RN Staff - HBPC (Brattleboro VT)

Summary

The RN Staff - Home Base Primary Care position is in Geriatrics and Extended Care Service at the VA White River Junction Healthcare System, located at the Brattleboro, VT location. This position is full-time at 40 hours per week. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

Duties

The RN Staff - Home Base Primary Care position is in Geriatrics and Extended Care Service at the VA White River Junction Healthcare System, located at the Brattleboro, VT location. This position is full-time at 40 hours per week. Included but are not limited to: Provide and supervise direct patient care, ensuring accountabilities for all elements of the nursing process. Coordinate patient care across settings with emphasis on education, self-management, and patient satisfaction. Administer medications and perform clinical procedures per established policies and guidelines. Participate in unit and program-level quality improvement and customer service initiatives. Deliver evidence-based care to HBPC patients, including oversight of licensed vocational nurses and nursing assistants. Manage cases through assessment, triage, patient education, resource and medication coordination, and individualized care planning. Plan and deliver comprehensive, technically competent care to veterans in their homes, addressing complex primary, geriatric, preventive, and palliative needs. Implement interventions to maximize health, reduce hospital/ED visits, and align with each veteran's goals of care. Conduct routine home visits to veterans as part of care delivery. Support the orientation, education, and competency development of nursing staff; contribute to quality improvement and outcome evaluation activities. Provide constructive feedback to peers and foster a safe, supportive, and professional environment for staff development. Veteran/Patient-Driven Care: Collaborate with the interdisciplinary team to resolve issues impacting the veteran experience, including care coordination, timeliness, satisfaction, and environment of care concerns. Incorporate the knowledge, values, and beliefs of patients, families, and caregivers into care delivery without judgement or discrimination. Advocate for patient, family, and caregiver needs to improve outcomes in the immediate practice setting. Serve as a resource for resolving ethical concerns for patients, caregivers, and staff. Evidence-Based Practice/Research: Lead the integration of evidence-based practice and research to improve care quality, resource utilization, and outcomes. Apply current evidence and research findings to daily practice, resulting in process or outcome improvements. Assess clinical processes to identify opportunities for efficient and cost-effective care delivery. Monitor, analyze, and evaluate care outcomes to drive patient care improvements. Lead initiatives to integrate patient preferences and shared decision-making into care delivery. Work Schedule: Monday - Friday 8:00am - 4:30pm Compressed/Flexible: Not authorized Telework: May be available on an Ad-Hoc basis at supervisor's discretion Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized 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. Notifications: This position is in the Excepted Service Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. VA offers a comprehensive total rewards package: VA Nurse Total Rewards

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/13080601. 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-d