The Patient Aligned Care Team (PACT) RN position is located in Primary Care Service at the Fitchburg location. This position is a Full-Time at 40 hours per week. The RN Care Manager uses the nursing process and evidence-based practice to collaborate with the Team (Patient, Primary Care Provider, RN Care Manager, Health Technician/LPN and clerical staff) and expanded team members (family/caregiver, internal and community-based services involved in providing care to the patient) in developing the patient centered holistic care plan. The RN Care Manager is a member of the Team. The RN Care Manager is responsible for collaborating with services internal and external to the VA to facilitate care transition in order to effectively meet the patient's needs. The RN Care Manager provides patient and family health education with a focus on self-management, prevention and wellness, based on the patient's goals. The RN Care Manager demonstrates leadership by serving as an advocate for patients, and role model and team player to colleagues as she/he continues to enhance his/her own and the Team's professional growth, development and practice. Duties include work during off-tour hours. The registered nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being; and executing medical regimens including administering medications and treatments prescribed by a licensed or otherwise legally authorized provider . The nurse's primary commitment is to the patient, whether an individual, family, group, or community. (ANA Code of Ethics for Nurses). The registered nurse, as a licensed professional, will be responsible and accountable for his/her practice. The PACT RN is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient transition through the continuum of care, patient and family education, patient self-management after discharge, and supporting factors that impact customer satisfaction. Considers all characteristics of the individual, including age and life stages, state of health, race and culture, values, and previous experiences. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs. Work Schedule: Monday-Friday 8:00 a.m. - 4:30 p.m. Compressed/Flexible: Not Authorized Telework: Not Authorized Virtual: This is not a virtual position Relocation & Travel Incentives: Not Authorized Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not Required Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.
Internal Number: 598914900
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.