Registered Nurse Outpatient Home Based Primary Care

Summary Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care. This position is located at the Glenis Drive VA Clinic at 250 Glenis Dr - Murfreesboro - TN 37129. Qualifications 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 ACEN or CCNE at the time the program was completed. 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 the 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 a temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005 - Appendix G6). 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 than an 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: Grade/Level Scope Education Nurse I – Level I: Delivers fundamental knowledge‑based care to assigned clients while developing technical competencies. Requires 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. Requires an ADN or Diploma in Nursing and 1 year of specialized nursing experience equivalent to Nurse I – Level I 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. Requires an ADN or Diploma in Nursing and 2 years of professional nursing experience in which one year is equivalent to Nurse I – Level II or a BSN and 1 year of professional nursing experience equivalent to the Nurse I – Level II or a Master’s degree in nursing (MSN) with 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. Requires a BSN with 2 years of professional nursing equivalent to Nurse I – Level III or an MSN with one year of specialized nursing experience equivalent to Nurse I – Level III or a Master’s degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse I – Level III 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. Requires an 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 a related field with a 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 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 Physical Requirements: You must be able to perform work that requires regular and recurrent bending – lifting 30 pounds or more – stooping – climbing – twisting and/or bending – standing and/or walking almost constantly during the course of the day, reaching above the shoulder, stretching, and similar activities supporting various weights, walking and standing for 8 hours, frequent pushing medication carts – wheelchairs – litters – beds, use of fingers – both hands and both legs, emotional stability (you must be able to care for Veterans with various medical and psychiatric illnesses who at times may exhibit unpredictable behavior and may have the potential to be physically or verbally assaultive), near vision correctable at 13\" to 16\" / far vision correctable in one eye to 20/50 and to 20/100 in the other / both eyes required with ability to distinguish basic colors, hearing aid permitted in order to sufficiently hear various alarms and respond immediately. Duties Registered Nurse pay scale is NG57. The 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. 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. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs. Utilizes interventions – which maximize health capabilities and reduce unnecessary urgent care and emergency room visits – per Veteran's goals of care. Makes home visits to Veterans in the program. The nurse will assist in directing the provision of nursing education – orientation – competencies and providing quality improvement and outcomes utilization. Demonstrates leadership in delivering and improving holistic home‑based care through collaborative strategies with others. Evaluates practice in an ongoing process – based on best evidence. Provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional outpatient nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Supports colleagues through knowledge sharing to provide safe – quality HBPC nursing. Shares educational findings – experiences – and ideas with peers. Questions HBPC clinical practices for the purpose of providing evidence‑based care. Participates in activities and strategies to sustain evidence‑based practice. Other duties as assigned. 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: 8:00am‑4:30pm; Telework: Available; Virtual: This is not a virtual position; Permanent Change of Station (PCS): Not authorized. #J-18808-Ljbffr