Registered Nurse (Ambulatory Care)

Department of Veterans Affairs

Registered Nurse (Ambulatory Care, PACT) This position will support the Ambulatory Care service with the Patient Aligned Care Team (PACT) at the Virginia Beach VA clinic in Virginia Beach, VA. This nurse provides direct Veteran care and care coordination, as it pertains, to Veterans and their care within the Primary Care Department.

• Functions or Scope of Assigned Duties: The PACT Outpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based care to primary care patients with oversight of licensed vocational nurses/nursing assistants as appropriate to the setting. This nurse provides direct Veteran care and care coordination, as it pertains, to Veterans and their care within the Primary Care Department. In addition, the RN will... 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. Assist in directing the provision of nursing education, orientation, competencies and providing quality improvement and enhance outcomes utilization. Assumes the role of Charge or Co-charge Nurse. Demonstrates timely and effective communication. Promotes seamless care coordination. Ensures effective and timely management of CPRS alerts, Call Center Relay Messaging Queue (CMRQ), and Secure Messaging by ensuring that patients' requests are acknowledged within 72 hours of receipt. Consistently complies with the Standard of Work (SOW) for ED and Inpatient 2-day post discharge calls. Collaborates with patients and interdisciplinary teams. Responsible for a robust chronic disease management program. Monitors PACT metrics with particular emphasis on HEDIS measures. Demonstrates proficiency in PACT reports including eQM (electronic quality management), VSSC (VA Support Service Center), SAIL and Primary Care Almanac, and PACT Compass. Collaborates with the patients and care teams to develop meaningful goals for patients. Contributes to Accreditation Readiness including Quick Sweeps, Environment of Care (EOC) rounds, and clinic daily logs. Leads and/or participates in daily huddles. Initiates and follows through with patient schedule scrubbing days to weeks in advance. Conducts Outreach to patients prior to appointment time to complete reminders. Triages walk-in patients and collaborate with providers to determine a plan of care. Conducts nurse visits and provide patient education. Rooms patients, performs treatments, administers medications, performs other patient care duties. Follows up on Community Care Consults. Veteran/Patient Driven Care: Provides and directs others in Veteran/patient driven care by optimizing the patient experience, satisfaction, and/or safety for a team of patients. Expectations: 1. Provides and directs others in Veteran/patient driven care that optimizes the patient's experience, satisfaction, and/or safety for a team of patients. 2. Maintains professional boundaries to protect patient vulnerabilities and act in the best interest of the patient. Role models and displays ethical behavior. 3. Recognizes ethical issues related to professional nursing practice and models appropriate action by providing and directing others in the provision of care following established policies and ANA Code of Ethics for Nurse. Evidence-Based Practice/Research: Applies evidence-based practice/research, considering patient preferences, to improve quality of care and resource utilization, participating in established improvement activities. Expectations: 1. Models the application of evidence-based practice/research with peers to improve patient care. 2. Models effective resource utilization through the delegation of cost-effective care delivery. 3. Recruits' peers to participate in unit level performance improvement activities This position is subject to other duties as assigned and therefore potentially requires flexibility in schedule and assignments. 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

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