Home Based Primary Care- Outpatient Staff Registered Nurse

Veterans Health Administration, Department of Veterans Affairs; Baton Rouge (LA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Paid Time Off

Federal health/vision/dental insurance

Federal pension and 401K

Job summary

Veterans Health Administration, Department of Veterans Affairs, is seeking a Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse to provide evidence-based care in Veterans’ homes and oversee licensed staff as appropriate. The role centers on case management, care coordination, and comprehensive veteran education within the HBPC program.

The RN will deliver direct veteran care, coordinate with the healthcare team, administer medications, and drive quality improvement and outcomes

Qualifications

• English language proficiency required for direct patient care.
• RN must be licensed and graduate from an approved nursing program.
• Foreign education requires credential evaluation when applicable.
• State licensure must be current and active.

Responsibilities

• Provides home-based primary care and care coordination for HBPC patients.
• Performs assessment, planning, implementation, and evaluation of care in patient homes.
• Delivers medications and procedures per policies; collaborates with interdisciplinary team.
• Leads patient education, self-management support, and care planning for Veterans.
• Assesses age-specific needs and ensures continuity of care across settings.

Skills

Case management

Assessment

Triage

Care coordination

Patient education

Education

Associate Degree in Nursing (ADN) or Diploma

RN license (state)

Bachelor of Science in Nursing (BSN)

Master's in Nursing (MSN) / bridge programs

Job description

Summary

Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) is responsible for providing competent - evidence-based care to HBPC patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to in the home. This nurse provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program.

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 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: 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: https://apply.usastaffing.gov/ViewQuestionnaire/13080360
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• 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
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;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
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Preferred Experience: Minimum of 2 years experience Med-Surg - ICU - Acute care - Long-term or Home Health care experience
• Minimum of 1 year of Case Management experience preferred
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements:

Duties

• Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) is responsible for case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planning
• This nurse plans and delivers technically competent care in the home of Veterans with complex needs - including health promotion - health prevention - geriatric care - primary care - and palliative care
• Utilizes interventions - which maximize health capabilities and reduces unnecessary urgent care and emergency room visits - per Veteran's goals of care
• Delivers fundamental knowledge-based care to assigned clients while developing technical skills
• Assesses - 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 of care
• Administers medications and procedures per established policies and guidelines
• Influences care outcomes by collaborating with members of the interdisciplinary team
• The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization
• Demonstrates leadership in delivering and improving holistic - home-based care through collaborative strategies with others
• Evaluates practice in an ongoing process - based on best evidence
• Provides peers with informal constructive feedback for improvement
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• Contributes professional outpatient nursing perspective in discussions with the interdisciplinary team
• Makes home visits to Veterans in the program
• Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines
• Evaluates outpatient outcomes of evidence-based decisions and practice changes for HBPC individuals - groups - and populations
• Responsible for the documented HBPC outcomes at the program or service level
• HBPC program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility
• 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 - Friday 07:30am - 04:00pm
• Subject to change based on the needs of the facility Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized