Nurse PACT

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.
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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 team lead and expanded team. Facilitates care transitions internally and externally 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: M-F 0800-1630
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized

• 2 years recent RN experience preferred in acute care (medical-surgical critical care emergency step-down) and/or primary/ambulatory care managing medically complex adults with acute and chronic conditions.
• Proficient in telephone/in-person triage focused assessments recognizing red flags clinical judgment prioritization and appropriate escalation of care.
• Experience with medication administration immunizations/injections point-of-care testing wound care bladder scanning ear irrigation and other ambulatory procedures.
• Skilled in-patient education interdisciplinary care coordination/follow-up effective communication and accurate EHR documentation.
• Ability to manage competing scheduled and unscheduled clinical demands in a fast-paced outpatient environment.
• 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 ( 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.
• 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.

Basic Requirements:

• 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 masters level bridge program in nursing who have completed coursework equivalent to a bachelors 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.)