Summary

The Registered Nurse (RN) provides patient-centered care in an outpatient setting in Goldsboro Community-Based Outpatient Clinic (CBOC) as part of the Patient Aligned Care Team (PACT). Responsibilities include patient assessment - care coordination - medication administration - and patient education. The RN collaborates with an interdisciplinary team to promote quality outcomes and ensure continuity of care.

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/12913031
• 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: One year nursing experience in Ambulatory Care - Long Term Care - or Med-Surgery
• Physical Requirements: The physical demands of the work are generally minor
• The work is primarily sedentary in nature and usually occurs within climate controlled clinical and administrative settings
• Use of fingers may be required to operate computers
• There may be occasional light lifting/carrying (15 pounds or less) requirements to relocate boxed materials from one area to another - equipment and room set - up - and ambulation related to physical inspections of the facilities.

Duties

• The RN functions as a member of the Patient Aligned Care Team (PACT) and is responsible for providing comprehensive - coordinated - and continuous care to a panel of patients in an outpatient setting
• Major duties include - but are not limited to: Performs comprehensive patient assessments - including physical - psychosocial - and functional status - and identifies care needs based on clinical findings
• Utilizes critical thinking and clinical judgment to develop - implement - and evaluate individualized patient care plans
• Provides direct patient care - including medication administration - treatments - and procedures in accordance with established policies and evidence-based practices
• Conducts triage and prioritizes patient care needs - including responding to walk-ins - phone calls - and secure messaging
• Coordinates care across interdisciplinary teams - including providers - social workers - pharmacists - and other healthcare professionals to ensure continuity of care
• Manages a panel of patients using population health strategies - including tracking - follow-up - and preventive care measures
• Provides patient and family education related to disease management - medications - treatments - and health promotion
• Documents all patient care activities accurately and timely in the electronic health record (CPRS/Vista or current system)
• Monitors patient responses to interventions and adjusts care plans accordingly to ensure optimal outcomes
• Participates in quality improvement initiatives - performance measures - and patient safety activities
• Demonstrates knowledge and application of infection control practices and maintains a safe clinical environment
• Supports care coordination for transitions between care settings - including hospital discharge follow-up and specialty referrals
• Serves as a patient advocate to ensure ethical and patient-centered care delivery
• Collaborates with leadership and participates in staff meetings - training - and ongoing professional development
• Provides guidance and mentorship to support staff - LPNs - and unlicensed personnel as appropriate
• Adheres to all VA policies - regulatory requirements - and accreditation standards
• Work Schedule: Monday-Friday 08:00am-4:30pm Telework: Available
• Virtual: This is not a virtual position
• Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized