Home Based Primary Care (HBPC) Registered Nurse
About The Position
The Home-Based Primary Care (HBPC) Registered Nurse provides comprehensive, patient-centered nursing care to Veterans with complex, chronic, or disabling conditions who receive care in their homes. The RN evaluates and analyzes care to ensure it is timely, appropriate, high quality, and cost effective, and serves as a key member of an interdisciplinary team at the Oakland VA Outpatient Clinic. The role includes ongoing assessment, care coordination, health promotion, patient education, and disease management for assigned Veterans. It emphasizes preventive care, chronic disease management, and preserving Veterans’ independence and quality of life at home. The nurse conducts home visits, monitors health status, administers prescribed treatments, collaborates with providers on individualized care plans, and ensures compliance with VA standards, policies, and regulatory guidelines. The RN also supports telehealth and outpatient coordination as needed to maintain continuity of care between home and clinical settings.
Requirements
- Proficiency in basic written and spoken English.
- Graduation from an appropriately accredited school of professional nursing, subject to the stated exceptions for qualifying bridge-program candidates and foreign nursing education.
- Current, full, active, and unrestricted registered professional nurse registration in a U.S. state, territory, or commonwealth, or the District of Columbia; a stated Graduate Nurse Technician exception may apply.
- Meet the education and experience criteria for the applicable nurse grade and level. The announcement lists qualifying combinations of nursing degrees and professional or specialized nursing experience for Nurse I Levels I–III and Nurse II–III.
- U.S. citizenship; non-citizens may be appointed only when qualified citizens cannot be recruited in accordance with VA policy.
- Pass a pre-employment physical evaluation.
- Meet required pre-employment screening and onboarding conditions, including drug testing for applicants tentatively selected for testing-designated positions, background/security investigation, and required identification documentation.
- Participate in the seasonal influenza vaccination program.
- Previous experience in geriatrics, home health care, and case management is listed as preferred.
- Five years of experience as a registered nurse is listed in the qualifications section; BSN/MSN is noted as preferred.
Nice To Haves
- Previous experience in geriatrics, home health care, and case management.
- Five years of experience as a registered nurse.
- BSN or MSN.
Responsibilities
- Assess, evaluate, plan, implement, and coordinate care, consulting with other Home Based Primary Care providers to evaluate and initiate changes that ensure quality care.
- Help Veterans self-manage chronic diseases and other conditions requiring additional attention, including diabetes, hypertension, congestive heart failure, chemical dependency, cancer, and dementia.
- Triage care concerns and use a collaborative team approach to identify, analyze, and resolve Veteran care problems and develop goals to resolve or manage them.
- Focus on wellness and patient education, using motivational interviewing techniques to help Veterans meet their goals.
- Collaborate with internal and external services to facilitate care and maintain knowledge of interdisciplinary resources, programs, services, and community resources.
- Establish methods to monitor patient progress, including performing injections, venipunctures, and catheter care and management, and maintain documentation within designated timeframes.
- Conduct comprehensive home assessments and develop individualized nursing care plans.
- Manage chronic conditions and 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.
- Participate in quality improvement initiatives and case conferences.
- Promote safety, independence, and prevention of hospitalizations.
- Perform in-home visits, monitor health status, administer prescribed treatments, and collaborate with providers on individualized care plans.
- Support telehealth and outpatient coordination as needed to maintain continuity of care.
Benefits
- 50 days of paid time off per year: 26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
- Traditional federal pension, with five-year vesting.
- Federal 401(k), with VA contributions of up to 5%.
- Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
- Competitive salary, regular salary increases, and potential performance awards.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
