Home-Based Primary Care RN for HCC (Fredericksburg)

Summary The Home-Based Primary Care RN for HCC (Fredericksburg) positions are located at the Fredericksburg Health Care Center in Fredericksburg - Virginia. Please learn more about the position below - along with the duties. 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 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 Driver's License Requirement: Applicant's must have a current valid State Driver's license for this position 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 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 Preferred Experience: 2-3 years' experience with home care home-based nursing - medical - surgical or primary care outpatient clinic Preferred education/certifications: MSN preferred / Certification in case management - geriatrics - or ambulatory care Physical Requirements: The physical requirements of this position include lifting - prolonged standing - sitting - frequent bending - stooping - walking - reaching - repetitive motion - and climbing stairs The mental/sensory requirements include logical thinking - processing and retaining information - reading - recall - reasoning - complex problem solving - hearing - clear distinct speech - writing - keyboarding - use of a telephone - and use of video connectivity Duties Two Full time position exist for an experienced registered nurse in the Geriatric Extended Care (GEC) Home Based Primary Care (HBPC) Program This position reports to the Nurse Manager of Home-Based Primary Care The HBPC RN is a member of the interdisciplinary team providing direct primary care to a specific group of homebound patients with a variety of chronic and terminal illnesses The RN is responsible for Care Coordination on an assigned caseload utilizing professional nursing skills in collaboration with the interdisciplinary team members led by the licensed independent provider Responsible for implementing the home health plan that meets each Veteran's specific need that complies with the organizational standards and federal and state regulations - and the VAMHCS policies and procedures Participates in weekly Interdisciplinary team meetings (IDT) and in the performance and continuous quality improvement activities and initiatives May oversees the nursing care of Veterans receiving care in community- care sponsored or contract programs Duties include - but are not limited to: -Collects current symptoms - as well as a detailed patient history and then consults and coordinates with health care team members to assess - plan - implement and evaluate patient care plans

• Performs triage - while considering both physical and psychosocial elements
• Nurses in this role provide care to a caseload of Veterans in the home setting

The service area for HBPC is considered within a 40-mile drive radius from the Central Virginia Healthcare System (CVHCS) main campus - Community Based Outpatient Clinic (CBOC) - or telework location as applicable -Demonstrates the ability to complete in-home assessments including the Veterans risk factors physical - psychosocial - emotional - and mental status medications home environment and safety caregiver/support system and educational needs

• Develops an initial plan of care with the patient and caregiver
• Based on the assessment - referrals are made to other members of the HBPC team that includes Provider - Social Work - Occupational Therapy - Dietitian - and Psychologist
• Reviews the interdisciplinary plan of care with all team members during the weekly team meeting

This plan of care is reviewed every 90 days during the team meeting - or as needed based on changes in the patient's condition The review note is co-signed by the provider

• Collaborates with HBPC pharmacist through interdisciplinary team meetings - or as needed based on quarterly pharmacy review of medications
• Consults with inpatient discharge coordinators - nurses and social workers to facilitate the transition to home care
• The nurse reviews the medications the patient has in the home to ensure they are correct and match the current orders from VA physicians

The nurse educates the patient regarding their medications and provides a current medication list for use in the home

• The HBPC nurse also assesses for any over the counter medications or supplements the patient may be taking and conveys this information to the primary provider for further evaluation
• Operates a government vehicle for travel to home visits

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 through Friday - 8:00am-4:30pm

• Weekend Requirement
• Telework: Not Authorized Virtual: This is not a virtual position
• Relocation/Recruitment Incentives/Expenses: Not Authorized Permanent Change of Station (PCS): Not Authorized

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