RN (Community Based Outreach Clinic)

Osage Beach, MO
Sep 07, 2017
Sep 27, 2017
Case Management
Contract Type
Full Time

The Community Based Outpatient Clinic (CBOC) registered nurse is directly responsible to the designated manager in the assigned area; the registered nurse is responsible and accountable for the provision of direct patient care and for the delivery of quality nursing care to a culturally diverse veteran patient population. The registered nurse possesses basic knowledge and skills to apply all aspects of the nursing process within a collaborative, interdisciplinary practice setting, which will then enable effective implementation of health promotion and prevention practices, management of acute and chronic illness, and attainment of optimal levels of functioning and/or support of the dying patient and significant others.

The role of the PACT Care Coordinator is an expanded staff nurse role that requires skills in case management, telephone triage, self-directiveness, time management, prioritizing, and multi-tasking. The Care Coordinator's role as clinician, liaison and patient advocate for patients includes outpatient, inpatient, and community health arenas.

The Care Coordinator is responsible for a panel of approximately 1500 patients assigned to 1-3 full time or part-time providers,one LPN, and one Medical Support Assistant. Collaboration and coordination is ongoing with not only these "Teamlet" members, but also with all the interdisciplinary primary care team members in the immediate team at-large, other facility staff and multiple community health care facilities and agencies.

The Care Coordinator's medical/surgical knowledge base must be broad and assessment and triage skills astute, since most of the nursing assessments are done over the phone, and not infrequently involve medical emergency situations. The Care Coordinator receives calls directly from patients/families, as well as via telephone triage electronic notes, and must follow-up appropriately and in a timely manner. In addition, home telehealth technology allows each Care Coordinator to have direct data access to patients at home via home monitors that daily record vital signs and subjective responses to disease and health focused questions. Furthermore, MyHealtheVet allows patients direct secure messaging access to the Care Coordinator and phone clinics are available for post discharge calls, follow-ups after ER visits, and communicating lab and diagnostic test results to patients. Each Care Coordinator also utilizes his/her own nursing clinic for both scheduled and drop-in patients regarding patient follow-ups, nursing assessments, nursing care plan revisions, and direct physical patient care such as wound care and Portacath flushes and may perform phlebotomy.

Work Schedule: Monday - Friday, 7:30AM - 4:00PM or 8:00AM - 4:30PM
Functional Statement Title/#: Nurse II


  • 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 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.
  • 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.

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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree in nursing or related field and approximately 2-3 year's of nursing practice/experience.
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.

Education/Experience Requirements: None above basic.

Preferred Experience:

  • Bachelor of Science in Nursing (BSN).
  • 5 or more years of recent clinical experience as a Registered Nurse that has required the application of medical/surgical nursing skills and knowledge.
  • Basic Life Saving (BLS) certification strongly preferred.
  • Case management experience.
  • Telephone care experience.
  • Telephone triage experience.
  • Home telehealth experience.
  • Demonstrated pattern of dependability, flexibility, and adaptability.
  • Computer documentation and clerical skills.
  • Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

    Physical Requirements: Heavy Lifting (45 lbs and over); Moderate Carrying (15-44 lbs); Light Carrying (under 5 lbs); Straight Pulling (1 hour); Pushing (1 hour); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 8-12 hours); Standing (up to 8-12 hours); Kneeling (1 hour); Repeated bending (up to 1 hour); Climbing, legs only (1 hour); Climbing, use of legs and arms; Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" so Jaeger 1 to 4; Mental and emotional stability; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eye required; Depth perception; Ability to distinguish basic color; Ability to distinguish shades of colors; Hearing (aid permitted).

    All applicants are required to submit the following supporting document type(s):
    *Other(You must provide at least 3 references with contact information)

    Applicants may also submit the following supporting document type(s),which may not be required for all applicants:

    *Cover Letter
    *Executive Core Qualifications (ECQs)
    *Other Veterans Document

    VA Form 10-2850a - Application for Nurses and Nurse Anesthetists (required) Available at the VA Forms website: http://www.va.gov/vaforms/search_action.asp?FormNo=10-2850&tkey=&Action=Search

    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, etc. You will not be contacted for additional information.

    Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), or 10pt (CP/CPS, XPP, XP), or for Sole Survivor Preference (SSP), on the Occupational Questionnaire in the section(s) provided. A legible copy of your DD214(s), VA letter and SF-15 if claiming 10 pt. preference or if you currently on active duty; a certification of expected discharge or release from active duty stating you are expecting to be discharged or released from active duty service in the armed forces under honorable conditions within 120 days must be submitted with your application for eligibility verification.

    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. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 2005188.

    NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.

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