Nurse-Home Base Primary Care

Company: Department of Veterans Affairs
Location: Saint Louis
Posted on: June 9, 2021

Job Description:

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Summary

The duty station is Jefferson Barrack Division; however, the duty station may be changed to one or multiple associated VAMC locations within the metropolitan St. Louis, MO area based on the needs of the medical center. This position is in the bargaining unit. This announcement may be used to fill identical positions vacated within 90 days of any selections made from the original announcement.

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Responsibilities

The Home Based Primary Care (HBPC) RN uses a longitudinal, primary care, interdisciplinary team model of care to follow patients in the home setting in order to improve quality of life, reduce hospital admissions/emergency room visits, and delay and/or prevent nursing home placement. The HBPC RN provides case management and oversight to a panel of assigned patients. The successful candidate must have excellent clinical judgement, critical thinking, and communication skills, and be comfortable working independently and competently as part of an interdisciplinary team.

Duties include but not limited to:

1. Implements, coordinates, and delivers nursing care at part of an interdisciplinary team to high-need veterans with complex chronic disease requiring primary care in the home setting.

2. Responsible for assessing the needs of and developing plans of care for veterans and caregivers as part of an interdisciplinary team.

3. Provides nursing assessments, interventions and evaluation for the patient population in the Home Based Primary Care program.

4. Completes all initial assessments, develops and implements the plan of care in coordination with the Interdisciplinary Team, patient and caregiver.

5. Initiates referrals to other disciplines.

6. Responsible for functioning as a core member of an interdisciplinary team.

7. Facilitates the expansion of access to VA health care services in urban and rural areas.

8. Increases urban and rural health outreach and facilitates the improvement of clinical outcomes for urban and rurally located patients after post-acute inpatient episodes, chronic conditions or long-term medical problems, while reducing VASTLCMC fee-basis in provision of care, re-admission and ED visits.

Work Schedule: Monday-Friday 7:30- 4:00 pm

Financial Disclosure Report: Not required

Travel Required

Not required

Supervisory status

No

Promotion Potential

3

• Job family (Series)

0610 Nurse

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Requirements

Conditions of Employment

• You must be a U.S. Citizen to apply for this job
• Designated and/or random drug testing required
• Selective Service Registration is required for males born after 12/31/1959
• You may be required to serve a probationary period
• Subject to a background/security investigation
• Must be proficient in written and spoken English
• Selected applicants will be required to complete an online onboarding process
• Must pass pre-employment physical examination

Qualifications

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.
• Graduate of a school of professional nursing approved by the appropriate State-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). 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:

1. A current/valid State driver's license is required.

2. Two years of nursing experience caring for complex, frail patients required. Five years preferred.

3. BSN required. MSN or equivalent preferred.

4. Case Management certification preferred.5. Home health experience preferred.

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 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's 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 year's of nursing practice/experience; OR a Doctoral degree.

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: The Physical requirements of this position include the following tasks which may be performed intermittently: lifting of up to 50 lbs. (3 hours), sitting (2 hours), standing (4 hours), walking (8 hours), climbing (1 hour), kneeling (3 hours), bending/stooping (3 hours), twisting (2 hours), pushing/pulling (6 hours), simple grasping (8 hours), fine manipulation (8 hours), reaching above the shoulder (4 hours), and operating machinery (8 hours).

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Keywords: Department of Veterans Affairs, St. Louis , Nurse-Home Base Primary Care, Other , Saint Louis, Missouri