Registered Nurse - Home Based Primary Care

Department of Veterans Affairs•Baltimore, MD

46d•Onsite

About The Position

Whole Health is an approach to health care that empowers and equips people to take charge of their health and well-being and live their life to the fullest. The VA is committed to Whole Health and values Veteran and Employee health and wellbeing. As a VA employee, you will practice Whole Health in an environment that supports personalized and proactive care. Home Based Primary Care (HBPC) Patient Aligned Care Team (PACT) Staff Registered Nurse (RN) is responsible for providing competent, evidence-based care to Veterans enrolled into HBPC program. This nurse provides direct patient care and care coordination, as it pertains to Veterans primary care needs. Responsible for case management, assessment, triage, education, resource coordination, medication reconciliation, treatment coordination, and care planning. This nurse plans and 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, to maximize health capabilities and reduce unnecessary urgent care visits, hospital admissions, and emergency room visits, per Veteran's goals of care. Performs home visits, along with video and telephone visits, when appropriate. Also assist in directing the provision of nursing education, orientation, competencies, providing quality improvement and outcomes utilization. Demonstrates leadership in delivering and improving holistic, home-based care through collaborative strategies with others.

Requirements

Critical-Thinking Skills: HBPC RN will need to assess a patient's situation, as well as detect changes in symptoms, health or pain, and will need to know when action is necessary.
Compassion: HBPC RN need to be understanding to a patient's needs and be able to deal with people in various states of health.
Attention to Detail: HBPC RN will assist multidisciplinary team and will need to detect changes in a patient's health. Attention to detail is crucial.
Organizational Skills: HBPC RN will face patients with differing needs, home lifestyles, stages of health and risks. Being organized and knowing how to prioritize will be essential.
Licensure: 1 full and unrestricted license from any US State or territory

Responsibilities

Providing competent, evidence-based care to Veterans enrolled into HBPC program
Providing direct patient care and care coordination, as it pertains to Veterans primary care needs
Case management
Assessment
Triage
Education
Resource coordination
Medication reconciliation
Treatment coordination
Care planning
Plans and 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, to maximize health capabilities and reduce unnecessary urgent care visits, hospital admissions, and emergency room visits, per Veteran's goals of care
Performs home visits, along with video and telephone visits, when appropriate
Assist in directing the provision of nursing education, orientation, competencies, providing quality improvement and outcomes utilization
Demonstrates leadership in delivering and improving holistic, home-based care through collaborative strategies with others

Benefits

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)

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