Registered Nurse - Home Based Primary Care (HBPC)

Veterans Health Administration

Fayetteville (AR)

Remote

USD 72,000 - 149,000

Full time

3 days ago

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Benefits offered by this job

Telework eligible

Federal benefits

Job summary

U.S. Department of Veterans Affairs is seeking a Registered Nurse for Home Based Primary Care (HBPC) in Fayetteville, AR. The RN will provide direct veteran care and oversee licensed staff, coordinating care within the HBPC program and across disciplines.

Responsibilities include plan-of-care development, assessments, and telecare when appropriate. The role emphasizes patient education, intensive care management, and liaison work with physicians to ensure safe transitions and high-quality

Qualifications

Active RN license in any US state.
Experience providing home-based or community-based nursing care.
Ability to coordinate care with interdisciplinary teams.

Responsibilities

Develop and coordinate patient plans of care with ongoing assessment and reassessment.
Coordinate care across continuum and ensure smooth transitions.
Provide education and support to patients and caregivers to optimize outcomes.

Skills

Care coordination

Assessment/care planning

Telehealth

Venipuncture (home)

Patient education

Liaison with physician

Education

RN license

Job description

Registered Nurse - Home Based Primary Care (HBPC)

Department: Department of Veterans Affairs

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 the setting. This nurse provides direct Veteran care and care coordination, as it pertains, to Veterans and their care within the HBPC Program.

Key Responsibilities

Registered Nurse - Home Based Primary Care (HBPC) duties include but are not limited to: Developing and coordinating the patient's plan of care to include ongoing assessment and reassessment, care planning, care coordination, monitoring, and evaluating clinical outcomes. - Interacting, coordinating, and advocating for the patient/caregiver with other relevant parties across a continuum of care, beyond a single episode of care, ensuring seamless transitions.

- Providing individualized education and support to the patient and caregiver to optimize clinical outcomes and support quality of life decisions. - Delegating and supervising the care given to the patient by licensed practical nurses, and home health technicians, as applicable. - Providing intensive care management for assigned patients. - Linking Veterans with resources.

- Coordinating resources for comprehensive care to avoid duplication of services and streamline staff interaction and services with the Veteran. - Conducts assessments in the home to develop treatment goals and plans based on comprehensive interdisciplinary assessment of the patient and the caregiver. - Participates in the development of the individual plan of care at interdisciplinary care meetings for assigned panel of patients.

- Implements the plan of care through home visits or Telehealth, as indicated. - Reviews progress toward goals at regular intervals, as a team, on a quarterly basis, or more frequently when there is a change in the patient's condition. - Assess and support the caregiver's capability to continue to provide care. - Assesses clinical data for neurological, cardiac/vascular, respiratory, gastrointestinal, genitourinary, and skin and documents findings and reports abnormalities.

- Incorporates assessment findings into treatment plan. - Coordinates care with other health care providers in assessing, planning, implementing, and evaluating treatment interventions. - Coordinates transitions of care from outpatient to inpatient or emergency department settings through communication with outpatient facilities and the interdisciplinary team. - Appropriate documentation as established by HBPC Standard Operating Procedures (SOP).

- Administers medication safely and accurately. - Identifies patients at high risk for harm to self and follows established SOPs on Suicide Risk. - Establishes and maintains effective communication with patients, family members, and the interdisciplinary team. - Assumes responsibility for telecare calls that can be handled by the RN, directing to the physicians those calls that must have physician response.

- Serves as liaison with physician and patient and discusses concerns with the physician and calls the patient back. Establishes a rapport with patients to encourage them to call when a healthcare problem arises. - Performs venipuncture in the home per competency and reviews lab and test reports and alerts the physician of significant findings and assists the physician with appropriate follow up and treatment.

- Identifies learning needs of the patient/family (diagnosis, medication, surgery, etc.) and implements teaching strategies or provides alternate methods of communication (e.g. dry erase boards, picture charts, etc.) to patients with learning difficulties.- Understands the legal ethical implications of Patient Self Determination Act, Patient Bill of Rights, Advanced Directives, and Patient Abuse (protection).

Serves as a resource for patients, families, and other staff when ethical issues arise. Abides by and carefully adheres to Medical Center Policies for Ethics and Compliance. Driving is required for this position.

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 7:30 am - 4:00 pm.

Subject to change based on needs of the service. Telework: available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: not authorized Permanent Change of Station (PCS): not authorized

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $72303 – $148932/yr.

Is this position remote or telework eligible?

This position is eligible for telework.

What is the application deadline?

Applications close on 2026-11-12.

Who is eligible to apply?

This position is open under the 'Fed Internal Search' hiring path.