RN - Care Manager Patient Aligned Care Team (PACT)
Demonstrates advanced clinical knowledge in assessing, planning, implementing, documenting, and evaluating care for a panel of patients across the continuum of care, recognizing the age related cognitive, physical, emotional, and chronological maturation needs of the adult and geriatric patient. Participates in chronic disease management for panel in collaboration with provider. Engages in Shared Medical Appointments (SMA), and/or RNCM visits. Utilizes the Primary Care Almanac and PACT Metrics to address population health management issues and improve Team processes. Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems. Assists in determining appropriate scheduling based on patient's clinical need. Right person, right place, right time Collaborates with ancillary team members and resources within the clinic to manage clinic access issues. This may include assisting other nursing staff with maintaining clinic flow. Promotes patient, family and team interactions, and problem solving by actively participating in interdisciplinary meetings to facilitate coordination and the achievement of identified goals. Retains current knowledge of multidisciplinary resources, programs, and services, referring patients for community resources as appropriate. Demonstrates ability to collaborate and coordinate with all levels of services and disciplines. Collaborate with patients to assess and identify needs, issues, care goals, and resources for achieving desired outcomes post hospital recovery and health maintenance/wellness by effectively using Motivational Interviewing and TEACH techniques. Supports patient self-management by providing an ongoing relationship with the PACT with current information regarding all options, choices, and resources. Provides patient centered care while respecting patient's personal values, cultural, and belief system. Utilizes approved Protocols and Guidelines to facilitate autonomy in providing care. Works at the top of scope of practice. Accurately documents coordination and care provided in CPRS. Manages patient care alerts in CPRS in a timely, safe and effective manner. Serves as a resource for patient and family rights, responsibilities, and decision-making information and processes. Actively participates in reviewing and updating policies, procedures, and standards to promote evidence-based, patient-driven care. Maintains professional knowledge and skills based on current evidence-based practice. Maintains expertise in chronic care/disease management and Health Promotion/Disease Prevention. Maintains effective working relationships with professionals and support personnel within the medical center and the community. Applies critical thinking and analytical skills to identify barriers for optimal patient care delivery and utilizes processes improvement strategies to correct or improve current state. Utilizes creativity and innovation. Recommends and participates in interdisciplinary opportunities to improve patient care or clinical efficiency. As needed, provides back-up coverage for other team members and other PACT RNCM within the clinic. Work Schedule:
Monday through Friday with shifts between the hours of 7:
00AM to 8:
00PM Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement, 10/24/2019. Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred
Experience:
Bachelor's Degree in Nursing (BSN) AND Three (3) years RN nursing experience in Intensive Care Unit (ICU) or Emergency Room (ER) Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference:
VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements:
The incumbent must be able to perform all activities of the position without restriction. This position involves standing, walking, stooping, bending, reaching, lifting and turning. It may require assisting with transferring patients to/from wheelchairs to exam tables during visits. Mechanical devices, when available, are required to be used for heavy or difficult to lift patients. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The position also requires considerable computer and telephone work while sitting or standing, and requires the nurse to work for periods of time with arms and hands at a computer and on the telephone. The position requires a considerable amount of sitting during patient consultation and typing when entering clinical notes, looking up lab results and other information.
Estimated Salary: $20 to $28 per hour based on qualifications.
Monday through Friday with shifts between the hours of 7:
00AM to 8:
00PM Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement, 10/24/2019. Basic Requirements:
United States Citizenship:
Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the appropriate State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred
Experience:
Bachelor's Degree in Nursing (BSN) AND Three (3) years RN nursing experience in Intensive Care Unit (ICU) or Emergency Room (ER) Grade Determinations:
The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference:
VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements:
The incumbent must be able to perform all activities of the position without restriction. This position involves standing, walking, stooping, bending, reaching, lifting and turning. It may require assisting with transferring patients to/from wheelchairs to exam tables during visits. Mechanical devices, when available, are required to be used for heavy or difficult to lift patients. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The position also requires considerable computer and telephone work while sitting or standing, and requires the nurse to work for periods of time with arms and hands at a computer and on the telephone. The position requires a considerable amount of sitting during patient consultation and typing when entering clinical notes, looking up lab results and other information.
- Department:
0610 Nurse - Salary Range:
$56,068 to $100,948 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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