Registered Nurse - Primary Care

Position: Registered Nurse - Home Base Primary Care
The Nurse Home Based Primary Care Outpatient Staff Registered Nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimal outpatient care. This nurse provides direct Veteran care and care coordination, as it pertains, to Veterans and their care within the HBPC Program.

The HBPC RN assumes the following major duties and responsibilities:

1. Develops and manages the individualized patient plan of care to include ongoing assessment, care planning, care coordination, monitoring, and evaluating clinical outcomes.

2. Develops knowledge of Whole Health practices and provides health teaching, health counseling, provision of care that is restorative to life and well-being.

3. Provides skilled primary care nursing interventions in the home such as vaccinations, urinary catheter changes/maintenance, venipuncture/specimen collection.

4. Provides comprehensive medication management, education, and monitoring.

5. Documents patient care assessments, interventions, care coordination, quarterly care plans, and patient outcomes in the electronic medical records according to established time frames.

6. Completes nursing home safety assessments including need for adaptive equipment, environmental or behavioral concerns for staff or patient safety, and plans for emergency/disaster management.

7. Plans, schedules, and completes nursing visits in the home, clinic, by phone, or using approved video technology according to established productivity measures and patient plan of care.

8. Provides novice level nursing care management and coordination through communication with the HBPC Interdisciplinary team, specialty clinics/services, inpatient acute care, transportation services, community home care agencies, community providers/hospitals, caregivers, skilled nursing facilities, and RCFE staff.

9. Maintains a panel of Veterans requiring ongoing chronic disease management and nursing interventions.

10.Demonstrates developing knowledge of regulatory requirements and national patient safety goals for home in routine nursing practice.

11.Develops knowledge and utilization of clinical technology in the home to improve health care communication and benefit patient outcomes. 12.Participates in unit performance improvement, shared governance, HRO, and system redesign initiatives.

13.Maintains a valid and unrestricted driver's license for travel to Veteran homes and various VASDHS locations during both day and nighttime tour of duty hours.

14.Other duties as assigned.

Preferred Experience:

1. Three years recent full time experience as an RN

2. One year nursing practice working with complex patient populations in the home care environment.

3. RN Certification in one of the following:
Case Management, Geriatrics, Care Coordination & Transition Management.

4. Experience working in a autonomous nursing role.

5. Experience in home venipuncture and IV Therapy.

6. Contributions to performance improvement or evidenced-based activities in nursing practice.

7. Training in Shared Governance, Relationship Based Care, and/or High Reliability Organizations.

8. Unrestricted Drivers License and ability to drive in Day or Night Conditions.

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

Telework:
Not Available

Virtual:
This is not a virtual position.

Relocation/Recruitment

Incentives:

Not Authorized

Permanent Change of Station (PCS):
Not Authorized