Registered Nurse-Patient Aligned Care Team (PACT)

at Veterans Affairs, Veterans Health Administration in Afton, Wyoming, United States

Job Description

Summary The Patient Aligned Care Team (PACT) Registered Nurse (RN) is accountable for all aspects of the nursing process and is responsible for delivering and overseeing high-quality, direct patient care. Responsibilities This is an 30 day announcement that will be used for the PACT RN Position at the Afton, WY Outpatient Clinic within the Sheridan VA Health Care System. Qualified applicants will be referred to the hiring manager beginning 6/24/2026 and thereafter until 7/9/2026. This Vacancy Announcement may be removed at any point during the open period. Do you enjoy rustic charm, stunning natural beauty, and endless outdoor adventure? If so, the small town of Afton, Wyoming, might be the perfect fit for you. Nestled in Lincoln County in southwestern Wyoming, Afton is home to the world’s largest elk ranch and the remarkable Intermittent Spring-one of the few cold-water geysers in the world. Surrounded by lush forests and set within a picturesque valley framed by majestic mountains, Afton offers an ideal setting for families and anyone seeking a peaceful, nature-filled lifestyle. Learn more about Afton Chamber of Commerce here. Start your Career here. The PACT RN is responsible for coordinating comprehensive patient-centered care with a strong emphasis on education, self-management support, and overall patient satisfaction across the full continuum of care. Key responsibilities include, but are not limited to: Administering medications and performing clinical procedures in accordance with established policies and guidelines. Collaborating with interdisciplinary team members to influence care outcomes. This includes active participation in unit- or program-level quality improvement initiatives and customer service efforts. Delivering competent, evidence-based, gender-specific care to primary care patients, while providing appropriate oversight of licensed vocational nurses and nursing assistants. Providing direct patient care and care coordination for Veterans within the Primary Care Department. Managing assigned patient panels, utilizing registries, and ensuring timely access and appropriate evaluation for all patients. Promoting health and wellness through education, coaching, disease prevention, and chronic disease management strategies. Supporting nursing education, orientation, competency development, and contributing to quality improvement and outcomes initiatives. Demonstrating leadership in the delivery and enhancement of holistic primary care through collaborative approaches. Continuously evaluating clinical practice based on the best available evidence and offering constructive, informal feedback to peers. Fostering a safe, supportive, and growth-oriented environment for healthcare team members. Contributing nursing expertise during interdisciplinary team discussions and decision-making. Partnering with colleagues to drive positive change and optimize patient outcomes. Sharing knowledge to support safe, high-quality outpatient nursing care. Exchanging educational insights, experiences, and best practices with peers. Participating in strategies and initiatives that strengthen an evidence-based practice culture. Performing other duties as assigned. 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 to Thursday, 7:30am to 6:00pm Compressed/Flexible: Compressed Available. Telework: Available. The Veterans Health Administration, including VISN 19 and the Sheridan VA Health Care System, will comply fully with the intention and instructions contained in the “Return to Office” Executive Order. This position will likely be eligible to telework on a limited Ad-Hoc basis only. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Available. Permanent Change of Station (PCS): Not Available. Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver’s licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to serve a probationary period. Complete all application requirements detailed in the “Required Documents” section of this announcement. Qualifications Basic Requirements: 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. Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: 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 in nursing who have completed coursework equivalent to a bachelor’s level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD). Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to t