Registered Nurse - Patient Aligned Care Team

The VA Clinic in Lewiston Idaho is seeking an Intermittent Patient Aligned Care Team (PACT) Registered Nurse (RN). The RN influences care outcomes by collaborating with members of the interdisciplinary team and will execute position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. Intermittent employees work on an as‑needed basis, with no regularly scheduled tour of duty or guaranteed hours.

• English Language Proficiency: In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Graduation from an approved nursing school: The program must be accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE); OR individuals attending a master’s level bridge program with coursework equivalent to a bachelor’s degree may be appointed on a temporary basis and later converted to a permanent appointment; OR graduates of foreign nursing schools must possess a current, full, active, and unrestricted registration, with foreign education higher than an associate degree requiring formal equivalency validation from a recognized evaluator such as International Consultants of Delaware (ICD).
• Current, full, active, and unrestricted registration: As a graduate professional nurse in a state, territory, or commonwealth (including the District of Columbia). Candidates who do not yet possess licensure may be appointed at the entry step as a Graduate Nurse Technician on a 120‑day temporary appointment while pursuing licensure, extendable up to two years on a case‑by‑case basis.

Grandfathering Provision – All persons currently employed in VHA in 0610 series and performing the duties described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements, including positive education and licensure/certification.

The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence‑Based Practice/Research) are detailed for each grade and level within the online assessment: (Use the "Apply for this Job" box below). Questionnaire/.

• Nurse I, Level I: Delivers fundamental, knowledge‑based care to assigned clients while developing technical competencies.
  
  Education:
  
  An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required.
• Nurse I, Level II: Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex needs.
  
  Education:
  
  An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I, Level I; OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required.
• Nurse I, Level III: Demonstrates proficiency in practice based on conscious and deliberate planning. Self‑directed in goal setting for managing complex client situations.
  
  Education:
  
  Options include an ADN or Diploma plus 2 years of professional nursing experience (with one year equivalent to Level II); a BSN with 1 year of professional nursing experience equivalent to Level II; a Master’s degree in nursing (MSN) with no additional experience; or a Master’s in a related field with a BSN and no additional experience.
• Nurse II: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.
  
  Education:
  
  Options include a BSN with 2 years of professional nursing (equivalent to Level III); an MSN with one year of specialized nursing experience equivalent to Level III; a Master’s in a related field with a BSN and one year of specialized nursing experience equivalent to Level III; a Doctoral degree in Nursing with no professional nursing experience; or a Doctoral degree in a related field with a BSN…