Tour of Duty: Day Shift (Rotating Tours that include 12 hour, 8 hour, and 4 hour tours and may include some weekends).
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
patients primary care provider, the teamlet LPN, the teamlet clerk and other
professionals including Clinical Pharmacists, Dietitians, Psychologists, and
Optimizes patient care delivery and patient
outcomes by providing Case Management; Care Coordination; and Telephone
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
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
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.