This RN is assigned to the Primary Care - Patient Aligned Care Team (PACT) team at the Saint James CBOC. This position will be located temporarily in St. James, MO until our new facility in Rolla, MO becomes operational; projected March 1st, 2027.
The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. The PACT RN executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex primary care.
Duties may include but are not limited to: Leads and organizes delivery of care to ensure continuity of care and peer accountability for practice in alignment with the ANA Standards of Nursing Practice. Applies advanced clinical knowledge/judgment to lead staff involvement in planning, decision-making, and evaluating outcomes beyond the immediate practice setting. Applies nursing expertise to lead improvement, with demonstrated outcomes, beyond the immediate practice setting.
Demonstrates ability to be self-directed in using the nursing process to improve the outcomes of care at the program/service level. Applies collaborative team approach in identifying, analyzing, resolving problems, and sustaining improvements. Applies problem solving skills beyond the unit level, leading to improved care/outcomes. Leads and directs others in organizing the delivery of care to assure continuity of care and peer accountability for practice.
Evaluates program/process or medical center policies//procedures and reports effectiveness or provides leadership, analyzing and addressing ethical legal issues that impact patients and staff and the medical center.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday - Friday, 8 am to 430 pm Telework: Not available Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized
rachel.kempker@va.gov · 573-926-9547
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $71493 – $141751/yr.
Applications close on 2026-11-02.
There are 2 openings for this position.
This position is open under the 'Public' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-27 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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