Registered Nurse (Care Manager)- Home Based Primary Care

The RN Case Manager provides comprehensive, patient-centered nursing care to Veterans in the comfort of their homes through the Home Based Primary Care (HBPC) program. this position focuses on supporting Veterans with complex healthcare needs by promoting independence, improving quality of life, and ensuring coordinated, comprehensive care. The RN works collaboratively with an interdisciplinary team to support Veterans and their families throughout the continuum of care.Basic RequirementsEnglish 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: I, Level IScope: Delivers fundamental, knowledge-based care to assigned clients while developing technical competencies.Education: An Associate Degree (ADN) or Diploma in Nursing, with no additional professional nursing required.Nurse I, Level IIScope: Demonstrates integration of biopsychosocial concepts, cognitive skills and technically competent practice in providing care to clients with basic or complex.Education: 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 IIIScope: Demonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.Education: 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 IIScope: Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.Education: 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 IIIScope: Executes position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.Education: 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:Registered nurse experience in home health, home based primary care, community or public health nursing, case management, or ambulatory primary care.Experience caring for older adults and Veterans with multiple chronic conditions, dementia, and functional decline, including palliative and end-of-life care.Care management of a defined caseload, including care planning, care coordination, and follow-up after emergency department visits and hospital discharges.Medication reconciliation and medication management for patients on complex regimens.Phlebotomy and point-of-care testing; injections and immunizations.Wound care, including pressure injury assessment and staging; indwelling and suprapubic catheter care; ostomy care.Telephone triage and virtual care, including VA Video Connect or similar telehealth.Independent practice in the community: working alone, managing a daily visit route, and using sound judgment in home settings.Interdisciplinary team practice with providers, social work, rehabilitation, nutrition, pharmacy, and psychology.Valid driver'slicense and comfort driving rural roads and in winter conditions.BSN preferred. Certification valued: Certified Case Manager (CCM), Gerontological Nursing (GERO-BC), Hospice and Palliative (CHPN), Home Health, or wound care.ReferenceFor more information on this qualification standard, please visit RequirementsHeavy lifting (45 pounds and over), Moderate carrying (15-44 pounds), Pushing (5 hours), Reaching above shoulder, Use of fingers, Both hands required, Walking (2 hours), Standing (5 hours), Kneeling (5 hours), Repeated bending (5 hours), Both legs required, Operation of crane, truck, tractor, or motor vehicle, Ability for rapid mental and muscular coordination simultaneously, Near vision correctable at 13'' to 16'' to Jaeger 1 to 4, Far vision correctable in one eye to 20/20 and to 20/40 in the other, Specific visual requirement (peripheral vision), Ability to distinguish basic colors, Hearing (aid permitted).J-18808-Ljbffr