Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse
Veterans Health Administration
Tomball, Texas
Health system employer
- Eligibility
- RNPrimary Care
- Unit
- Outpatient
Posted Jul 13 · Not open to new grads
What the listing says
Role
- Term
- Permanent
- Setting
- Outpatient
- Accepts
- RN
- Experience
- 2+ years
Ratio not posted. Ask in the interview.
Pay
- Against the board
- Top of TX staff pay
TX staff postings that state pay run $25/hr to $60/hr, the middle half $33/hr to $47/hr, across 915 postings.
About this role
[Skip to main content](https://www.usajobs.gov/job/876316900#main_content)
# Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse
Department of Veterans Affairs
Veterans Health Administration
Read the full posting
Michael E. DeBakey VA Medical Center
This job announcement has closed
- [Summary](https://www.usajobs.gov/job/876316900#joa-summary)
- [This job is open to](https://www.usajobs.gov/job/876316900#joa-hiring-paths)
- [Duties](https://www.usajobs.gov/job/876316900#joa-duties)
- [Requirements](https://www.usajobs.gov/job/876316900#joa-requirements)
- [How you will be evaluated](https://www.usajobs.gov/job/876316900#joa-evaluation)
- [Required documents](https://www.usajobs.gov/job/876316900#joa-required-documents)
- [How to apply](https://www.usajobs.gov/job/876316900#joa-how-to-apply)
## Summary
The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assess, plans, implements and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient education, self-management and customer satisfaction throughout the continuum care. . Administers medications and procedures per established polices and guidelines.
Learn more about this agency
## Summary
The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse delivers fundamental knowledge-based care to assigned clients while developing technical skills. Assess, plans, implements and evaluates care based on age-specific components. Assumes responsibility for the coordination of care focused on patient education, self-management and customer satisfaction throughout the continuum care. . Administers medications and procedures per established polices and guidelines.
Learn more about this agency
## Overview
[Help](https://help.usajobs.gov/how-to/job-announcement/overview)
Hiring complete
Open date: 07/13/2026 Closed date: 07/20/2026
This job will close when we have received **75 applications** which may be sooner than the closing date. [Learn more](https://help.usajobs.gov/how-to/job-announcement/closing-types#applicant-cut-off "More information about this job")
Location
1 vacancy in the following location
Tomball, TX
1 vacancy
No matching locations found.
Work site options
- Telework eligibleNoRemote jobNoRelocation expenses reimbursed
- No
- Salary
- $85,564 - $162,157 per year
- Pay scale & grade
VN 00
Promotion potential None
[Learn more about pay scale and grade](https://help.usajobs.gov/working-in-government/pay)
Pay scale and grade determines the salary of the job.
Work scheduleFull-timeTravel RequiredNot required
Appointment typePermanent
Occupations and job series
- [0610 Nurse](https://www.usajobs.gov/search/results/?j=0610)
Supervisory statusNoFederal service typeThis job is in the Excepted Service Represented by a unionYes
Drug testYesSecurity clearanceNot RequiredPosition sensitivity and risk[Non-sensitive (NS)/Low Risk](https://help.usajobs.gov/faq/job-announcement/security-clearances)
Jobs require a [background check](https://help.usajobs.gov/faq/job-announcement/security-clearances) and some require a [security clearance](https://help.usajobs.gov/faq/job-announcement/security-clearances). The type depends on the job.
Background check type
- [Credentialing](https://help.usajobs.gov/faq/job-announcement/security-clearances)
- [Suitability/Fitness](https://help.usajobs.gov/faq/job-announcement/security-clearances)
Financial disclosure requiredNo
Some jobs require [financial disclosure](https://help.usajobs.gov/working-in-government/fair-and-transparent/financial-disclosure) to identify conflicts of interests.
Announcement numberCBST-13003068-26-AMControl number876316900
## This job is open to
[Help](https://help.usajobs.gov/how-to/job-announcement/this-job-is-open-to "Learn more about hiring paths.")
[**The public**\\ \\ U. S. Citizens, Nationals or those who owe allegiance to the U. S.](https://www.usajobs.gov/HiringPath/Public "The public")
[**Internal to an agency**\\ \\ Current federal employees of the hiring agency that posted the job announcement.](https://www.usajobs.gov/HiringPath/InternalToAnAgency "Internal to an agency")
### Clarification from the agency
VA Wide & US Citizen: Open to current permanent VA Nationwide employees and US Citizens.
NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.
## Videos
New Heights PSA :60 - YouTube
Tap to unmute
[New Heights PSA :60](https://www.youtube.com/watch?v=-ifFm_gYmZI) [Veterans Health Administration](https://www.youtube.com/channel/UCaW28mX6gCpTuWYJyPfWd-Q)

Veterans Health Administration204K subscribers
VA Careers - Nurses - YouTube
Tap to unmute
[VA Careers - Nurses](https://www.youtube.com/watch?v=xIJUwRGeQi8) [Veterans Health Administration](https://www.youtube.com/channel/UCaW28mX6gCpTuWYJyPfWd-Q)

Veterans Health Administration204K subscribers
## Duties
[Help](https://help.usajobs.gov/how-to/job-announcement/duties "Learn more about job duties.")
**Major Duties (To include but not limited to):**
- The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse is responsible for and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal are.
- The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse provides sex-specific direct Veteran care and care coordination, as it pertains, to Veterans and their care within the Primary Care Department.
- The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse manages assigned panel(s), utilizes registries, and ensures appropriate evaluation and access is provided to patient panels.
- The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse provides health promotion, health education and coaching on wellness, disease prevention and chronic care management
- The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse focus is on individual growth and development in outpatient PACT nursing practice with increased levels of self-direction.
- The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse the ability to formulate a plan of care based on nursing assessments.
- The Registered Nurse Aligned Care Team Outpatient Staff Registered Nurse seeks guidance on how to improve care provided to patients and families.
- The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse delegates elements of care to the appropriate individual based upon assessed needs, condition and safety of the patient.
- The Registered Nurse Patient Aligned Care Team Outpatient Staff Registered Nurse brings primary care principles and theory with limited application of critical thinking skills.
VA offers a comprehensive total rewards package: [VA Nurse Total Rewards](https://www.vacareers.va.gov/Home/PdfViewer?issuu=vha_totalrewardsbrochure_nursing)
**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; 07:30am - 4:00pm. \* Subject to change based on facility need\*
**Telework:** Not Available
**Virtual:** This is not a virtual position.
**Relocation/Recruitment Incentives:** Not Authorized
**Permanent Change of Station (PCS)**: Not Authorized
## Requirements
[Help](https://help.usajobs.gov/how-to/job-announcement/requirements "Learn more about job 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](http://www.acenursing.org/)) or The Commission on Collegiate Nursing Education ( [CCNE](http://www.aacnnursing.org/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](http://www.icdeval.com/)).
- **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…
Sourced from a public job board.
“The ability to provide patient-centered care, care coordination, health promotion, and chronic disease management. Minimum of two (1) year of recent experience in: Medical-Surgical Nursing, and/or Primary Care, and/or O…” · from this posting
Requirements
- [Help](https://help.usajobs.gov/how-to/job-announcement/requirements "Learn more about job requirements.")
Benefits
- Competitive salary with regular salary increases
- Potential for performance awards
- 50 days of paid time off per year (26 days annual leave, 13 days sick leave, 11 paid Federal holidays)
- Traditional federal pension (5 years vesting)
- Federal 401K with up to 5% in contributions by VA
- Federal health insurance
Show all 8 benefitsShow fewer
- Vision insurance
- Dental insurance
Place
- City
- Tomball, Texas
- Median rent
- $1,226/mo
- Local household income
- $78,562/yr
- State price level
- 3% below the national average
rent and tenant-paid utilities · Census ACS 2024
all local households, not nurse pay · Census ACS 2024
Texas index 97.1, where 100 is the national average.
Tomball offers a small-town feel just northwest of Houston, with a historic downtown featuring antique shops and local eateries. This growing suburb appeals to nurses seeking a quieter pace while staying within commuting distance of major Houston healthcare systems.
Cost figures from U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024.
How this role fits you
About the employer
Nationally the VA describes itself as the largest U.S. nurse employer, with more than 120,000 RNs, APNs, LPNs, and nursing assistants. The VA has said it is on pace to reduce staff by nearly 30,000 by the end of FY2025…
Worth asking
The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.
- Can you walk me through differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?