The Mann-Grandstaff VA Medical Center is recruiting for one registered nurse to perform Primary Care duties as part of a Patient Aligned Care Team in Spokane, WA.
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/12735498. 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. Preferred Experience: One year of RN experience. One year of experience in an Ambulatory Care setting. Flexible and able to adjust to ever changing work environment. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Functional Requirements: Heavy lifting (45 pounds and over), moderate lifting (15-44 pounds), light lifting (under 15 pounds), moderate carrying (15-44 pounds), light carrying (under 15 pounds), straight pulling, pulling hand over hand, pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, kneeling, repeated bending, climbing with use of legs and arms, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, good vision, depth perception, ability to distinguish basic colors, ability to distinguish shades of colors, mental stability, emotional stability.
The Mann-Grandstaff VA Primary Care clinic is a clinic that offers holistic care to U.S. military Veterans with the understanding of their unique experience and how it influences their needs. Primary care is delivered through the Patient Aligned Care Team (PACT) model: a licensed independent provider (LIP), a RN Nurse Care Manager (NCM), a clinical associate (RN/LPN/NA), and a medical support assistant (MSA). The PACT team works together to maintain the health and well-being of their panel and to provide service that makes the Veteran want to choose VA. The PACT RN reports directly to the Nurse Manager who provides clinical support, mentorship, and coaching to nursing staff. The PACT RN's core duties are to manage their assigned panel(s), utilize registries to ensure Veterans are up-to-date on preventative screenings and vaccines, Veteran intake for appointments, medication and allergy reviews, collaborate with external services (e.g., pharmacy, community providers, referral coordination, etc.), and maintain message pools in the electronic health record to ensure Veterans' needs are met. The (PACT) (RN) is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal care. This nurse provides health promotion, health education and coaching on wellness, disease prevention, and chronic care management. To achieve their core duties, the RN is expected to: Independently plan and deliver technically competent care to patients with complex needs in alignment with the ANA Standards of Nursing Practice. Manage the care of patients, while organizing and prioritizing patient care needs, and ensuring assigned tasks are completed. Collaborate with the interdisciplinary team to ensure the plan of care is achieved. Delivers trauma informed care to protect patient vulnerabilities and act in the best interest of the patient. Demonstrates exemplary ethical conduct and serves as a positive role model. Recognize 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 Nurses. Model high reliability principles and I CARE values to improve patient outcomes. Be consistent and dependable in carrying out responsibilities and exercises sound judgement. Model the application of evidence-based practice/research with peers to improve patient care. Model effective resource utilization through the delegation of cost-effective care delivery. Integrate individual preferences and goals into evidence-based decision-making. 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: Full-time, 8:00am - 4:30 pm Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized