Summary

The 2-page Resume requirement does not apply to this occupational series. For more information - refer to Required Documents below. The Home Based Primary Care (HBPC) Outpatient Staff Registered Nurse (RN) executes position responsibilities that demonstrate leadership - experience - and creative approaches to management of complex HBPC care. This nurse provides direct Veteran care and care coordination - as it pertains - to Veterans and their care within the HBPC Program.

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 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: https://apply.usastaffing.gov/ViewQuestionnaire/12805615
• 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 https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Moderate lifting - 15-44 pounds Light
• Moderate carrying - 15-44 pounds
• Straight pulling (.5 hours)
• Pushing (.5 hours)
• Reaching above shoulder
• Use of fingers
• Both hands required
• Walking (3 hours)
• Standing (4-6 hours)
• Kneeling (2 hours)
• Repeated bending (2 hours)
• Climbing - legs only (1 hour)
• Both legs required
• Operation of crane - truck - tractor - or motor vehicle
• Ability for rapid mental and muscular coordination simultaneously
• Specific visual requirement (at least 20/40 in each eye)
• Both eyes required
• Depth perception
• Ability to distinguish shades of colors
• Hearing (aid may be permitted)
• Mental & Emotional stability required
• at least 70' peripheral in horizontal meridian in each eye
• Environmental Factors: Outside and Inside
• Excessive heat
• Excessive cold
• Dust
• Fumes - smoke - or gases
• Slippery or uneven walking surfaces
• Working around moving objects
• Working closely with others
• Working alone
• Animal dander
• Insects.

Duties

• General Description of Assigned Duties: Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care
• Assesses - plans - implements - and evaluates care based on age-specific components
• Coordinates care with a focus on patient education - self-management - and customer satisfaction throughout the continuum of care
• Administers medications and procedures in accordance with established policies and guidelines
• Influences care outcomes through collaboration with members of the interdisciplinary team
• Executes responsibilities that demonstrate leadership - experience - and creative approaches to the management of complex client care
• Functions or Scope of Assigned Duties: Responsible for case management - assessment - triage - Veteran education - resource coordination - medication and treatment coordination - and care planning
• Delivers technically competent care in the home of Veterans with complex needs - including health promotion - disease prevention - geriatric care - primary care - and palliative care
• Utilizes interventions that maximize health capabilities and reduce unnecessary urgent care and emergency room visits - aligned with the Veteran's goals of care
• Conducts home visits to Veterans enrolled in the HBPC program
• Collaborates in the development - implementation - evaluation - and revision of policies - procedures - and guidelines
• Demonstrates leadership performance that improves care delivery for the HBPC Program and the broader facility
• Provides peers with formal or informal constructive feedback to support professional growth and improvement
• Shares HBPC knowledge with colleagues and other nurses to promote safe - high-quality nursing care
• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals
• Evaluates outpatient outcomes of evidence-based decisions and practice changes for HBPC individuals - groups - and populations
• Responsible for documented HBPC outcomes at the program or service level - which must be broad - complex - and demonstrable at any organizational level within the facility
• 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.