Ambulatory Care PACT LPN

LPN/LVN responsibilities include:

The Ambulatory Care Patient Aligned Care Team (PACT) Licensed Practical Nurse (LPN) GS-7 functions as a member of the health care team by demonstrating an exceptional degree of practical nursing knowledge and skills necessary for self-direction in carrying out complex practical nursing care assignments within the PACT Primary Care Clinics for a Veteran population with a variety of health care needs. The PACT team is comprised of a provider (MD NP PA or DO) RN LPN and administrative support person (MSA). Although this position partners with other PACT team members PACT LPNs successfully and consistently demonstrate independent technical judgment as well as comprehensive and thorough working knowledge of complex practices and procedures. Incumbent demonstrates knowledge experience skill and self-motivation to carry out complex patient assignments which include prioritization and coordination of clinical activities with minimal supervision. PACT team members have independent duties within the team to ensure that the patient panel is receiving high quality care and has access to care including same-day access. Position requires completion of at least one year of additional qualifying experience at the GS-6 level or equivalent fully meeting all the performance requirements for the GS-6 LPN.

The incumbent collaborates with a PACT team to provide complex/specialized patient-centered care to a panel of approximately 1200 patients taking into consideration patients ages cultural backgrounds education level and any other special needs. The panel population is multifaceted including geriatric patients patients from all war-time eras female patients and patients with complex psychiatric needs. The LPN completes assigned duties and responsibilities that involve performing non-standard and specialized practical nursing activities requiring broad nursing knowledge experience and skills to address a wide range of care addition to performing the duties of a GS-6 PACT LPN the incumbent demonstrates self-direction in performing an extensive range of nursing care according to established policies and procedures which includes an expanded scope of practice. The LPN has complex responsibilities above the level of a GS-6 including nurse health maintenance visits panel management data analysis and performance/quality improvement roles. These responsibilities also include independent implementation of evidence-based nursing practice and demonstration of advanced competence that promotes quality patient care to improve outcomes safety and performance metrics. This grade level position requires broader knowledge and skills because supervision is more general and employees are expected to be involved to a greater degree in PACT panel management modification of treatment plans and organizational performance improvement initiatives.

Work Schedule: Monday - Friday 7:30 am - 4:00 pm
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives (Sign-on Bonus): Not Available
Permanent Change of Station (PCS): Not Authorized

• You must be a U.S. Citizen to apply for this job.
• 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.
• Must be proficient in written and spoken English.
• 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 ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the Required Documents section of this announcement.

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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.
• English Language Proficiency. In accordance with 38 U.S.C. 7402(d) no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Education - Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant. Exceptions include health care education in the military service or training in the military service which is accepted by the licensing body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be accepted as meeting the education requirements for VHA employment OR granted a license by a jurisdiction that does not require graduation from an approved school AND have at least one year of successful practice as an LPN/ LVN.
• Licensure - Active full current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State Territory or Commonwealth (i.e. Puerto Rico) of the United States or the District of Columbia.

• Knowledge and skills necessary to care out more specialized patient care duties including assignments in more complex inpatient and/or outpatient care settings.
• Ability to assist RN and/or MD/DO to appropriately prioritize overall patient care needs and adjust plans for care delivery making astute observations of subtle less obvious changes (both physical and emotional) in patients conditions and taking the appropriate action.
• Ability to proactively assist the RN or MD/OD in addressing patients needs for medication/treatments accurately administering prescribed medications/treatments and appropriately recording patients response to medications/treatments received.
• Knowledge and skill to promptly recognize potential urgent or emergent patient care situations.
• Assists individuals or groups of patients and their families to take an active role in promoting health lifestyles for more positive outcomes. Exercises skill in influencing and communicating with unusually difficult to care for or communicate with patients and/or family members who may exhibit problems with lack of self-control resistant or abusive behaviors or impediments in their ability to understand or follow instructions.
• Skill creativity and initiative in contributing to the improvement of overall care delivery and patient and/or family satisfaction levels.
• Comprehensive practical nursing knowledge and skills in specialized procedures and practices to serve as a resource person for other staff in organizing and implementing more complex/specialized patient care.
• Ability to support the RN or MD/DO in monitoring the practice of unlicensed nursing or non-medical staff in patient care delivery.

• Acute Care Experience
• PACT Experience
• Ambulatory Care Experience