Registered Nurse - Patient Aligned Care Team

Summary

The Washington, DC VA Medical Center, part of the VA Washington DC Health Care System, is a tertiary care, Complexity Level 1B major interdisciplinary teaching facility providing comprehensive primary and specialty healthcare services to Veterans. The Registered Nurse (RN) is responsible for providing professional, evidence-based nursing care to Veterans in accordance with established VA policies, procedures, and clinical practice standards.

Duties

• Patient Aligned Care Team (PACT) Registered Nurse Care Manager - Nurse I, II, and III The following is a polished, consolidated VA-style position description that maintains the distinctions in responsibilities and proficiency among Nurse I, Nurse II, and Nurse III. PACT Registered Nurse Care Manager - Nurse I (Level 1) The PACT Registered Nurse Care Manager Nurse I utilizes the nursing process and evidence-based practices to provide patient-centered, comprehensive care in collaboration with the Patient Aligned Care Team (PACT). The incumbent serves as an integral member of the Teamlet, consisting of the patient, Primary Care Provider (PCP), RN Care Manager, and Clinical Support Technician. The nurse collaborates with the broader interdisciplinary team, including family members, caregivers, and internal and community-based healthcare providers, to develop and implement individualized, patient-driven holistic care plans. Responsibilities include coordinating patient care, promoting health education and self-management, facilitating continuity of care, and coordinating transitions between VA and non-VA healthcare services to ensure patient needs are effectively addressed. PACT Registered Nurse Care Manager - Nurse II The PACT Registered Nurse Care Manager Nurse II demonstrates leadership, clinical competence, and progressive mastery of nursing practice in delivering efficient, comprehensive, continuous, and patient-driven holistic care. The incumbent actively collaborates with patients, interdisciplinary team members, and internal and external healthcare providers to coordinate care, communicate treatment needs, and manage healthcare resources. The nurse incorporates individual patient characteristics, including age, developmental stage, health status, cultural background, socioeconomic circumstances, values, and beliefs, when developing and implementing individualized care plans. The incumbent actively participates in unit- and service-level performance improvement initiatives, quality assurance activities, and customer service programs. The nurse promotes the medical center's mission, vision, and values while supporting Equal Employment Opportunity (EEO) initiatives, partnerships, customer service standards, and compliance with VA policies, procedures, and established nursing practice standards. PACT Registered Nurse Care Manager - Nurse III The PACT Registered Nurse Care Manager Nurse III provides advanced nursing care, clinical leadership, and professional guidance in the promotion and maintenance of health and the prevention of illness and injury. The incumbent applies the nursing process, including systematic data collection, comprehensive assessment, clinical judgment, care planning, implementation, and evaluation of patient responses to actual or potential health problems. Responsibilities include case management, health education, patient counseling, disease prevention, health promotion, and the provision of supportive and restorative nursing care. The nurse executes prescribed medical regimens, including the administration of medications and treatments authorized by licensed healthcare providers. The incumbent demonstrates accountability for clinical decision-making, patient advocacy, care coordination, and the delivery of safe, effective, evidence-based nursing services. In accordance with the American Nurses Association (ANA) Code of Ethics, the nurse's primary professional commitment is to the patient, whether an individual, family, group, or community. 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: TBD 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/13106073. 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: BSN with 3 Years of PACT experience preferred. Prior 5 years of Acute/Critical care experience preferred. Physical Requirements: USE THIS STATEMENT FOR YOUR PHYSICAL REQUIREMENTS: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements

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.

Grade: AD 00. . Apply by 2026-11-09 on USAJOBS.