This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application.
Former EDRP participants ineligible to apply.
This Registered Nurse is located in the Ambulatory Care Service at the Portsmouth CBOC VA location. This position is full-time at 40 hours per week. Duties are Included but are not limited to: Plays an integral role in the Patient Aligned Care Team (PACT) providing initial and ongoing assessment of patients and functioning as a systems coordinator for the plan of care.
Initiates PACT preplanning for scheduled clinic visits, participates in daily huddle and team meetings to collaborate how best to meet the patients' needs. Conducts follow up calls to hospitalizations and Emergency Department visits, reviews records, and coordinates follow-up care. Participates in direct patient care surrounding scheduled and unscheduled visits.
Manages a designated panel of patients and utilizes VA developed protocols to enhance preventions as well as manage chronic diseases including HTN, DM, COPD, CHF. Identifies and care manages high risk patients via face-to-face visits, virtual video connect, secure messaging, and telephone calls. Coordinates transitions for patient care with specialists and consultants.
Conducts comprehensive assessment of patients' needs and ensures patients are linked with all appropriate services, resources and opportunities based on his or her needs. Partners with Veteran to support self-management, prevention, and wellness, utilizing Health Coaching and Motivational Interviewing to assist with behavior change and guidance towards his or her goals.
Provides patient-centered, evidence-based, patient driven care in all patient interactions across the care continuum. Lab phlebotomy, point-of-care testing, and specimen labeling. Occasional travel may be required for education, organizational needs, or to provide nursing support at the other CBOC locations (Portsmouth, Tilton, Conway), or at the Manchester VA Medical Center.
Work Schedule: Full time, Monday - Friday, 7:30am- 4:00pm or 8:00 am - 4:30 pm Telework: Not Available. Virtual: This is not a virtual position. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Karen Chapman (Karen.Chapman.@va.gov)the EDRP Coordinator for questions/assistance. Learn more Notifications: This is not a Bargaining Unit Position This position is in the Excepted Service This position is covered by a special rate.
Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.
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 VA offers a comprehensive total rewards package: VA Nurse Total Rewards
laurie.diefenbach@va.gov · 4012737100 X13814
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $79146 – $140772/yr.
Applications close on 2026-10-26.
This position is open under the 'Public' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-17 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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