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The duties and responsibilities of the Home Based Primary Care Registered Nurse are the case management of Veterans with chronic diseases and skilled nursing needs in their homes to prevent acute hospital admissions due to chronic illness exacerbations, reduction in bed days of care, and reduction in emergency room visits. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), 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 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). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (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. 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. Preferred Experience: MSN degree, prior experience with Home Care and dementia/behavioral health/geriatric patients; functional phlebotomy experience; strong communication and interpersonal skills. Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: Heavy lifting (up to 35 pounds); heavy carrying (up to 35 pounds); straight pulling (2-4 hours); pushing (2-4 hours); reaching above shoulders (1-2 hours); use of fingers; both hands required; walking (4-6 hours); standing (4-6 hours); repeated bending (2-4 hours); both legs required; 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 20/40 in the other; both eyes required; ability to distinguish basic colors and shades of color; hear (aid permitted); mental and emotional stability. Additionally extensive driving and computer work. ["The Home-Based Primary Care (HBPC)/Adult Day Health Care (ADHC) nurse is accountable for a full range of nursing care to patients with a wide variety of physical and/or behavioral problems and provides this care either in the patient's home or the Adult Day Health Care setting. The incumbent is responsible for consistent utilization of the nursing process to provide care to Veterans across the healthcare continuum. Through collaborative efforts, the successful care plan will promote healing and wellness, independence, and support to the patient from admission through discharge. The incumbent must demonstrate consistent adherence to all Medical Center policies and procedures and remain flexible to any additional duties and responsibilities as assigned by the Nurse Manager. Home-Based Primary Care (HBPC) duties and responsibilities: Demonstrates knowledge and skills necessary to safely provide and plan nursing care for patient or groups of patients with simple or complex needs in the Home-Based Primary Care setting. Uses medical technology to assist patient with set-up in the patient's home and/or independently with provider for visit. Demonstrates competency to provide care to mental health and/or dementia Veterans in the home. Demonstrates functional phlebotomy skills to obtain specimens in the home while ensuring safe and efficient transport of specimens. Respond timely to consults for Home-Based Primary Care and documents appropriately, schedules and tracks patient appointments. Assesses and implements pain management strategies, documents according to policy/procedure. Promptly recognizes potential/actual urgent or emergent patient care situations in the home identifying need for 911 emergency services, providing BLS as needed in the community and provides ongoing care in the patient's home until emergency services arrive; notifies provider and completes timely documentation in CPRS. Reviews safe home environment during home visits and alerts providers to any needs or changes; conducts pillbox fills and medication reconciliation for patients in the home. Incorporates patient safety goals into practice within Home-Based Primary Care setting and takes the lead to or participates in performance and/or process improvement that results in improved care. Provides coverage to ADHC and/or HBPC nurses as needed and functions intermittently as team leader/charge nurse. Adult Day Health Care (ADHC) duties and responsibilities: Demonstrates knowledge and skills and ability to independently perform duties safely and provide and plan nursing care for patient or groups of patients with simple or complex needs in the Adult Day Health Care setting. Demonstrates competence to provide care of mental health and/or dementia Veterans and follow up telephone calls for no-show patients. Assesses and implements pain management strategies, documents according to policy/procedure, responds appropriately to emergencies, and incorporates patient safety goals into practice in Adult Day Health Care setting. Provides coverage to ADHC and/or HBPC nurses as needed and functions intermittently as team leader/charge nurse. 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 7:30am- 4:00pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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