ADCES Connect
Home Based Primary Care Registered Nurse-Eureka
ADCES Connect, Richmond, Virginia, United States, 23214
Summary
The Home-Based Primary Care (HBPC) Staff Registered Nurse provides comprehensive - patient-centered nursing care to Veterans with complex - chronic - or disabling conditions who receive care in their homes. The RN is a professional nurse who evaluates and analyzes care provided to patients to assure it is timely - appropriate - of high qualify - and cost effective. The RN functions as a key member of an interdisciplinary team that includes various health professionals at the Eureka CBOC.
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) 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 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
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
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: https://apply.usastaffing.gov/ViewQuestionnaire/12856193
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 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
Preferred Experience: Previous home health or community experience
Salary for this position ranges dependent upon applicant qualifications Grade 1 Level I-III: $107 -581-$143 -078 annually Grade 2: $123 -719-$164 -540 annually Grade 3: $134 -853-$179 -348 annually Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
The position requires potentially - long periods of combined walking - standing - stooping - sitting - bending - pulling - and pushing
The incumbent must be a mature - flexible - sensible individual capable or working effectively in stressful situation - able to shift priorities based on needs of the organization
The incumbent may be required to travel occasionally
This position potentially requires flexibility in schedule and assignments
Telework is position dependent and appropriate approvals are required
telework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements - policies - and processes
If a position requires driving - incumbent is required to maintain compliance with all relevant policies and processes.
Duties
The HBPC RN is responsible for ongoing assessment - care coordination - health promotion - patient education - and disease management for assigned Veterans
This role emphasizes preventive care - chronic disease management - and maintaining the Veteran's highest level of independence and quality of life in the home environment
The nurse performs in-home visits - monitors health status - administers prescribed treatments - collaborates with providers to develop individualized care plans - and ensures compliance with VA standards - policies - and regulatory guidelines
The RN also supports telehealth and outpatient coordination as needed - contributing to continuity of care between home and clinical settings
Key Responsibilities: Assess - evaluates - plans - implements - and coordinates care - and confers with other Home Based Primary Care providers to evaluate and initiate changes to ensure quality care
Helps Veterans to self-manage chronic diseases such as diabetes - hypertension - congestive heart failure - chemical dependency - cancer - dementia - and any other conditions that may warrant additional attention
Triages and applies collaborative team approach in identifying - analyzing - and resolving Veteran's care problems - and develop care goals for resolving or managing these issues
Focuses on wellness and patient education - and uses motivational interviewing techniques to help the Veteran meet his/her goals
Collaborates with services - internal and external - to facilitate care
Maintains a current knowledge of interdisciplinary resources - programs and services to include community resources as appropriate
Establish methods to monitor patients' progress - including performing injections - venipunctures and catheter care and management and maintain appropriate documentation within designated timeframes
Conduct comprehensive home assessments and develop individualized nursing care plans
Manage chronic conditions - provide wound care - medication management - and health education
Coordinate multidisciplinary care to support Veterans' physical - emotional - and social well-being
Document care activities and outcomes in the electronic health record (EHR)
Participate in quality improvement initiatives and case conferences
Promote safety - independence - and prevention of hospitalizations
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: 8:00am-4:30pm hours vary on patient care needs Telework: Not Available Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
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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) 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 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
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
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: https://apply.usastaffing.gov/ViewQuestionnaire/12856193
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 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
Preferred Experience: Previous home health or community experience
Salary for this position ranges dependent upon applicant qualifications Grade 1 Level I-III: $107 -581-$143 -078 annually Grade 2: $123 -719-$164 -540 annually Grade 3: $134 -853-$179 -348 annually Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
The position requires potentially - long periods of combined walking - standing - stooping - sitting - bending - pulling - and pushing
The incumbent must be a mature - flexible - sensible individual capable or working effectively in stressful situation - able to shift priorities based on needs of the organization
The incumbent may be required to travel occasionally
This position potentially requires flexibility in schedule and assignments
Telework is position dependent and appropriate approvals are required
telework is not guaranteed and incumbent must comply with all regulations relevant to telework agreements - policies - and processes
If a position requires driving - incumbent is required to maintain compliance with all relevant policies and processes.
Duties
The HBPC RN is responsible for ongoing assessment - care coordination - health promotion - patient education - and disease management for assigned Veterans
This role emphasizes preventive care - chronic disease management - and maintaining the Veteran's highest level of independence and quality of life in the home environment
The nurse performs in-home visits - monitors health status - administers prescribed treatments - collaborates with providers to develop individualized care plans - and ensures compliance with VA standards - policies - and regulatory guidelines
The RN also supports telehealth and outpatient coordination as needed - contributing to continuity of care between home and clinical settings
Key Responsibilities: Assess - evaluates - plans - implements - and coordinates care - and confers with other Home Based Primary Care providers to evaluate and initiate changes to ensure quality care
Helps Veterans to self-manage chronic diseases such as diabetes - hypertension - congestive heart failure - chemical dependency - cancer - dementia - and any other conditions that may warrant additional attention
Triages and applies collaborative team approach in identifying - analyzing - and resolving Veteran's care problems - and develop care goals for resolving or managing these issues
Focuses on wellness and patient education - and uses motivational interviewing techniques to help the Veteran meet his/her goals
Collaborates with services - internal and external - to facilitate care
Maintains a current knowledge of interdisciplinary resources - programs and services to include community resources as appropriate
Establish methods to monitor patients' progress - including performing injections - venipunctures and catheter care and management and maintain appropriate documentation within designated timeframes
Conduct comprehensive home assessments and develop individualized nursing care plans
Manage chronic conditions - provide wound care - medication management - and health education
Coordinate multidisciplinary care to support Veterans' physical - emotional - and social well-being
Document care activities and outcomes in the electronic health record (EHR)
Participate in quality improvement initiatives and case conferences
Promote safety - independence - and prevention of hospitalizations
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: 8:00am-4:30pm hours vary on patient care needs Telework: Not Available Virtual: This is not a virtual position
Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
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