Registered Nurse (Home and Community Based Care)/Outpatient

U.S. Department of Veteran Affairs; Salisbury (NC); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Paid time off

Federal health/vision/dental/long-term

Traditional pension with 401(k)

Job summary

U.S. Department of Veterans Affairs is seeking a Registered Nurse (Home and Community Based Care)/Outpatient to manage patient care, coordinate services, and plan discharge/disposition across inpatient and outpatient settings.

The role emphasizes assessment, care planning, and collaboration with Veterans, families, and a broad care team to ensure seamless transitions and high-quality outcomes.

Responsibilities

• Provides and/or supervises direct patient care following the nursing process.
• Assesses, plans, implements, and evaluates care based on age-specific components.
• Coordinates care focusing on patient education, self-management, and satisfaction across the continuum.
• Delivers competent, evidence-based care to assigned patients.
• Assists Veterans, families, and caregivers in accessing appropriate options and services for complex health needs.
• Coordinates care with multiple providers across all levels and sites of care to ensure continuity.

Job description

Summary

The Registered Nurse (Home and Community Based Care)/Outpatient provides patient management, care coordination, and discharge/disposition planning for inpatient and outpatient settings. NOTE: The 2-page Resume requirement does not apply to this position.

Major Duties

• The Registered Nurse (RN), Home and Community Based Care (HCBC)/Outpatient is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care.
• Assesses, plans, implements, and evaluates care based on age-specific components.
• Responsible for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
• The RN (HCBC) is responsible for providing competent, evidence-based care to assigned patients.
• Assists Veterans, family members, and caregivers with receiving the most appropriate options and services to meet their complex health care needs. This includes, but is not limited to, acute, chronic, multiple, complex, catastrophic, or life-threatening illnesses; combat stress, residuals of traumatic brain injury; community adjustment; addictions and other health problems.
• Coordinates care with multiple providers across all levels and sites of care. Coordination includes assuring services interface within the Veterans Affairs (VA) and HCBC programs to provide continuity of care to patients.
• Performs clinical nursing review of medical records of patients who are hospitalized in non-VA hospitals to determine point of stability for payment purposes and potential for transfer of the Veteran to a VA facility for care.
• Demonstrates knowledge of utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines.
• Maximizes third-party payments for care and delivering quality patient care improvement activities.
• Develops and coordinates transitioning of patients throughout the inpatient and outpatient care process with a focus on discharge planning needs.
• Reviews and assists in patient referrals to HCBC facilities to ensure continuity of qualified comprehensive care.
• Participates in the discharge planning assessment and implementation of community health services, to include skilled nursing care, hospice, adult day health services, respite services and activities required to successful transition the patient to the appropriate non-acute care setting.
• Performs follow-up and oversight visits to the Veteran after admission to HCBC to ensure that adequate and safe care is being provided while under VA contract.
• Performs other related duties as listed in functional statement.

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 - 4:30pm, Monday - Friday
• Telework: No Virtual: This is not a virtual position.
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized

Requirements

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 evaluation/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.

Evaluations

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy. Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Required Documents

• Long-form resume/Curriculum vitae (CV)
• SF-50/ Notification of Personnel Action
• Cover Letter
• DD-214/ Statement of Service
• Disability Letter (Schedule A)
• Disability Letter (VA)
• License
• Long-form resume/Curriculum vitae (CV)
• Other (1)
• PCS Orders
• Performance Appraisal
• Professional Certification
• Separation Notice (RIF)
• SF-15
• SF-50/ Notification of Personnel Action
• Transcript
• Veterans' Preference

Other Information

This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.