention, and wellness. Acts as an advocate for patients and a leader within the team, following VA guidelines for health coaching, education, and home telehealth monitoring to improve clinical outcomes. Provides patient-centered, proactive care that is data-driven, team-based, accessible, timely, comprehensive, and coordinated. Acts proactively to anticipate future situations, engaging patients as partners in their care and building strong patient-provider relationships. Delivers health education spanning the continuum of care, including clinical preventive services aimed at promoting health, preventing disease, and minimizing future morbidity and mortality. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday-Friday 0800-1630 Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact jillana.martinez@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>Strong clinical knowledge and experience in chronic disease management. Direct patient care experience in Medical/Surgical (Med/Surg), Intensive Care Unit (ICU) or Emergency Department (ED) settings preferred. Demonstrated experience in case management, including coordinating care for patients with complex and chronic medical needs. Excellent interdisciplinary communication and collaboration skills. Exceptional ability to multitask and efficiently manage competing priorities in a fast-paced and frequently interrupted environment. Skilled in developing individualized patient care plans, patient education, and care coordination. Ability to utilize clinical judgment in assessing, planning, implementing, and evaluating care. U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the "Required Documents" section of this announcement.