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.
Duties The Registered Nurse (RN) serves as a Patient Aligned Care Team (PACT) Registered Nurse Care Manager (RNCM) within Outpatient Primary Care. Duties include, but are not limited to: Provides fundamental, knowledge-based, coordinated nursing care to an assigned panel of patients within the Primary Care PACT. Provides primary care coordination, including transitions of care, preventive care, chronic disease management, and Veteran-centered nursing care.
Provides care through multiple modalities, including face-to-face visits, virtual encounters, secure messaging, and telephone-based services. Uses evidence-based guidelines and population health tools to assist in identifying and managing high-risk and chronically ill patients. Provides chronic disease management, preventive health services, patient education, health coaching, and support for Veteran-centered health goals.
Coordinates same-day patient needs and post-discharge care, including procedures, labs, follow-up, pre-visit preparation, clinical reminders, and referrals. Connects Veterans with appropriate services, specialty care, and interdisciplinary team resources. Participates in daily huddles and collaborates with PACT members and extended care support teams to coordinate patient care.
Provides individualized care, health coaching, motivational interviewing, and ongoing management for patients with chronic and ambulatory care-sensitive conditions. Assists with coordinating smooth transitions between acute and ambulatory care settings. Supports patient self-management, goal setting, health promotion, and overall wellness. Collaborates with PACT team members to promote access, continuity, patient experience, and quality outcomes.
Uses VHA panel management tools and team metrics to identify care gaps and support proactive, high-quality primary care delivery. Provides patient and family education and advocates for Veterans' needs to improve patient outcomes and wellness. Performs other related duties appropriate to the grade and assignment as directed.
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; 8:00am - 4:30pm Telework: Ad-hoc - as determined by the agency Virtual: This is not a virtual position.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact vhaedrpprogramsupport@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Erica.Kotsmith@va.gov · (320) 469-1487
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $89758 – $160620/yr.
This position is eligible for telework.
This position requires a Other security clearance.
Applications close on 2026-09-21.
This position is open under the 'Fed Internal Search' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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