Registered Nurse Primary Aligned Care Team (PACT)
South Texas Veterans Health Care System (STVHCS) is comprised of seven primary care outpatient facilities:
North Central, Shavano Park, Balcones Heights, South Bexar, Audie Murphy, Frank Tejeda, Kerrville, and Victoria. STVHCS serves one of the largest primary service areas in the nation and is part of the VA Heart of Texas Veterans Integrated Service Network (VISN 17). We are seeking a Registered Nurse who will provide nursing support throughout the Primary Care Clinics. The RN will consistently be able to fulfill the standards of Nursing Practice in accordance with established policies and procedures of the Department of Veterans Affairs and Nursing Service. Registered Nurse RN Primary Aligned Care Team (PACT) Duties:
The Registered Nurse (RN) will perform a wide range of clinical and/or administrative duties and will utilize nursing skills when assessing and triaging unscheduled patients as walk-ins, over the phone or via secure messaging. Assures current, comprehensive, and timely documentation is contained in the patient's medical record and any other pertinent records. Uses the nursing process, evidence-based practice, and effective communication to collaborate with healthcare providers, family and/or caregiver as well as internal VHA and community based services. The RN must work collaboratively within an intradisciplinary team to assist in the care of complex populations. Performs a variety of tasks to include but not limited to:
Vital signs, EKGs, immunizations, injections, blood cultures, PICC line management, setting up and assisting with procedures, wound care and other tasks as required. The RN oversees the duties and performance of the LVNs. May function as charge nurse and preceptor; prepares schedule, makes/adjusts staffing assignments, etc. They will foster/support a learning environment by participation in the orientation of new employees, providing feedback as appropriate and seeking opportunities for self-improvement. The RN will also perform telehealth duties as required, which may include but not limited to:
Assisting providers with set and assessment via telehealth equipment, conducting duties related to telemed, teleretinal, telederm, etc. The RN may also be required to work in the telecare department and/or assist with Traveling Veteran Coordination (TVC). Telecare and TVC duties may include but are not limited to:
Consulting and collaborating with non-VA facilities as well as other VA health care professionals/administrators to expedite care for traveling Veterans and Veterans not assigned to a Primary Aligned Care Team (PACT). The RN promotes patient self-management, prevention, and wellness; while incorporating critical thinking and customer service skills into all aspects of the role. Must be able to participate in all PACT activities, huddles, and training as well as other relative training. The primary care clinics covered by this position include North Central, Shavano Park, Balcones Heights, South Bexar, Audie Murphy, Kerrville, and Victoria. Relocation expenses will not be reimbursed Work Schedule:
8:
00 am - 4:
30 pm (Tour of Duty and location may change due to patient care needs to include weekends and extended hours). Tour location may vary depending on patient care needs and staffing requirements. Travel reimbursement will be requested when covering a clinic beyond 50 miles of your base location. Financial Discloser Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/05/2019. . 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. 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. English Proficiency. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Preferred
Experience:
Preferred
Experience:
Three years Nursing experience BSN Current/Recent PACT Experience Triage/Telephone Triage Excellent Communication Skills, Flexibility, Dependability, and Critical Thinking Skills 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 Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference:
VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements:
Moderate Lifting (15-44 lbs); Moderate Carrying (15-44 lbs); Straight Pulling (1 hour); Pushing (1-3 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (4 hours); Standing (2-7 hours); Kneeling (2 hours); Repeated bending (2 hours); Climbing, use of legs and arms; Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13 to 16 to Jaeger 1 to 4; Specific visual requirement:
20/40 DVA, corrected; Both eyes required; Ability to distinguish basic colors; Hearing (aid permitted); Sitting (8 hours); Simple Grasping (2-4 hours); Fine Manipulation (including keyboarding 4-6 hours); Twisting (2 hours); Mental and Emotional Stability.
Estimated Salary: $20 to $28 per hour based on qualifications.
North Central, Shavano Park, Balcones Heights, South Bexar, Audie Murphy, Frank Tejeda, Kerrville, and Victoria. STVHCS serves one of the largest primary service areas in the nation and is part of the VA Heart of Texas Veterans Integrated Service Network (VISN 17). We are seeking a Registered Nurse who will provide nursing support throughout the Primary Care Clinics. The RN will consistently be able to fulfill the standards of Nursing Practice in accordance with established policies and procedures of the Department of Veterans Affairs and Nursing Service. Registered Nurse RN Primary Aligned Care Team (PACT) Duties:
The Registered Nurse (RN) will perform a wide range of clinical and/or administrative duties and will utilize nursing skills when assessing and triaging unscheduled patients as walk-ins, over the phone or via secure messaging. Assures current, comprehensive, and timely documentation is contained in the patient's medical record and any other pertinent records. Uses the nursing process, evidence-based practice, and effective communication to collaborate with healthcare providers, family and/or caregiver as well as internal VHA and community based services. The RN must work collaboratively within an intradisciplinary team to assist in the care of complex populations. Performs a variety of tasks to include but not limited to:
Vital signs, EKGs, immunizations, injections, blood cultures, PICC line management, setting up and assisting with procedures, wound care and other tasks as required. The RN oversees the duties and performance of the LVNs. May function as charge nurse and preceptor; prepares schedule, makes/adjusts staffing assignments, etc. They will foster/support a learning environment by participation in the orientation of new employees, providing feedback as appropriate and seeking opportunities for self-improvement. The RN will also perform telehealth duties as required, which may include but not limited to:
Assisting providers with set and assessment via telehealth equipment, conducting duties related to telemed, teleretinal, telederm, etc. The RN may also be required to work in the telecare department and/or assist with Traveling Veteran Coordination (TVC). Telecare and TVC duties may include but are not limited to:
Consulting and collaborating with non-VA facilities as well as other VA health care professionals/administrators to expedite care for traveling Veterans and Veterans not assigned to a Primary Aligned Care Team (PACT). The RN promotes patient self-management, prevention, and wellness; while incorporating critical thinking and customer service skills into all aspects of the role. Must be able to participate in all PACT activities, huddles, and training as well as other relative training. The primary care clinics covered by this position include North Central, Shavano Park, Balcones Heights, South Bexar, Audie Murphy, Kerrville, and Victoria. Relocation expenses will not be reimbursed Work Schedule:
8:
00 am - 4:
30 pm (Tour of Duty and location may change due to patient care needs to include weekends and extended hours). Tour location may vary depending on patient care needs and staffing requirements. Travel reimbursement will be requested when covering a clinic beyond 50 miles of your base location. Financial Discloser Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/05/2019. . 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. 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. English Proficiency. Must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 7407(d). Preferred
Experience:
Preferred
Experience:
Three years Nursing experience BSN Current/Recent PACT Experience Triage/Telephone Triage Excellent Communication Skills, Flexibility, Dependability, and Critical Thinking Skills 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 Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree and approximately 2-3 year's of nursing practice/experience. Reference:
VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements:
Moderate Lifting (15-44 lbs); Moderate Carrying (15-44 lbs); Straight Pulling (1 hour); Pushing (1-3 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (4 hours); Standing (2-7 hours); Kneeling (2 hours); Repeated bending (2 hours); Climbing, use of legs and arms; Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13 to 16 to Jaeger 1 to 4; Specific visual requirement:
20/40 DVA, corrected; Both eyes required; Ability to distinguish basic colors; Hearing (aid permitted); Sitting (8 hours); Simple Grasping (2-4 hours); Fine Manipulation (including keyboarding 4-6 hours); Twisting (2 hours); Mental and Emotional Stability.
- Department:
0610 Nurse - Salary Range:
$61,493 to $128,352 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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