at Veterans Affairs, Veterans Health Administration in Bangor, Maine, United States
Job Description
Summary These PACT RN positions are located in Primary Care Service at the Bangor, ME CBOC (Community Based Outpatient Clinic). They are full-time positions at 40 hours per week. Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards The responsibilities of this position include, but are not limited to: Engages in CBOC level activities to help improve clinical operations and overall effectiveness of the care delivery model. Participates in-clinic committees and workgroups to improve workflow, access, population health management, veteran satisfaction, and employee engagement. Such activities promote achievement of clinic, station, VISN, and strategic initiatives. Demonstrates self-direction in providing nursing care to patients with complex care needs in a fast-paced ambulatory adult clinic. Using the nursing process, the RN coordinates patient care with other healthcare disciplines, the patient and family. Initiates effective action in potential or actual emergencies directing others and responding appropriately while maintaining a safe and therapeutic environment. Applies knowledge of nursing policies and procedures applicable to areas of assignment. Provides appropriate care management services to patients assigned to the PACT. Assesses factors impacting patients’ health status and works with the patient and personal support persons to manage care in a way that relieves constraints or barriers to desired health status. Delivers patient-centered healthcare that focuses on discovering the Veteran’s vision of living life fully and achieving his or her goals for health. Provides patients and personal support persons with health education and coaching, and engages them in developing strategies for managing their full range of health conditions Collaborates with appropriate PACT members to develop and implement personal health plans for individual patients and for cohorts of patients. Assesses patient communication abilities, including educational and literacy level, preferences relative to language, ethnic or cultural communication, and participation in health care decision-making, the need for translators or interpreters, and presence of speech or visual impairments. Obtains patients’ health care delivery modality preferences. In collaboration with the provider and/or veteran, chooses the most appropriate approach based on nature of healthcare need. Engages Case Managers when patient needs exceed the PACT resources or when specialized case management services are required. Utilizing the tools of the Primary Care Delivery System, organizes structured team meetings, actively participates in daily huddles and pre-planning meetings to deliver exceptional population health by emphasizing preventative services and chronic disease management. Engages in activities that support achievement of strategic goals and objectives 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: Full-Time, 40 hours per week, Monday-Friday, Days Compressed/Flexible Work Schedule: Not Authorized Telework/Virtual/Remote Work: Not Authorized Relocation, Recruitment, Permanent Change of Station (PCS) or Travel Incentives: Not Authorized Financial Disclosure Report: Not required Notifications: This is a Bargaining Unit Position. This position is in the Excepted Service. The Professional Standards Board (a peer-review group) will recommend the grade and salary for new appointments based on the candidate’s education and experience. For internal selectees being promoted, the board will determine grade and HR will determine step in accordance with policy. Requirements Conditions of Employment All qualified candidates encouraged to apply. Open to U.S. Citizens but non-citizens may be appointed when it is not possible to recruit qualified citizens.. 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. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) – See “Additional Information” below for details. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 State-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). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: Ability to work well as part of an interdisciplinary team Clinical Leadership skills Effective communication skills with patients, families, and others Demonstrates the ability to work independently Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I – An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II – An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor’s degree in a related field with no additional nursing practice/experience; OR a Bachelor’s of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I