RN Staff - Home Based Primary Care (Littleton NH)

RN Staff - Home Base Primary Care

The RN Staff - Home Base Primary Care position is in Geriatrics and Extended Care Service at the VA White River Junction Healthcare System, located at the Littleton, NH location. This position is full-time at 40 hours per week.

Included but are not limited to:

• Provide and supervise direct patient care, ensuring accountabilities for all elements of the nursing process.
• Coordinate patient care across settings with emphasis on education, self-management, and patient satisfaction.
• Administer medications and perform clinical procedures per established policies and guidelines.
• Participate in unit and program-level quality improvement and customer service initiatives.
• Deliver evidence-based care to HBPC patients, including oversight of licensed vocational nurses and nursing assistants.
• Manage cases through assessment, triage, patient education, resource and medication coordination, and individualized care planning.
• Plan and deliver comprehensive, technically competent care to veterans in their homes, addressing complex primary, geriatric, preventive, and palliative needs.
• Implement interventions to maximize health, reduce hospital/ED visits, and align with each veteran's goals of care.
• Conduct routine home visits to veterans as part of care delivery.
• Support the orientation, education, and competency development of nursing staff; contribute to quality improvement and outcome evaluation activities.
• Provide constructive feedback to peers and foster a safe, supportive, and professional environment for staff development.

Veteran/Patient-Driven Care:

• Collaborate with the interdisciplinary team to resolve issues impacting the veteran experience, including care coordination, timeliness, satisfaction, and environment of care concerns.
• Incorporate the knowledge, values, and beliefs of patients, families, and caregivers into care delivery without judgement or discrimination.
• Advocate for patient, family, and caregiver needs to improve outcomes in the immediate practice setting.
• Serve as a resource for resolving ethical concerns for patients, caregivers, and staff.

Evidence-Based Practice/Research:

• Lead the integration of evidence-based practice and research to improve care quality, resource utilization, and outcomes.
• Apply current evidence and research findings to daily practice, resulting in process or outcome improvements.
• Assess clinical processes to identify opportunities for efficient and cost-effective care delivery.
• Monitor, analyze, and evaluate care outcomes to drive patient care improvements.
• Lead initiatives to integrate patient preferences and shared decision-making into care delivery.

Work Schedule: Monday - Friday 8:00am - 4:30pm

Compressed/Flexible: Not Available

Telework: May be available on an Ad-Hoc basis at supervisor's discretion

Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized

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

Notifications:

• This position is in the Excepted Service
• Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.
• This position is covered by a special rate.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards