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Registered Nurse - Patient Aligned Care Team (PACT)

Company: Veterans Affairs, Veterans Health Administration
Location: Sonora
Posted on: June 5, 2021

Job Description:

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more [ "The Registered Nurse uses the nursing process and evidence-based practice to collaborate with the Core Team (Patient, Provider, Nursing, and Support Personnel) and Expanded Team (family/caregiver, internal and community-based services involved in providing care to the patient) in developing the patient-driven holistic care plan for life. The Registered Nurse is a member of the core clinical team of ambulatory care. The RN is responsible for collaborating with services internal and external to the VA to facilitate care transition to effectively meet the patients' needs. The RN provides patient and family health education with a focus on self-management, prevention, and wellness, based on the patient's goals. The RN demonstrates leadership by serving as an advocate for patients, team player to colleagues as she/he continues to enhance the own team's professional growth, development, and practice. Duties include but are not limited to:\n* Demonstrates advanced clinical knowledge in assessing planning, implementing, documenting, and evaluating care for a designated group of patients across the continuum of care: Recognizing the age related cognitive, physical, emotional, and chronological maturation needs of the adult and geriatric patient.\n* Triages and applies a collaborative team approach in identifying, analyzing, and resolving patient care problems.\n* Collaborates with patients to assess and identify needs, issues, care goals, and resources in critical factors for achieving desired outcomes for discharge, post hospital recovery and health maintenance/wellness.\n* Maintains current knowledge of multidisciplinary resources, programs and services, referring patients for community resources as appropriate.\n* Demonstrates ability to collaborate with all levels of services and disciplines. Collaborates with patient, family and care providers in all settings where care is being provided to evaluate and update changes in the patient-driven life plan and patient management.\n* Reviews options with patients and families, including costs, alternatives, risks/benefits and services.\n* Assists with the navigation of health care systems and intervenes or refers as needed to facilitate the achievement of patient outcomes.\n* Enhances patient self-management by providing information regarding all options, choices, and resources.\n* Provides care, respecting patient's personal values, cultural, and belief system.\n* Actively participates in care delivery with priority attention to patient preference.\n* Maintains confidentiality of all patient information, including electronic, print, and conversations.\n* Provides and promotes patient-driven care in a safe, efficient and cost-effective manner, using evidence-based principles.\n* Promotes cost effective use of resources; effective least-expensive strategies expected in non-face-to- face approaches (including telehealth)\n* Serves as a resource for patient and family rights, responsibilities, and decision-making information and processes. Work Schedule: Monday - Friday 8:00 am to 4:30 pm\nFinancial Disclosure Report: Not required" ]

Keywords: Veterans Affairs, Veterans Health Administration, Modesto , Registered Nurse - Patient Aligned Care Team (PACT), Other , Sonora, California

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