Registered Nurse-Home Based Primary Care Outpatient

Veterans Health Administration, Department of Veterans Affairs; Miami (FL); On-site; USD 80,000 - 120,000; Full time

Job summary

Veterans Health Administration, Department of Veterans Affairs in Miami seeks an experienced RN for Home Based Primary Care Outpatient. This role provides direct patient care in patients' homes with coordination across a multidisciplinary team and leadership in HBPC initiatives.

The HBPC RN delivers evidence-based care, participates in education, and supports quality improvement and outcomes utilization within a VA academic hospital program.

Qualifications

• Must be a graduate of an approved nursing program and eligible for RN licensure.
• Must meet VA requirements including English proficiency and licensure.
• Foreign nursing education requires degree equivalency validation.
• Must pass pre-employment physical as required by VA Handbook 5019

Responsibilities

• Provide competent, evidence-based Home Based Primary Care to Veterans with oversight of other staff as appropriate.
• Lead case management: assessment, triage, education, resource coordination, and care planning.
• Make home visits and coordinate transitions across the care continuum.
• Collaborate with interdisciplinary team to promote safe transitions and quality outcomes.
• Direct patient care and care coordination within the HBPC program.

Skills

English language proficiency

RN licensure

Education

Approved nursing program (ACEN/CCNE)

RN licensure

Job description

Summary

The Miami VA Healthcare System's Nursing Service is seeking an experienced and dynamic Registered Nurse-Home Based Primary Care Outpatient. Our ideal applicants are those who want to contribute to the achievement of quality care standards - as well as the growth and development of a VA academic hospital 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/13065363
• 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: Must pass a pre-employment physical examination as required by VA Handbook 5019
• This examination is administered by VA Occupational Health
• This position requires moderate lifting up to 44 lbs. - carrying objects up to 15 lbs. - frequent reaching above shoulder - use of fingers - hands and legs - use of cranes and motor vehicles - walking & standing up to 8 hours - bending and climbing and able to hear whisper
• The incumbent must be physically - emotionally and mentally stable in order to efficiently perform the essential functions of this position without hazard to themselves or others.

Duties

• The Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) is responsible for providing competent - evidence based HBPC to patients with oversight of licensed vocational nurses as appropriate to the clinic setting
• He/She executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex HBPC care
• The HBPC nurse provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program
• This nurse provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program
• Duties include but are not limited to: Provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program
• Case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planning
• 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
• Makes home visits to Veterans in the program
• Assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization
• Practice includes directing other providers
• Partners with the patient - family - and interdisciplinary team to promote effective and safe transitions across the health care system
• 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: 7:30am-4pm (Note: Work schedules are determined and approved by the supervisor
• The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs).