Nurse

Veterans Health Administration, Department of Veterans Affairs; Springfield (OH); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Paid Time Off

Total Rewards Pay ( VA )

Job summary

The HBPC RN Case Manager provides comprehensive home-based primary care to Veterans with complex medical, social, and behavioral needs. The role emphasizes interdisciplinary coordination, patient and caregiver education, and ongoing assessment within the HBPC program.

Responsibilities include delivering direct care, monitoring health status, and coordinating with the primary care team. Schedule often centers around a full-time daytime shift with potential flexibility for long-term care within a

Qualifications

• English language proficiency is required.
• Graduate of an approved nursing program with RN licensure.
• Possession of State license to practice nursing.
• Foreign nursing education requires credential evaluation when applicable.

Responsibilities

• Provide initial and ongoing assessment of nursing needs.
• Teach veterans and caregivers how to manage health at home.
• Monitor patient condition and care at home.
• Oversee direct patient care and delegate tasks as needed.
• Visit veterans monthly for the first 90 days, then at least monthly.

Skills

English proficiency

Nursing assessment

Care coordination

Education

ASN/ADN or Diploma in Nursing

State RN license

Tools

Home care coordination tools

Job description

Summary

The Nurse provides direct Veteran care and care coordination - as it pertains to Veterans and their care within the Home Based Primary Care Program (HBPC).

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/13059286
• 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 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 additional 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care - and potentially long periods of walking - standing - sitting - moderate lifting - repeated bending - or kneeling
• Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients Utilization of safe patient handling and mobility protocols Position specific duties/expectations are detailed in the associated competency and should be performed once the competency has been validated
• Other Significant Information: This position potentially requires flexibility in schedule and assignments.

Duties

• The mission of the HBPC is to provide comprehensive - interdisciplinary - primary care in the homes of Veterans with complex medical - social - and behavioral conditions for whom routine clinic-based care is not effective
• The HBPC target population is frail and/or chronically ill Veterans who require interdisciplinary health care teams - continuity and coordination of care - and the integration of diverse services to cover their complex medical - social - rehabilitative - and behavioral care needs
• These Veterans need comprehensive - longitudinal home care services as they age to maximize function - minimize institutionalization - and maintain quality of life
• The HBPC RN Case Manager will: Provide initial and continued assessment of nursing needs of the Veteran
• Teach the Veteran and/or Caregiver effective and efficient ways to manage health and care in the home
• Monitor the Veteran's condition and the care provided in the home
• Oversee the provision of direct care
• May delegate tasks to the HBPC LPN depending on the patient's medical needs
• Visit the Veterans monthly for the first 90 days the Veteran is enrolled in the HBPC program - then will visit at least every 60 days if supplemented by LPN visits so that nursing visits are provided on a minimum of once a month
• will visit monthly if no supplemental LPN visits
• Complete the appropriate clinical reminders/screening
• Monitor the Veteran's physical and psychosocial status
• Notify the Primary Care Provider of changes in condition or care needs
• Driving Required: Yes 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: Full-time - 8:00am to 4:30pm Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized