The PACT RN Care Manager practices as a Registered Nurse under the guidance of the Nurse Manager for Primary Care within MT VA Health Care System and supports the mission and vision of the Healthcare System. Primary Care provides acute and chronic care needs for MT VA Health Care System including a wide variety of services for Veterans. The PACT RN Care Manager applies PACT principles of proactive, personalized, patient centered care and continuity of care coordination. 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. 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 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years 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 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. 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: The incumbent must be able to perform all activities of the position without restriction. This position involves considerable standing, walking, stooping, bending, reaching, lifting and turning. It requires repositioning patients and assisting with transferring patients to wheelchairs/stretchers. Mechanical devices when available are required to be used for heavy or difficult to lift patients. The work may involve pushing or lifting weight in excess of 50 pounds and going up and down flights of stairs. The position requires visual and auditory acuity at a level to provide safe and effective nursing care. The positions requires the nurse to work for periods of time with arms above shoulder level or with the neck in a fully flexed or extended position and the ability to physically control or protect him/herself from physically abusive patients. ["VA offers a comprehensive total rewards package: VA Nurse Total Rewards Duties and responsibilities include, but are not limited to, the following: Provides a full range of nursing care to patients with complex care needs utilizing the nursing process based on the ANA Standards of Nursing Practice (ANA Code of Ethics for Nurses). Demonstrates advanced clinical knowledge in assessing, planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care while recognizing population specific cognitive, physical, emotional, and chronological maturation needs of the adult and geriatric patient. Demonstrates consistent clinical competence in providing nursing care. Recognizes subtle changes in patient's condition in a timely manner with appropriate interventions. Demonstrates evidence of grade appropriate critical thinking skills in identifying, analyzing, and resolving patient care problems on the unit. Provides population specific care and education utilizing Motivational Interviewing and TEACH to promote patient self-management and shared decision making toward patient driven holistic care (VHA Blueprint for Excellence). Promotes health promotion and risk reduction strategies in patient plan of care. Initiates and implements an interdisciplinary plan of care based on assessments and response to treatment, establishing goals, evaluating the plan of care, and appropriate post hospital care. Initiates referrals to other disciplines and/or services as appropriate (myVAaccess Implementation Guidebook). Assesses the patient's learning needs, learning preference, and readiness to learn. Modifies and individualizes the teaching approach to the individual patient need. Uses SBAR handoff communication tool for effective communication between the interdisciplinary team and uses the Computerized Patient Record System (CPRS) and any additional systems as directed by the Montana VA Health Care Systems, competently and per policy. Documents in a technically informative, complete, accurate, consistent, concise, and timely manner. Reviews, evaluates and develops appropriate, approved documentation templates that demonstrate patient response to interventions and progress towards attainment of goals and expected outcomes. Revises interdisciplinary plan of care based upon on-going patient assessment and evaluation. Effectively functions in leadership role that guides and directs others who provide patient care. Makes appropriate staff assignments based on patient needs and staff competency (novice to expert) and directs activities of unit staff, (RNs, LPNs, MSAs, students, and other PACT members. Demonstrates effective time management and organizes and completes own assignments in a safe and timely manner, assisting team members as necessary. Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems Demonstrates consistent critical thinking skills that grade appropriate. The nurse can recognize the patient has a problem. The nurse can manage the problem safely and effectively, recognizing his/her scope of practice. The nurse has a relative sense of urgency. The nurse implements the right action for the right reason. Competencies are validated through orientation and/or annual assessments. Participates in a team approach to care to identify and resolve patient care outcomes. 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: 8:00 A.M. to 4:30 P.M. Monday to Friday Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Financial Disclosure Report: Not required"]

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