Registered Nurse - Primary Care Mental Health Integration

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    About the role

    Primary Care Mental Health Integration (PCMHI) is a component of the interdisciplinary Patient Aligned Care Team (PACT). The PCMHI Collaborative Care Manager Registered Nurse assists PACT providers in treating common mental health and health behavior concerns. This is an open continuous announcement until September 30, 2026; qualified applicants will be considered and referred as vacancies become available. Education Debt Reduction Program (Student Loan Repayment): APPROVED! Learn more.

    Responsibilities

    • Provides evidence‑based, condition‑specific (e.g., anxiety, depression) protocol‑driven services to collaboratively assist PACT providers in treating common mental health and health behavior concerns in primary care.
    • Participates in PCMHI same‑day access clinic to facilitate patient outreach and engagement in mental health treatment.
    • Completes a functional assessment and initial 5‑point screen.
    • Obtains a health history of referred patients: data collection includes lifestyle patterns, pain issues, sleep/activity levels, support systems, cultural, social, and ethnic factors, patient treatment preferences and goals.
    • Assesses, reviews, develops, maintains, and monitors Veteran‑specific plans of care, collaborating with the interdisciplinary team to ensure patient outcomes are reported and validated.
    • Assesses and screens for suicidal risk to ensure veterans at risk for suicide are provided appropriate suicide prevention interventions that ensure veteran safety.
    • Collaborates with PCMHI team members, other VA healthcare services, and community care services for veteran care coordination.
    • Participates in a weekly caseload consultation with PCMHI provider with prescribing privileges.
    • Enters all Veterans receiving PCMHI CoCM into a registry (e.g., Behavioral Health Lab software).
    • Conducts assessments of mental health symptoms using a set of validated evidence‑based assessment tools to measure progress toward treatment goals and outcomes.
    • Provides education and brief behavioral health interventions using evidence‑based techniques such as behavioral health coaching, behavioral activation, motivational interviewing, and other focused treatment strategies.
    • Demonstrates knowledge of medications prescribed for patients with mental health conditions, including patient responses and possible adverse reactions.
    • Demonstrates knowledge of current treatment for mental and behavioral health conditions, including key symptoms and patient manifestations.
    • Conducts relapse prevention planning throughout care, including transition from active treatment to maintenance as goals are achieved.
    • Effectively communicates with patients, families, caregivers, VA leadership, and members of the interdisciplinary team using therapeutic communication techniques, practices de‑escalation techniques, and utilizes recovery‑oriented language.
    • Collaborates with PCMHI leadership/team members to develop/enhance educational materials and use marketing strategies to promote PCMHI CoCM services.
    • Continuously collaborates with the PCMHI team to ensure high‑quality, effective, Veteran‑centered services at the patient and programmatic levels.
    • Knowledge of mental health/substance use long‑acting injectable medications and procedures of administration – may provide injections infrequently.
    • Care management appointments with veterans may be conducted via telephone, video, or in person.
    • Assists with triaging referrals for future scheduled appointments in PCMHI program via the E‑consult process.

    Requirements

    Basic Requirements

    • English Language Proficiency – in accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless 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 at the time the program was completed: Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE).
    • 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 a temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program (see VA Handbook 5005 – Appendix G6).
    • 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 than 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 two years on a case‑by‑case basis).
    • NOTE: Grandfathering Provision – All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

    Grade Determinations (Scope – Education and Dimension criteria must be met for grade assignment; see online assessment for details)

    • Nurse I – Level I: Delivers fundamental knowledge‑based care to assigned clients while developing technical competencies. Requires an Associate Degree (ADN) or Diploma in Nursing – 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. Requires an ADN or Diploma in Nursing AND