Registered Nurse - Home Based Primary Care

Veterans Health Administration, Department of Veterans Affairs; Jefferson Barracks (MO); On-site; USD 75,000 - 100,000; Full time

Benefits offered by this job

Paid Time Off

Federal retirement benefits

Federal 401K

Health/vision/dental insurance

Job summary

The Home Based Primary Care Registered Nurse delivers comprehensive, patient-centered home care by coordinating education, self-management, and quality improvement. Working with an interdisciplinary team, the HBPC RN serves Veterans across the VA St.

Louis Health Care System, including Missouri and Illinois sites and rural areas. Duties include case management, assessment, triage, education for Veterans and caregivers, resource coordination, medication and treatment management, and development

Qualifications

• English proficiency required for direct patient care.
• Graduate of an approved nursing program with active US license.
• Eligibility for state RN licensure and appropriate bridge programs if applicable.
• Experience or readiness to provide home-based care and case management.

Responsibilities

• Deliver and coordinate patient-centered home care with education and self-management focus.
• Perform case management, assessment, triage, and care plan development.
• Coordinate resources, medication and treatment management, and quality improvement.
• Collaborate with interdisciplinary teams and provide education to Veterans and caregivers.

Skills

Communication skills

Patient education

Team collaboration

Clinical assessment

Education

RN license (US)

Graduate nursing program (ACEN/CCNE)

State licensure for nursing

BSN/MSN preferred

Job description

Summary

The Home Based Primary Care Registered Nurse delivers and coordinates patient-centered home care - focusing on education - self-management - and quality improvement while working with an interdisciplinary team. The role serves Veterans across the VA St. Louis Health Care System - including multiple Missouri and Illinois sites and rural areas.

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/13101346
• 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 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 requires physical activities typically associated with direct patient care - including extended periods of walking - standing - sitting - moderate lifting - and repeated bending or kneeling.

Duties

• The Home-Based Primary Care (HBPC) Registered Nurse delivers comprehensive - evidence-based care to Veterans living in urban - rural - and highly rural communities
• HBPC nurses serve throughout the VA St
• Louis Health Care System - including the John Cochran and Jefferson Barracks campuses - the Washington Avenue and Manchester annexes - and additional sites in Franklin - St
• Charles - and St
• Louis counties in Missouri - as well as St
• Clair County and Scott Air Force Base in Illinois
• The HBPC RN provides direct patient care and guides the work of licensed vocational nurses and nursing assistants as appropriate
• Core responsibilities include case management - assessment - triage - Veteran and caregiver education - coordination of resources - medication and treatment management - and the development of individualized care plans
• The RN delivers skilled - home-based care to Veterans with complex health needs - including primary - geriatric - preventive - and palliative care - with interventions tailored to optimize health outcomes and reduce avoidable urgent care or emergency department visits
• Additional duties include conducting home visits - supporting nursing education and competency development - and contributing to quality improvement initiatives
• The RN continually evaluates clinical practice based on current evidence - collaborates effectively within the interdisciplinary team - and fosters a professional environment that supports learning and growth
• The nurse provides constructive feedback - advocates for high-quality patient outcomes - and actively participates in sustaining evidence-based practice
• Preferred Experience: 3 to 5 years of experience in home care
• 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 - 7:00am - 3:30pm - 7:30am - 4:00pm - 8:00am - 4:30pm Telework: Ad-hoc Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized