Registered Nurse - Home Health

Summary As a Home Health Registered Nurse at the Sioux Falls Veterans Affairs Health Care System you will bring high‑quality, veteran‑centered care directly into the home and community setting. This meaningful role allows you to build trusted relationships with veterans and their families while using your clinical judgment, care coordination, advocacy, and collaboration skills to help veterans remain safe, supported, and connected to the care they need. 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 either 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 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) 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, Commonwealth (e.g., Puerto Rico) 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 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 a 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 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: Previous Home Health experience Case management Reference: For more information on this qualification standard – please visit Physical Requirements: You will be asked to participate in a pre‑employment examination or evaluation as part of the pre‑employment process for this position Questions about physical demands or environmental factors may be addressed at the time of examination. Duties The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers This is an approach to healthcare that empowers and equips people to take charge of their health and well‑being and live their lives to the fullest As an employee operating in a Whole Health System of care – you will operate in a model with three core elements – seeking to create a personalized health plan for each Veteran This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well‑being Major duties include – but are not limited to: Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care Provide competent – evidence‑based patient care to assigned patients and oversight of licensed vocational nurses/nursing assistants – as appropriate to the setting Demonstrate leadership in delivering and improving holistic care through collaborative strategies with others and deliver care in accordance with established standards – policies – and procedures consistent with the interdisciplinary plan of care Provide care to the Veteran in their home setting utilizing proper precaution Assess and chart observations of the Veteran's condition at each visit Complete evaluation tasks that include medication review – vital signs – wound care – and other duties within the Registered Nurse scope of practice Coordinate plan of care with providers and other interdisciplinary team members Focus on the Veteran in the context of family/community by integrating an assessment of living conditions – individual and family dynamics – and cultural background into the Veteran's plan of care Perform supervisory visits on the cares provided by Licensed Practical Nurses and Nursing Assistants within a timely manner Serve as an advocate in the care management process by supporting decisions – clarifying options – and problem solving with the interdisciplinary team Provide consultation and guidance and act as a liaison for staff – nursing homes – and other health care providers regarding Veteran needs in the community/home setting and in the interpretation of Department of Veterans Affairs rules and regulations 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‑Friday 7:00am – 3:30pm Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Driving Requirement: You may be expected to travel 76% or greater of the time for this position to various care locations within the service area – including Veteran homes as part of Home Health care delivery You must possess and maintain a current, valid, unrestricted state‑issued driver's license You must provide a safe, clean driving record from the Department of Motor Vehicles (DMV) during onboarding You must successfully complete a driver's physical examination to demonstrate medical ability to safely operate a government‑owned or leased vehicle – as required under 5 CFR 930 and HR Job Aid 05‑OB‑010.002 Compensation and Benefits 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‑Friday 7:00am – 3:30pm Compressed/Flexible: Not Available Other Requirements Telework: Not Available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Driving Requirement: You may be expected to travel 76% or greater of the time for this position to various care locations within the service area – including Veteran homes as part of Home Health care delivery You must possess and maintain a current, valid, unrestricted state‑issued driver's license You must provide a safe, clean driving record from the Department of Motor Vehicles (DMV) during onboarding You must successfully complete a driver's physical examination to demonstrate medical ability to safely operate a government‑owned or leased vehicle – as required under 5 CFR 930 and HR Job Aid 05‑OB‑010.002 #J-18808-Ljbffr