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

Veterans Health Administration, Department of Veterans Affairs; Iron Mountain (MI); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Paid Time Off

Federal pension

401K

Job summary

Veterans Health Administration in the United States seeks a Registered Nurse - Home Based Primary Care (HBPC) to deliver comprehensive nursing care at Veterans\' homes and in patients\' communities. The RN collaborates with VA and community services to meet health goals and enhance self-management, with travel required to homes and within the community.

The role emphasizes education, coordination, and evidence-based practice across acute, chronic, and palliative care as part of a

Qualifications

• English language proficiency required by VA standards.
• Graduate of a nursing program approved by accrediting bodies ACEN or CCNE.
• Current full, active RN license in a US state or territory.

Responsibilities

• Provide comprehensive nursing care to HBPC patients in their homes.
• Coordinate care, education, self-management, and outcomes with the interdisciplinary team.
• Administer medications and procedures per established policies.
• Travel within community to Veterans' homes and ensure care continuity.

Skills

English language proficiency

Education

Nursing degree from ACEN/CCNE-accredited program

Active RN license in US

Foreign education validation if applicable

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.

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.