Registered Nurse - Home Based Primary Care

Veterans Health Administration•Jefferson Barracks, MO
•Onsite

About The Position

The Home Based Primary Care (HBPC) Registered Nurse delivers and coordinates patient-centered, evidence-based care to Veterans in urban, rural, and highly rural communities served by the VA St. Louis Health Care System. Service locations include John Cochran and Jefferson Barracks campuses, Washington Avenue and Manchester annexes, sites in Franklin, St. Charles, and St. Louis counties in Missouri, and St. Clair County and Scott Air Force Base in Illinois. The RN provides direct care and, as appropriate, guides the work of licensed vocational nurses and nursing assistants. Care includes primary, geriatric, preventive, and palliative services for Veterans with complex health needs. The nurse coordinates case management, assessment, triage, education, resources, medications and treatments, and individualized care planning, with interventions intended to optimize health outcomes and reduce avoidable urgent-care and emergency-department visits. The role also involves home visits, nursing education and competency development, and participation in quality-improvement initiatives. The RN evaluates practice using current evidence, collaborates with the interdisciplinary team, supports a professional learning environment, provides constructive feedback, advocates for high-quality outcomes, and helps sustain evidence-based practice.

Requirements

  • Proficiency in basic written and spoken English.
  • Graduation from an appropriately accredited school of professional nursing, or qualifying education under the stated bridge-program or foreign-education provisions.
  • Current, full, active, and unrestricted professional nurse registration in a U.S. State, Territory, or Commonwealth, or the District of Columbia; a stated Graduate Nurse Technician exception may apply while pursuing licensure.
  • Must meet the applicable VA Nurse grade and level requirements for education and professional nursing experience.
  • U.S. citizenship, except that non-citizens may be appointed only when qualified citizens cannot be recruited under VA policy.
  • Selected applicants in testing-designated positions must submit to urinalysis for illegal drug screening; refusal results in denial of employment.
  • Selective Service registration is required for males born after December 31, 1959.
  • Subject to background and security investigation.
  • Must complete the online onboarding process and provide acceptable identification for pre-employment requirements.
  • Participation in the seasonal influenza vaccination program is required for VA Health Care Personnel.
  • May be required to serve a probationary period.
  • Must complete the application requirements detailed in the announcement's Required Documents section.
  • Physical ability to perform activities associated with direct patient care, including extended walking, standing, and sitting, moderate lifting, and repeated bending or kneeling.

Nice To Haves

  • Three to five years of home-care experience.

Responsibilities

  • Deliver and coordinate comprehensive, patient-centered, evidence-based home care for Veterans.
  • Provide direct patient care and guide licensed vocational nurses and nursing assistants as appropriate.
  • Perform case management, patient assessment, and triage.
  • Educate Veterans and caregivers and support self-management.
  • Coordinate care resources and manage medications and treatments.
  • Develop individualized care plans for Veterans with complex needs.
  • Provide primary, geriatric, preventive, and palliative care tailored to improve outcomes and reduce avoidable urgent-care or emergency-department visits.
  • Conduct home visits across the VA St. Louis Health Care System service area.
  • Support nursing education and competency development.
  • Contribute to quality-improvement initiatives and evaluate clinical practice using current evidence.
  • Collaborate with the interdisciplinary team, provide constructive feedback, advocate for high-quality outcomes, and support evidence-based practice and a professional learning environment.

Benefits

  • Competitive salary, regular salary increases, and potential performance awards.
  • 50 days of paid time off per year, including 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.
  • One full and unrestricted license from any U.S. State or territory is accepted.
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