Registered Nurse (RN) - Home Based Primary Care (HBPC)

U.S. Department of Veterans Affairs; Iron Mountain (MI); On-site; USD 85,000 - 110,000; Full time

Job summary

U.S. Department of Veterans Affairs in Michigan seeks a Registered Nurse (RN) - Home Based Primary Care (HBPC) to provide comprehensive nursing care to an assigned panel of Veterans, coordinating with VA and community services to meet health goals and promote self-management. Travel to Veterans' homes is required.

The HBPC RN will lead care planning, educate Veterans, and collaborate with interdisciplinary teams to deliver evidence-based, patient-centered care in the home setting.

Qualifications

• English language proficiency required.
• Nursing degree from an accredited program.
• Current, full, active, and unrestricted nursing license in the U.S. or District of Columbia.

Responsibilities

• Coordinate care focused on patient education and self-management.
• Administer medications and procedures per policies.
• Collaborate with the interdisciplinary team to optimize patient outcomes.
• Provide direct Veteran care and care coordination in HBPC settings.

Skills

English proficiency

Home-based care

Interdisciplinary collaboration

Education

Nursing degree (ADN/BSN) accredited

State nursing license

Job description

Summary

The Registered Nurse (RN) - Home Based Primary Care (HBPC) provides comprehensive and coordinated nursing care to an assigned panel of patients. The RN in this role collaborates with Veteran Affairs (VA) and community services - as appropriate - to effectively meet the health promotion or disease prevention - acute - chronic - and long-term needs - based on Veterans' goals and plan of care with a focus on self-management. This position requires travel within the community and to Veterans' homes.

Summary

The Registered Nurse (RN) - Home Based Primary Care (HBPC) provides comprehensive and coordinated nursing care to an assigned panel of patients. The RN in this role collaborates with Veteran Affairs (VA) and community services - as appropriate - to effectively meet the health promotion or disease prevention - acute - chronic - and long-term needs - based on Veterans' goals and plan of care with a focus on self-management. This position requires travel within the community and to Veterans' homes.

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/13067401
• 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 year of home based care experience is highly preferred
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care - and potentially long periods of walking - standing - sitting - moderate lifting - repeated bending - or kneeling
• Examples may include but are not limited to: Significant amounts of time standing assisting assigned patients Utilization of safe patient handling and mobility protocols Position specific duties/expectations are detailed in the associated competency and should be performed once the competency has been validated
• Other Significant Information: The HBPC RN Care Manager is expected to drive to see Veterans in their home - traveling in and dealing with all kinds of weather elements at various times
• This position requires operation of a government-owned or leased motor vehicle to properly carryout assigned duties
• A valid - state-issued driver's license is required - along with medical clearance by Employee Occupational Health (EOH)
• The incumbent of this position would be considered an Incidental Driver
• Incidental operators are employees - other than those occupying a position officially classified as a motor vehicle operator - who are required to operate a government-owned/leased motor vehicle to properly carry out their assigned duties
• This position potentially requires flexibility in schedule and assignments.

Duties

• The incumbent of this position must have a valid - state-issued driver's license
• Registered Nurse (RN) - Home Based Primary Care (HBPC) is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care
• The RN in this role assumes responsibility for the coordination of care focused on patient education - self management - and customer satisfaction throughout the continuum of care
• The RN - HBPC is also responsible for the following duties: Administering medications and procedures per established policies and guidelines
• Influencing care outcomes by collaborating with members of the interdisciplinary team
• Providing competent - evidence-based care to HBPC patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting
• Providing direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program
• Being responsible for case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planning
• Planning and delivering technically competent care in the home of Veterans with complex needs - including health promotion - health prevention - geriatric care - primary care - and palliative care
• Utilizing interventions - which maximize health capabilities and reduces unnecessary urgent care and emergency room visits - per Veteran's goals of care
• Making home visits to Veterans in the program
• Assisting in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization
• Demonstrating leadership in delivering and improving holistic - home-based care through collaborative strategies with others
• Contributing professional outpatient nursing perspective in discussions with the interdisciplinary team
• Partnering with others to effect change and produce optimal outcomes
• Supporting colleagues through knowledge sharing to provide safe - quality HBPC nursing
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: Up to 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 (1 FTE) 0800 - 1630 Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized.
• 0800 - 1630
• Telework: Not Available
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized
• Permanent Change of Station (PCS): Not Authorized.