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U.S. Department of Veterans Affairs

Registered Nurse Outpatient Primary Care-PACT Kearny Mesa

san diego, CA

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Job description

Summary

The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse Care Manager is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care. This nurse provides sex‑specific direct Veteran care and care coordination - as it pertains - to Veterans and their care within the Primary Care Department. Manages assigned panel(s) - utilizes registries - and ensures appropriate evaluation.

Qualifications

English Language Proficiency

In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English

Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)

OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program

Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program

(Reference VA Handbook 5005 - Appendix G6)

OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program

Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)

Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia

Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case‑by‑case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification

Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade

The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment:

Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies

An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required

Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex

An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required

Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning

Self-directed in goal setting for managing complex client situations

An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2

OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2

OR a Master's degree in nursing (MSN) and no additional professional nursing experience

OR a Master's degree in a *related field with a BSN and no additional professional nursing experience

Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others

A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3

OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3

OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3

OR a Doctoral degree in Nursing with no professional nursing experience

OR a Doctoral degree in a *related field with a BSN with no professional nursing experience

Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting

MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III

OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III

*Note: Foreign education programs/degrees are not creditable as related degrees

Reference: For more information on this qualification standard - please visit

Physical Requirements: Heavy Lifting (45 lbs and over)

Straight Pulling - Pushing - Walking - Standing - Repeated bending (8 - 12 hours)

Reaching above shoulder

Use of fingers

Both hands and legs required

Ability for rapid mental and muscular coordination simultaneously

Near vision correctable at 13" to 16" to Jaeger 1 to 4

Far vision correctable in one eye to 20/20 and 20/40 in the other

Both eyes required

Depth perception

Ability to distinguish basic colors and shades of colors

Hearing (aid permitted)

Emotional/Mental stability

Keyboarding and reading computer screen (8-12 hours intermittently over scheduled shift).

Duties

The PACT RN Care Manager assumes the following major duties and responsibilities: 1

Provides direct patient care based on current standards of nursing care - PACT recommendations - patient care needs - and staff competencies

2

Participates in PACT performance measure improvement activities such as - but not limited to - 2-day post-discharge contact - chronic disease management - preventative care - clinical reminder compliance - etc

3

Participates in ongoing PACT process improvement workplace activities as appropriate to the individual's position - education - and practice environment

4

Plans and documents patient care and nursing resource utilization - accounting of maximum staff productivity - staff/time efficiency - and positive patient outcomes

5

Supports more than one PACT as an RN Care Manager when clinically indicated

6

Participates in daily and weekly PACT huddles

7

Performs unit audits as assigned

8

Maintains current knowledge of and adheres to Primary Care standards - recommended practices and guidelines

9

When available/offered - successfully completes Care Coordination and Transition Management (CCTM) and Telephone Triage training

10

Completes TEACH and Motivational interviewing training within first year of assignment to PACT

11

Guides allied health care providers and support personnel with appropriate authority

12

Performs other duties as assigned

Preferred Experience: Ambulatory Care experience 1-3 years

VA experience 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 - Telework: Not Available Virtual: This is not a virtual position

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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Worksite address

san diego, CA, 92189, US

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