Nurse PACT

The Marion Il VMAC is seeking a full-time registered nurse to join the Marion IL Primary Care Team. The Patient Aligned Care Team (PACT) Registered Nurse (RN) Care Manager delivers and manages comprehensive, patient-centered care for an assigned panel of Veterans in a Women's Health Primary Care outpatient clinic setting.

Major duties

The RN utilizes the nursing process, evidence-based practice, and clinical judgment to support chronic disease management, preventive health, care coordination, and population health initiatives. As a key member of the interdisciplinary PACT team, the RN promotes effective communication, Veteran engagement, and high-quality, ethical nursing practice for gender-specific care needs within primary care, including support for Women's Health services as assigned The RN functions independently within the full scope of professional nursing practice, demonstrating accountability for assessing, planning, implementing, and evaluating nursing care. The RN collaborates with providers and interdisciplinary team members, supports care transitions, and engages Veterans in shared decision-making and self-management Primary duties include, but are not limited to:

• Serving as the primary point of contact for care management and coordination for an assigned patient panel, with emphasis on high-risk patients and care transitions
• Using nursing expertise, evidence-based guidelines, and protocols to develop and update individualized care plans in collaboration with the PACT team
• Providing health education, coaching, and counseling focused on prevention, wellness, and chronic disease self-management
• Assisting with and coordinating Women's Health preventive screenings, procedures, patient education, basic triage, or coordination of gender-specific care needs within the Women's Health primary care setting.
• Working closely with internal VA services and community resources to ensure comprehensive, coordinated care
• Participating in quality improvement activities and monitoring population health outcomes to identify and address care gaps
• Maintaining current knowledge of available resources, programs, and referral processes to support Veteran navigation of the healthcare system
• Assessing Veterans for telehealth needs, supporting VA Video Connect utilization, and completing documentation for workload capture and clinical standards
• Demonstrating proficiency in initiating and performing assigned nursing duties for a diverse patient population
• Reporting and escalating clinical or operational issues that may impact workflow or patient care
• Completing required training, maintaining competencies, and supporting compliance with organizational standards
• Assisting during emergent situations, initiating or supporting CPR and emergency responses as needed
• Administering medications and treatments safely and promptly, with appropriate monitoring and documentation
• Responding to patient physical and emotional needs, recognizing deviations from baseline, and reporting concerns
• Encouraging Veteran and family participation in care planning and self-management
• Documenting all care provided, setting priorities based on patient condition, and adjusting sequencing of tasks independently
• Participating in staff meetings, maintaining flexibility, demonstrating effective time management, and communicating clearly with stakeholders
• Establishing therapeutic relationships that promote trust, dignity, respect, and positive patient outcomes
• Retrieving and entering clinical data, completing required unit-based activities, and maintaining competency in electronic health system. And other duties as assigned 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 8:00am - 4:30pm Telework: not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: not authorized Permanent Change of Station (PCS): not authorized

Qualifications

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 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: https://apply.usastaffing.gov/ViewQuestionnaire/13091260. 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 additional 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. Preferred experience:

• Minimum 2 years of primary care, outpatient, or care management nursing experience
• 5 years of RN experience preferred
• Experience supporting gender-specific or Women's Health needs within a primary care setting (such as preventive screenings, procedures, basic symptom triage, or coordination of related services)
• BSN preferred Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care, and potentially long periods of walking, standing, sitting, moderate lifting, repeated bending, or kneeling. Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients Utilization of safe patient handling and mobility protocols

Requirements

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/examination. 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.