The Registered Nurse is assigned to the Ambulatory Care Nursing Service division of Nursing and Patient Care Service and performs nursing duties for all Roseburg VA Health Care System sites of care. The Ambulatory Care RN provides primary care to Veterans and their eligible family members using the Patient Aligned Care Team (PACT) model. Duties include but are not limited to: Provide primary care, case/care management, and other specialty care as designated for the location also provide cross coverage for other areas as assigned by management. Workload consists of intake assessment, health promotion, disease prevention, Women's Health, management of acute and chronic bio psychosocial conditions, referrals for specialty, rehabilitation, and other levels of care, follow-up and overall care management, and patient and caregiver education. Provide direct Veteran care including scheduled clinic visits, walk-in or urgent visits, group visits, telephone visits, incoming telephone requests, triage/place orders by protocol, and manage pertinent clinical reminders. Manage Secure Messages from Veterans and emails from consulting health care team members. Conducts virtual or face2face review of Veterans at high-risk of hospitalization, initiate appropriate consultations per protocol, discuss care with specialty consultants, address needs for preventative or chronic disease care, communicate triage to PACT member, review Non VA records, address alerts and complete Follow-up calls with Veterans or family members. Attends and leads daily huddles or team meetings. Provides new Veteran orientation to VA clinic, mentor or precept nurses and students to PACT setting and take active role in Veteran health education/coaching. Work Schedule: Monday-Friday, 8:00 am to 4:30 pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.