Registered Nurse - Primary Care - Patient Aligned Care Team (PACT)

Company Name:
Department Of Veterans Affairs
This vacancy announcement is open to all US Citizens, however, current non-temporary employees of the James H. Quillen VA Medical Center will be in the first area of consideration. Excepted Service Permanent Full Time Vacancy Identification Number (VIN): 1130612
OUR MISSION: To fulfill President Lincoln''s promise - "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America''s Veterans.
Johnson City Tennessee can best be described as a metropolitan melting pot with invigorating music, amazing outdoor activities and enchanting culture and history. As a matter of fact Forbes Magazine ranks Johnson City 14th in their latest rankings of best places to live! Local activities include Unity in the Community /, Blue Plum Festival, Apple Festival,and the Rhythm and Roots Reunion in nearby Bristol Tennessee/Virginia. You can also enjoy year round outdoor adventure at our area lakes and parks and just a stone's throw away you'll find renowned attractions such as Barter Theatre, Bristol Motor Speedway and Asheville North Carolina's Biltmore House. For the Sports Enthusiast you can watch future baseball hall of famers get their start with the area's rookie league baseball team - theJohnson City Cardinals . Associated with the St. Louis Cardinals, we are currently the two time defending champs! The area offers an affordable cost of living, no state income tax and excellent elementary, middle and high schools. The Johnson City community is a thriving one because the 65,000+ residents are actively engaged in neighborhood action committees, problem-solving task forces, public boards and outreach programs to create a resilient and more cohesive community. So start your Adventure in Johnson City Tennessee!! A _Hometown Heart with a Big City Soul!_
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For more information on the Department of Veterans Affairs, go
VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
NOTE: Applicant''s education and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and step of the applicant selected.
Must pass pre-employment examination. Designated and/or Random Drug Testing required. Background and/or Security Investigation required. Must be proficient in written and spoken English Selective Service Registration is required for males born after 12/31/1959.
POSITION SUMMARY: Nurse II is considered the journeyman level of staff nursing within VHA. The staff nurse at this grade/level has developed and acquired the clinical experience and knowledge to be proficient in nursing skills, practice, and procedures and typically has developed a specialized nursing practice. The staff nurse at this grade/level manages clinically complex patients and situations related to patient care assignments, as well as clinical and administrative processes affecting the unit/work group/area. He/she is able to function independently, is self-directed in clinical practice and career development, and is actively involved in the functions and activities of the unit/work group/team. It is expected the nurse at this grade/level provides safe, effective, quality care to patients and possesses the management skills necessary to function as charge nurse. This nurse is responsible for guiding, directing, and appraising the performance of support staff and providing education for support staff, students, and new employees.
The RN uses the nursing process to implement patient care for self and others. He/she models the interdisciplinary team approach to patient care and involves others in this process. He/she provides education to patients, families and significant others; administers medications and treatments; participates in the quality improvement process; and is attuned to the needs of adult and geriatric patients. The RN is responsible for practicing in accordance with and adhering to regulations such as the Nurse Practice Act, VHA policies and procedures, and the standards of outside accrediting bodies.
The Clinical Care Manager is a registered nurse (CCMRN) assigned to outpatient primary care clinics with a patient caseload. S/he has significant collaborative responsibilities in chronic disease management. The CCMRN assists in the implementation of the Medical Home Builder model. The individual assists in the use of Chronic Disease Care Model with a focus at the practice level on patient self management support and integration of Chronic Model Components.
The CCMRNs work under the indirect supervision of the primary care providers and are responsible for direct patient care that includes assessment, planning, patient education, and disease management. The CCMRN manages a chronic disease case load and monitors patient's conditions, reviews and provides education regarding medication regimens, and provides of extensive counseling and motivation to help patients adhere to treatment regimens. CCMRN''s also function as needed as relief Head Nurses, program developers, and group clinic leaders.
Tour of Duty: Primarily Administrative (Monday - Friday, Day Shift) with flexibility required to work occasional early/late day shift tours as well as occasional weekends. Relocation Expenses: Relocation expenses are notauthorized for this position.
U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Full unrestricted Licensure, Certification, or Registration required
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 National League for Nursing Accrediting Commission (NLNAC) 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. 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)
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.
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience.
Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of experience, or an ADN or Diploma in Nursing and a bachelor''s degree in a related field and no experience; or a Bachelors of Science in Nursing (BSN) and no experience.
Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of experience, or an ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 1-2 years of experience; or a BSN with approximately 1-2 years of experience, or a Master''s degree in nursing (MSN) or related field with a BSN and no experience.
Nurse II - A BSN with approximately 2-3 years of experience, or ADN or Diploma in Nursing and a bachelors degree in a related field and approximately 2-3 years experience or a Master''s degree in nursing or related field with a BSN and approximately 1-2 years experience, or a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no experience.
Nurse III - Master''s degree in nursing or related field with BSN and approximately 2-3 years experience or Doctoral degree in nursing or related field and approximately 2-3 years experience.
Experience as a RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.
The criteria are as follows:
Practice: practice, ethics and resource utilization;
Professional Development: performance, education/career development;
Collaboration; collaboration, collegiality;
Scientific Inquiry: quality of care, research.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. If your resume/application does not support your questionnaire answers, we will not allow credit for your response(s).
Reference: VA Handbook 5005, Part II, Appendix G6 Nurse Qualification Standard. For more information on these qualification standards, please visit OPM''s web site .
The following background or experience is preferred:
1.BSN is necessary for successful performance of job requirements
2.MSN preferred
3.Two or more years chronic disease case management experience preferred
4.Five to eight years of increasingly complex nursing practice
5.Two years of medical/surgical experience
6.Demonstrated ability to work effectively with other member of the health care team to
accomplish the medical center's mission, vision, and goals.
7.Evidence of strong positive interpersonal/customer service relations, verbal/written
communication and leadership skills.
8.Evidence of sound decision making and critical thinking skills.
9.Evidence of excellent collaborative relationships with physicians and support services.
skills, including Microsoft Word, Excel, and Outlook.
11.Ability to take a leadership role initiating, participating in and directing a multi-disciplinary patient care team.
12.Must be self-directed in accepting responsibilities and require minimal supervision.
13.Two years primary care or internal medicine clinic experience preferred.
PLEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: All education claimed by applicants will be verified by the appointing agency accordingly. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires periods of walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials, and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs.
Veterans'' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation.
Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist or visit .
Your application, r sum and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome.
All applicants are encouraged to apply online.
To apply for this position , you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section below.
The complete application package must be submitted by 11:59 PM (EST) on Wednesday, June 11, 2014 to receive consideration.
1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.
2. Click the Submit My Answers button to submit your application package.
It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
To verify your application is complete, log into your USAJOBS account, , select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process.
To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
Forms can be obtained
Please use this _checklist_to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify),documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.
Faxing Applications or Supporting Documents:
You are encouraged to apply online. Applying online will allow you to review and track the status of your application.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203FX) as this will overwrite your prior online responses and may result in you being found ineligible.
If you completed the occupational questionnaire online and are unable to upload supporting document(s):
1. To fax your documents, you must use the following cover page provide the required information. The Vacancy ID is 1130612.
2. Fax your documents to .
If you cannot complete the Application Package online, you may fax all of your materials. The complete application package must be submitted by 11:59 PM (EST) on Wednesday, June 11, 2014 to receive consideration. Keep a copy of your fax confirmation in the event verification is needed.
To complete the occupational questionnaire and submit via fax:
1. Click the following link to view and print the occupational questionnaire View Occupational Questionnaire.
2. Print the 1203FX form, follow the instructions and provide your responses to the occupational questionnaire items .
3. Fax the completed 1203FX form along with any supporting documents to . Your 1203FX will serve as a cover page for your fax transmission.
Manual applications will be accepted from James H. Quillen VAMC employees.
Please provide a complete Application Package which includes:
1. Concise Resume and/or VA Form 10-2850a - Application for Nurse and Nurse Anesthetist (Available ).
2. If prior military service, include all copies of your DD Forms 214 (required); to receive credit, DD-214 must indicate character of service. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available ).
3. If currently employed in the VA system, include latest SF-50 (Notification of Personnel Action) which shows your current position title, grade, step, and pay, as well as your tenure and appointment type. (i.e. a within-grade increase SF-50, NOT an Award SF-50)
After we receive your complete application package (including any required documents), your qualifications will be reviewed to decide if you meet the basic requirements. You will be notified when this decision is made.
VA offers a comprehensive benefits package. This link provides an overview of the benefits currently .
This position is in the Excepted Service and does not confer competitive status.
Receiving Service Credit for Earning Annual (Vacation)Leave : Federal Employees earn annual leave at a rate (4, 6 or 8 hours perpay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee''s credit for their job-related non-federal experience or active duty uniformed military service.This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.
Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer,appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position.
This job opportunity announcement may be used to fill additional vacancies.

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