Job Overview


This position is located at the VA Ann Arbor Healthcare System, Patient Aligned Care Team - Ambulatory Care Clinics.

Vacancy Identification Number (VIN) 916583

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.

How would you like to become a part of a team providing compassionate care to Veterans?

The Department of Veterans Affairs (VA) needs employees who possess the energy, compassion, and commitment to serve those who serve our Country.  Whatever the job title, every position in VA will give you a chance to make a meaningful and personal contribution to the lives of truly special and deserving people - our Veterans.

Working for VA is one of the most emotionally satisfying and professionally rewarding ways to dedicate the best within you to your country's service.

If you are transitioning from the military or are a Veteran already, we invite you to explore the benefits of continuing your career at the VA.  The VA is committed to hiring Veterans.

The VA is much more than just another employer.  It is an honorable, open and welcoming community of those who care.  Gratitude is our motivation and service is our mission.

The VA has adopted Core Values and Characteristics that apply universally accross the Department.  The five Core Values define "who we are", our culture, and how we care for Veterans, their families and  other beneficiaries.  The Values are Integrity, Commitment, Advocacy, Respect and Excellence ("I CARE").

America's Veterans need you!

To find out more, go to

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. 

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.
Relocation Expenses: Relocation expenses are not authorized for this position.


Tour of Duty: Day Shift (Rotating Tours that include 12 hour, 8 hour, and 4 hour tours and may include some weekends).

Registered nurses assigned to a Patient Aligned Care Team (PACT) Model are members of a teamlet assigned to a panel of patients.  The RN functions as a member of a team consisting of the patient, the patient’s primary care provider, the teamlet LPN, the teamlet clerk and other professionals including Clinical Pharmacists, Dietitians, Psychologists, and others. 

•    Optimizes patient care delivery and patient outcomes by providing Case Management; Care Coordination; and Telephone Management.

•    Provides care to patients with acute problems, patients undergoing transitions of care and patients with chronic conditions who would benefit in developing and performing self-management skills for chronic conditions especially diabetes, hypertension, CHF, hyperlipidemia, pain, depression.

•    Use a registry to identify high risk patients who would benefit from case management.

•    Utilizes motivational interviewing techniques to facilitate patient development of patient driven goals for health optimization.

•    Performs independently in collaboration with the provider to carry out the plan of care for the veteran.  He/she appropriately delegates to other team members but is responsible for providing case management and care coordination activities, clinical triage and making more complex clinical decisions.

•    Uses face to face visits, telephone visits, secure messaging, and possible inpatient visits to patients assigned to the teamlet.

•    Provides backup for other teamlet RN staff.   The RN tracks patient outcomes to determine if interventions are effective.

Physical Requirements: The population of male and female veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. AAVAHCS is a major interdisciplinary teaching facility, serving medical, surgical, neurological, and psychiatric inpatients and outpatients. Generally this position does not require the following physical demands, however there may be times the RN is required to provide direct patient care and must be able to meet the physical demands. This position requires the ability to perform the following physical standards & environmental factors: Heavy Lifting, 45 pounds heavy carrying, 45 pounds straight pulling (4 hours); pushing (4 hours); use of fingers; both hands required; walking & standing 8-12 hours; repeated bending 8 hours; both legs required; ability for rapid mental & muscular coordination simultaneously; near vision correctable @ 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish shades of colors; hearing (aide permitted). Working closely with others; & protracted or irregular hours of work. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and is required to adhere to infection control practices. 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.

Relocation expenses will not be reimbursed.