RN - Rural Health PACT

Billings, MT
Aug 12, 2017
Aug 28, 2017
Contract Type
Full Time

The Rural Health PACT RN Care Manager practices as a Registered Nurse under the guidance of the Nurse Manager for Primary Care within VA Montana Health Care System and supports the mission and vision of the Healthcare System. Primary Care provides acute and chronic care needs for VA Montana Health Care System including a wide variety of services for adult and elderly Veterans. The Rural Health PACT RN Care Manager applies PACT principles of proactive, personalized, patient centered care, team-based care, data driven care, continuity of care coordination, and population health and prevention.

The Rural Health PACT RN Care Manager uses the nursing process and evidence based practice to collaborate with the Teamlet (Patient, Primary Care Provider, RN Care Manager, LPN, and MSA) and larger team (family/caregiver, internal and community based services) involved in providing proactive, personalized, and patient centered care to the patient in developing the patient centered holistic plan for life. The Rural Health PACT RN Care Manager is responsible for collaborating with services internal and external to VA Montana Health Care Services in order to facilitate care transition that will effectively meet the patients' needs as well as provide a robust interdisciplinary approach to care; health promotion and disease prevention, acute, chronic, and long term needs. The Rural Health PACT RN Care Manager coordinates discharge follow-up from the hospital, Emergency Department (ED), or Community Living Center (CLC), reassignment to or from another PACT, and care from provider (s) of specialty care.)

The Rural Health PACT RN Care Manager provides patient and family health education with a focus on self-management, shared decision making, and prevention and wellness that is based on the individual patient's goals. The Rural Health PACT RN Care Manager helps the Veteran acquire the skills and resources they need to engage in self-care and self-management and provide Veterans with ongoing support and coaching needed to succeed in making and sustaining changes in their health through a personalized plan of care.

The Rural Health PACT RN Care Manager demonstrates leadership by serving as an advocate for patients, team player to colleagues as s/he continues to enhance his/her own and the team's professional growth, development, and practice. Scope: Demonstrates leadership in delivering and improving holistic management of complex client care through collaborative strategies with others.

Tour of Duty: Monday through Friday; 8:00 to 4:30 or as agreed upon with the possibility of extended hours and weekends.
NOTE: Candidates must be willing to work weekends, irregular work hours and extended hours. The candidate must be willing to be assigned to other related services and/or locations, which requires travel 50 -75% of the time 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
  • Graduation from School of Nursing (a) Graduate of a school of professional nursing approved by the appropriate State agency, and accredited by one of the following accrediting bodies at the time the program was completed by the applicant. [NOTE: See exception in subparagraph (b) below for candidates who are enrolled in a MSN Bridge Program.]
    1. The National League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd Floor, New York, New York 10006 or call (800) 669-1656 extension 153. The NLNAC accredits all levels of nursing programs. Additional information may be obtained from the NLNAC web site; or
    2. The Commission on Collegiate Nursing Education (CCNE), an accrediting arm of the American Association of Colleges of Nursing (AACN). The CCNE accredits bachelors and masters degree programs, and is located at One Dupont Circle N.W., Suite 530, Washington, DC 20036 or call (202) 463-6930. Additional information may be obtained from the CCNE web site.
    (b) [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. In these programs, students are given a certificate of professional nursing to sit for the NCLEX and should submit this certification to VA prior to appointment. Students do not earn a BSN, but receive a MSN degree upon completion of course work. A copy of the MSN transcript must be provided to VA. Bridge programs that confer a master's degree also fully meet the education requirement, even though a Bachelor's Degree is not awarded.
    (c)] In cases of graduates of foreign schools of professional nursing, possession of current, full, active, and unrestricted registration (see paragraph 2a(3)) will meet the requirement of 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.


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.
Reference: VA Handbook 5005, Part II, Appendix G6 Nurse Qualification Standard.


VA Montana has a RN Residency/Transition to Practice Program. Per VA Directive 2011-039 participation in this program is required for all nurses who have less than 1 year of registered nurse experience or as recommended by the Associate Director Patient Care Services.

Preferred Experience: Outpatient RN Clinic experience and/or RN Care/Case Management experience preferred.

PHYSICAL REQUIREMENTS: Moderate lifting (15-44 lbs), moderate carrying (15-44 lbs), straight pulling, pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, repeated bending, both legs required, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 18" Jaeger 1-4, far vision correctable in one eye to 20/20 and 20/40 in the other, depth perception, ability to distinguish basic colors, hearing (aid permitted), emotional stability, mental stability, sitting 3-4 hours intermittently, hand & eye coordination, and twisting.

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 http://www.fedshirevets.gov/job/vetpref/index.aspx.

1. VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (Available http://vaww4.va.gov/vaforms/medical/pdf/vha-10-2850a-fill.pdf). (Preferred).

2. OF 306 - Declaration for Federal Employment (Available http://www.opm.gov/forms/pdf_fill/of0306.PDF). (Preferred).

3. Resume (Required).

4. SF-50 (Notificationof Personnel Action)for current employees (Required).

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 http://staffing.opm.gov/pdf/usascover.pdfand provide the required information. The Vacancy ID is 1998205.
  2. Fax your documents to 1-478-757-3144.
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 Monday, August 28, 2017 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 http://www.opm.gov/forms/pdfimage/opm1203fx.pdf.
  3. Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144. Your 1203FX will serve as a cover page for your fax transmission.

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