Summary
The Home Based Primary Care (HBPC) Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex HBPC care. This nurse will be assigned to provide direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program in the Sierra Vista area.
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/12743206
- 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
- Preferred Experience 1
- Demonstrated expertise in home health or community nursing - with experience in managing chronic and complex medical conditions
- 2
- Proficiency in conducting comprehensive patient assessments - triage - and developing individualized care plans in a home setting
- 3
- Strong skills in patient and caregiver education - emphasizing self-care and disease management at home
- 4
- Excellent time management abilities to handle multiple cases effectively and prioritize patient needs
- 5
- Ability to work autonomously and collaborate with an interdisciplinary team to ensure continuity of care
- 6
- Experience in documenting and managing patient records through electronic health systems
- Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
- Physical Requirements: Heavy lifting (45 lbs and over)
- Heavy carrying (45 lbs and over)
- Straight pulling and pushing
- reaching above shoulder
- use of fingers
- both hands required
- walking and standing up to 8 hours
- repeated bending
- Ability for rapid mental and muscular coordination simultaneously
- hearing aid permitted.
Duties
- The Home Based Primary Care (HBPC) Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex HBPC care
- This nurse will be assigned to provide direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program in the Sierra Vista area
- Responsible for case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planning
- This nurse 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
- Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and/or guidelines
- Demonstrates performance and leadership that is broad enough to improve the care for the HBPC Program and facility
- Provides peers with formal or informal constructive feedback for improvement
- Supports colleagues and other nurses through HBPC knowledge sharing to provide safe - quality nursing care
- Fosters a safe and supportive environment conducive to the professional development of health care professionals
- Evaluates outpatient outcomes of evidence-based decisions and practice changes for HBPC individuals - groups - and populations
- Please Note - assignments will be in the Sierra Vista Area 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 - 07:30am - 16:00pm Telework: Not Available Virtual: This is not a virtual position
- Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized