Registered Nurse- Home Based Primary Care

Summary NOTE:The 2-page Resume requirement does not apply to this occupational series. For more information - refer to Required Documents below Registered Nurse- Outpatient Home Based Primary Care position is located at the VA Bedford Healthcare System. This position is full-time 40 hours per week. Qualifications Basic Requirements: • 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) orThe 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 • PreferredExperience: Case Management - Home Care 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 • Physical Requirements:This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity • This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing • Transferring objects may be required • Mechanical inpatient lifts are provided • The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations • The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders.Duties • VA offers a comprehensive total rewards package: VA Nurse Total RewardsThe Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) is responsible for providing competent - evidence-based care to HBPC patients and oversight of licensed vocational nurses/nursing assistants - as appropriate to the setting • This nurse provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program • Responsible for case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planning • This nurse 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 - which maximize health capabilities and reduces unnecessary urgent care and emergency room visits - per Veteran's goals of care • Makes home visits to Veterans in the program • The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization • Demonstrates leadership in delivering and improving holistic - home-based care through collaborative strategies with others • Evaluates practice in an ongoing process - based on best evidence • Provides peers with informal constructive feedback for improvement • Fosters a safe and supportive environment conducive to the professional development of healthcare professionals • Contributes professional outpatient nursing perspective in discussions with the interdisciplinary team • Partners with others to effect change and produce optimal outcomes • Supports colleagues through knowledge sharing to provide safe - quality HBPC nursing • Shares educational findings - experiences - and ideas with peers • Questions HBPC clinical practices for the purpose of providing evidence-based care • Participates in activities and strategies to sustain an evidence-based-practice culture • General Description of AssignedDuties: Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care • Assumes responsibility for the coordination of care focused on patient education - self-management - and customer satisfaction throughout the continuum of care • Administers medications and procedures per established policies and guidelines • Influences care outcomes by collaborating with members of the interdisciplinary team • Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs • 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 territoryWork Schedule: 07:30 a.m.- 4:00 p.m • Compressed/Flexible: Optional Telework: Not Available Virtual:This is not a virtual position • Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Apply tot his job Apply tot his job