Registered Nurse (Home Based Primary Care)

Overview The Home Based Primary Care (HBPC) Registered Nurse (RN) executes responsibilities that demonstrate leadership, experience, and creative approaches to management of complex HBPC care. This RN provides direct Veteran care and care coordination within the HBPC Program, including care in the Veteran's home. They are responsible for case management, assessment, triage, Veteran education, resource coordination, medication and treatment coordination, and care planning. Responsibilities 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 that 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 HBPC program. Supports colleagues and other nurses through HBPC knowledge sharing to provide safe, quality nursing care. Evaluates outpatient outcomes of evidence-based decisions and practice changes for HBPC individuals, groups, and populations. Assists in directing the provision of nursing education, orientation, competencies, and providing quality improvement and enhanced outcomes utilization. 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 OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor2as 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 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: 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 needs; ADN or Diploma in Nursing and 1 year of specialized nursing experience, or BSN with no additional professional nursing experience Nurse I - Level III: Demonstrates proficiency in practice with self-directed goal setting for managing complex client situations; ADN or Diploma in Nursing with 2 years of professional nursing experience (one year equivalent to Nurse I - Level 2) or BSN with 1 year of professional nursing experience equivalent to Nurse I - Level 2 or MSN with no additional professional nursing experience or MSN-equivalent with related field and BSN Nurse II: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others; BSN with 2 years of professional nursing equivalent to Nurse I - Level 3, or MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3, or related field with BSN and one year of specialized nursing experience; Doctoral degree in Nursing with no professional nursing experience or Doctoral degree in a related field with a BSN and 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 with 2 years of specialized nursing experience (one year equivalent to Nurse II) and all dimension requirements; or related field with BSN and two years of specialized nursing experience; or Doctoral degree in Nursing with one year of specialized nursing experience equivalent to Nurse II and all dimension requirements; or Doctoral degree in a related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and all dimension requirements Note: Foreign education programs/degrees are not creditable as related degrees Reference: For more information on this qualification standard, visit 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 Requirements and Schedule Background checks and other regulatory requirements may apply Work Schedule: Monday-Friday, 0800-1630; this position may require flexibility in schedule and assignments Telework: Ad-hoc may be available at supervisory discretion #J-18808-Ljbffr