Summary

The Patient Aligned Care Team (PACT) Registered Nurse at the Santa Rosa South VA Outpatient Clinic plays a vital role in the delivery of comprehensive and coordinated primary care to Veterans. As a core member of the interdisciplinary PACT team-which includes a Primary Care Provider (PCP) - Licensed Practical Nurse (LPN) - and Clinical Support Staff-the RN is responsible for the case management - health promotion - disease prevention - and chronic disease management of assigned patients.

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/12921192
• 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: Outpatient clinic and PACT experience
• Salary for this position ranges dependent upon applicant qualifications Grade 1 - Levels 1-3: $153 -887-$204 -663 annually Grade 2: $176 -969-$228 -000 annually Grade 3: $194 -665-$228 -000 annually Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
• The position requires potentially - long periods of combined walking - standing - stooping - sitting - bending - pulling - and pushing
• The incumbent must be a mature - flexible - sensible individual capable or working effectively in stressful situation - able to shift priorities based on needs of the organization
• The incumbent may be required to travel occasionally
• This position potentially requires flexibility in schedule and assignments
• Telework is position dependent and appropriate approvals are required
• telework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements - policies - and processes
• If a position requires driving - incumbent is required to maintain compliance with all relevant policies and processes.

Duties

• **This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until May 22 - 2026
• The initial cut-off date for referral of eligible applications will be April 8 - 2026 - with subsequent cut-off dates every 2 weeks
• Eligible applications received after that date will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available.** ***This position under CBSW-12921192-26-AR is a not-to-exceed appointment with the initial time of not to exceed (NTE) 1 year
• The appointment may be extended depending on program requirements.*** The RN uses the nursing process and evidence-based practices to collaborate with the team in developing and implementing individualized care plans
• The nurse supports patient self-management through education and coaching - ensures timely follow-up - and monitors response to treatment
• This role involves both in-person and virtual care delivery - including telehealth
• Duties include: Manages assigned panel(s) - utilizes registries - and ensures appropriate evaluation and access is provided to patient panels
• Provides health promotion - health education and coaching on wellness - disease prevention - and chronic care management
• Assists in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization
• Integrates outpatient nursing knowledge - skills - abilities - and judgment and is self-directed in goal setting for managing complex PACT situations
• Demonstrates competence in primary care practice and decision-making - deliberate planning - and critical thinking skills
• Demonstrates leadership in delivering and improving holistic - primary care through collaborative strategies with others
• Evaluates practice in an ongoing process - based on best evidence
• Provides peers with informal constructive feedback for improvement
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• Contributes professional outpatient nursing perspective in discussions with the interdisciplinary team
• Partners with others to effect change and produce optimal outcomes
• Supports colleagues through knowledge sharing to provide safe - quality outpatient nursing care
• Shares educational findings - experiences - and ideas with peers
• 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: Intermittent - 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